SCOTT DAVID HALTZMAN (Credential# 1432498) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is July 1, 1987. The license expiration date date is June 30, 1989. The license status is INACTIVE.
SCOTT DAVID HALTZMAN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.028291. The credential type is physician/surgeon. The effective date is July 1, 1987. The expiration date is June 30, 1989. The business address is 345 Blackstone Blvd, Providence, RI 02906-4800. The current status is inactive.
| Licensee Name | SCOTT DAVID HALTZMAN |
| Credential ID | 1432498 |
| Credential Number | 1.028291 |
| Credential Type | Physician/Surgeon |
| Business Address |
345 Blackstone Blvd Providence RI 02906-4800 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 1987-07-01 |
| Effective Date | 1987-07-01 |
| Expiration Date | 1989-06-30 |
| Refresh Date | 2017-06-20 |
| Street Address | 345 BLACKSTONE BLVD |
| City | PROVIDENCE |
| State | RI |
| Zip Code | 02906-4800 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Christine Montross | 345 Blackstone Blvd, Providence, RI 02906 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| The Stephen C. Rose Legacy Foundation · The Steve Fund | 138 Governor Street, Providence, RI 02906 | Public Charity | 2020-06-12 ~ 2021-11-30 |
| Moriah Connor | 211 Waterman Street, Unit 20, Providence, RI 02906 | Behavior Analyst | ~ |
| Elizabeth Burns | 198 Camp Street, Providence, RI 02906 | Licensed Clinical Social Worker | ~ |
| Susan Dickstein | 196 Freeman Parkway, Providence, RI 02906 | Psychologist | 2020-07-01 ~ 2021-06-30 |
| Victoria S Karlsen | 415 Angell St, Providence, RI 02906 | Behavior Analyst | ~ |
| John W O'bell Md | 14 Rose Ct., Providence, RI 02906 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Alexandria Hanul Simon | 323 Angell Street, Providence, RI 02906 | Emergency Medical Technician | ~ |
| Molly A Moran | 202 Sixth Street, Providence, RI 02906 | Advanced Practice Registered Nurse | 2020-06-01 ~ 2021-05-31 |
| Simon M Cornelissen | 45 Balton Rd, Providence, RI 02906 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Sally E Lapides | 63 Manning St, Providence, RI 02906 | Real Estate Broker | 2020-04-01 ~ 2021-03-31 |
| Find all Licenses in zip 02906 | |||
| City | PROVIDENCE |
| Zip Code | 02906 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + PROVIDENCE |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Scott David LLC | 120 West Rd, Marlborough, CT 06447-1107 | Home Improvement Contractor | 2017-04-17 ~ 2017-11-30 |
| Jonathan Edward Scott | CT | Physician/surgeon | ~ |
| David L Scott | 1808 Florida Ave, Palm Harbor, FL 34683-4700 | Resident Physician | 2013-08-01 ~ 2020-06-30 |
| Scott T Rottinghaus | Po Box 831, Dover, MA 02030 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Scott Yager | 32 W 40 St Apt 9c, New York, NY 10018 | Physician/surgeon | 1993-12-27 ~ 1994-12-31 |
| Scott M Hartzell | 137 Jpm Rd, Lewisburg, PA 17837-9313 | Physician/surgeon | 2020-01-01 ~ 2020-12-31 |
| Scott Ellis | 523 E 72nd St Fl 5, New York, NY 10021-4099 | Physician/surgeon | ~ |
| Scott Horn | 76 Coachlamp Ln, Darien, NY 06820 | Physician/surgeon | ~ |
| Scott B Wells | 655 Park Ave, New York, NY 10065 | Physician/surgeon | 2016-01-04 ~ 2016-12-31 |
| Scott M Benson | 505 Willard Ave, Newington, CT 06111-2650 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
Please comment or provide details below to improve the information on SCOTT DAVID HALTZMAN.
| 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).