PETER M ANTALL (Credential# 1120020) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is May 1, 2020. The license expiration date date is April 30, 2021. The license status is ACTIVE.
PETER M ANTALL is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.051500. The credential type is physician/surgeon. The effective date is May 1, 2020. The expiration date is April 30, 2021. The business address is 2550 Sandycreek Dr, Westlake Village, CA 91361-5545. The current status is active.
| Licensee Name | PETER M ANTALL |
| Credential ID | 1120020 |
| Credential Number | 1.051500 |
| Credential Type | Physician/Surgeon |
| Business Address |
2550 Sandycreek Dr Westlake Village CA 91361-5545 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2012-11-28 |
| Effective Date | 2020-05-01 |
| Expiration Date | 2021-04-30 |
| Refresh Date | 2020-03-03 |
| Street Address | 2550 SANDYCREEK DR |
| City | WESTLAKE VILLAGE |
| State | CA |
| Zip Code | 91361-5545 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Cbs Manufacturing Group | 2629 Townsgate Rd Ste 235, Westlake Village, CA 91361 | Importer of Bedding & Upholstered Furniture | 2020-05-01 ~ 2021-04-30 |
| William E Brock | 1505 Covington Ave, W Lake Vlg, CA 91361 | Professional Engineer | 1991-03-01 ~ 1992-01-31 |
| Maryanne E Marion · Hoyt | 1220 B South Westlake Blvd., Westlake Village, CA 91361 | Registered Nurse | 2014-08-01 ~ 2015-07-31 |
| My Stuff Bags Foundation | 5347 Sterling Center Drive, Westlake Village, CA 91361 | Public Charity | 2010-05-30 ~ 2011-05-31 |
| Nina M Citrin | 30992 Lexington Way, Westlake Village, CA 91361 | Registered Nurse | 1997-09-12 ~ 1998-10-31 |
| Melanie J Gero | 4151 Summit Ridge Ct, Westlake Village, CA 91361 | Physician/surgeon | 1992-09-24 ~ 1993-09-30 |
| William R Bissell | 1103 Stonshead Ct, Westlake Vlge, CA 91361 | Professional Engineer | 2000-02-01 ~ 2001-01-31 |
| Philip M Sidrane | 2275 Westshore Ln, Westlake Vlg, CA 91361 | Pharmacist | 1800-12-27 ~ 1990-03-31 |
| William H Amsler | 1082 Elf Stone Court, Westlake Vlg, CA 91361 | Heating, Piping & Cooling Limited Journeyperson | ~ |
| Air Warrior Courage Foundation · Wounded Warrior Emergency Support Fund | 261 Fox Ridge Dr, Thousand Oaks, CA 91361-1307 | Public Charity | 2020-06-01 ~ 2021-05-31 |
| Find all Licenses in zip 91361 | |||
| City | WESTLAKE VILLAGE |
| Zip Code | 91361 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + WESTLAKE VILLAGE |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Gloria Antall | 18 Fernwood Road, Summit, NJ 07901 | Registered Nurse | 1981-01-01 ~ 1993-05-31 |
| Peter S Johnston | P.o. Box 67, Barryville, NY 12719 | Physician/surgeon | 2019-10-01 ~ 2020-09-30 |
| Peter Liu | 503 Main St Apt 5, Great Barrington, MA 01230-2152 | Physician/surgeon | ~ |
| Peter E Pascal Md | 7 Elm St Ste 203, Enfield, CT 06082-3670 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Peter E Spalding | Po Box 133, Portland, CT 06480 | Physician/surgeon | 1993-04-23 ~ 1994-03-31 |
| Peter E Bentivegna | P.o. Box 73, Osterville, MA 02655 | Physician/surgeon | 1993-06-24 ~ 1994-03-31 |
| Peter O Rostenberg | Po Box B, New Fairfield, CT 06812 | Physician/surgeon | 2019-11-01 ~ 2020-10-31 |
| Peter M. Kigonya | 253 Front St, New Haven, CT 06513-3203 | Physician/surgeon | ~ |
| Peter G Markos | P.o.box 732 (5-l), Dover, NH 03821-0732 | Physician/surgeon | 2009-08-01 ~ 2010-07-31 |
| Peter L Steenbergen Md | 4 Fox Run Dr, Easton, CT 06612-1200 | Physician/surgeon | 2018-07-01 ~ 2019-06-30 |
Please comment or provide details below to improve the information on PETER M ANTALL.
| 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).