KEITH M SPELLMAN (Credential# 977124) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is September 1, 2018. The license expiration date date is August 31, 2019. The license status is INACTIVE.
KEITH M SPELLMAN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.049950. The credential type is physician/surgeon. The effective date is September 1, 2018. The expiration date is August 31, 2019. The business address is Po Box 320757, Los Gatos, CA 95032-0112. The current status is inactive.
| Licensee Name | KEITH M SPELLMAN |
| Credential ID | 977124 |
| Credential Number | 1.049950 |
| Credential Type | Physician/Surgeon |
| Business Address |
Po Box 320757 Los Gatos CA 95032-0112 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 2011-06-08 |
| Effective Date | 2018-09-01 |
| Expiration Date | 2019-08-31 |
| Refresh Date | 2019-12-04 |
| Street Address | PO BOX 320757 |
| City | LOS GATOS |
| State | CA |
| Zip Code | 95032-0112 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Ravinder Sohal | Po Box 320757, Los Gatos, CA 95032-0112 | Physician/surgeon | 2019-03-01 ~ 2020-02-29 |
| Archana Lucchesi | Po Box 320757, Los Gatos, CA 95032-0112 | Physician/surgeon | 2019-02-01 ~ 2020-01-31 |
| Ronald J Homer Md | Po Box 320757, Los Gatos, CA 95032-0112 | Physician/surgeon | 2016-06-01 ~ 2017-05-31 |
| Bradley M. Tipler | Po Box 320757, Los Gatos, CA 95032-0112 | Physician/surgeon | 2016-03-01 ~ 2017-02-28 |
| Arthur S Maynard IIi | Po Box 320757, Los Gatos, CA 95032-0112 | Physician/surgeon | 2014-02-01 ~ 2015-01-31 |
| Garth H Harley | Po Box 320757, Los Gatos, CA 95032-0112 | Physician/surgeon | ~ |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Mariam Hasan | 15891 Los Gatos Almaden Rd, Los Gatos, CA 95032 | Physician/surgeon | ~ |
| Charles C Hoo | Nightshift Radiology, Los Gatos, CA 95032 | Physician/surgeon | 2018-12-01 ~ 2019-11-30 |
| Tammy Tam Phuong Nguyen | 327 Carlton Ave, Los Gatos, CA 95032 | Pharmacist | 2020-02-01 ~ 2022-01-31 |
| Howard J. Schneck | 16147 Jacaranda Way, Los Gatos, CA 95032 | Certified Public Accountant Certificate | 2020-01-01 ~ 2020-12-31 |
| Thomas J Yates | 1484 Pollard Road, Los Gatos, CA 95032 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
| Geoffrey M Murrish | P.o Box #320757, Los Gatos, CA 95032 | Physician/surgeon | 2018-08-01 ~ 2019-07-31 |
| Judith L Corey | P.o.box 320757, Los Gatos, CA 95032 | Physician/surgeon | 2018-07-01 ~ 2019-06-30 |
| Betsy J Bronson | P.o. Box 320757, Los Gatos, CA 95032 | Physician/surgeon | 2019-05-01 ~ 2020-04-30 |
| Akeena Solar Inc | 16005 Los Gatos Blvd, Los Gatos, CA 95032 | Home Improvement Contractor | 2008-12-01 ~ 2009-11-30 |
| Mary C Priest | 134 Regent Drive, Los Gatos, CA 95032 | Registered Nurse | 2011-06-01 ~ 2012-05-31 |
| Find all Licenses in zip 95032 | |||
| City | LOS GATOS |
| Zip Code | 95032 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + LOS GATOS |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Edward L Spellman Md | 816 Broad St., Meriden, CT 06450 | Physician/surgeon | 2006-08-29 ~ 2007-08-31 |
| Keith W Spellman | Bridgeport, CT 06606 | Emergency Medical Technician | ~ 1997-07-01 |
| Keith C Boldon Md | Keith Boldon Md, Cheshire, CT 06410 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
| Brian J Spellman · Brian Spellman Carpentry | 27 Candlewood Rd, Trumbull, CT 06611-4108 | Home Improvement Contractor | 2017-12-01 ~ 2018-11-30 |
| Heather C Spellman | 20 Spellman Road, Stafford, CT 06075 | Notary Public Appointment | 2004-07-20 ~ 2009-07-31 |
| Keith A Hernandez Md | 193 River Rd, Madison, CT 06443 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Keith Edwards | 140 Hospital Dr, Bennington, VT 05201 | Physician/surgeon | 1992-07-23 ~ 1993-06-30 |
| Keith A Vom Eigen | 37 Hobson Ave, Windsor, CT 06095 | Physician/surgeon | 2020-01-01 ~ 2020-12-31 |
| Keith Ray Hodge Md | 95 Dover Rd, W Hartford, CT 06119 | Physician/surgeon | 2001-03-12 ~ 2002-03-31 |
| Keith A Cauley | 33 Fairview Dr, Farmington, CT 06032-2516 | Physician/surgeon | 2020-01-24 ~ 2020-08-31 |
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| Data Provider | Connecticut Department of Consumer Protection |
| Jurisdiction | Connecticut |
| Related Datasets | Connecticut Business Registrations, Connecticut Child Care Facilities |
This dataset includes 1.41 million licenses issued wtih Connecticut Department of Consumer Protection (TDLR).