RICHARD M ENGELMAN (Credential# 540177) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is November 1, 2016. The license expiration date date is October 31, 2017. The license status is INACTIVE.
RICHARD M ENGELMAN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.011923. The credential type is physician/surgeon. The effective date is November 1, 2016. The expiration date is October 31, 2017. The business address is 759 Chestnut St, Springfield, MA 01199. The current status is inactive.
| Licensee Name | RICHARD M ENGELMAN |
| Credential ID | 540177 |
| Credential Number | 1.011923 |
| Credential Type | Physician/Surgeon |
| Business Address |
759 Chestnut St Springfield MA 01199 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 1964-09-22 |
| Effective Date | 2016-11-01 |
| Expiration Date | 2017-10-31 |
| Refresh Date | 2018-02-03 |
| Street Address | 759 CHESTNUT ST |
| City | SPRINGFIELD |
| State | MA |
| Zip Code | 01199 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Jean M Hennebery | 759 Chestnut St, Springfield, MA 01199-1001 | Physician/surgeon | 2019-10-01 ~ 2020-09-30 |
| Lawrence C Peters | 759 Chestnut St, Springfield, MA 01199 | Physician/surgeon | 2016-08-01 ~ 2017-07-31 |
| James Van Bavel | 759 Chestnut St, Springfield, MA 01107-1619 | Physician/surgeon | 1972-06-22 ~ 1980-07-30 |
| Alok Kumar | 759 Chestnut St, Springfield, MA 01199-1001 | Physician/surgeon | ~ |
| Baystate Health Foundation Inc. | 759 Chestnut St, Springfield, MA 01199-1001 | Public Charity-exempt From Financial Requirements | ~ |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Katya Ford · Ivanov | Baystate Medical Center, Springfield, MA 01199 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Franklin Moore | Departmentt of Pathology, 759 Chestnut St, MA 01199 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Oren W Johnson | 758 Chestnut Street, Springfield, MA 01199 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Kimberly Ann Bucknor | 3400 B Main Street, Springfield, MA 01199 | Controlled Substance Registration for Practitioner | 2020-02-03 ~ 2021-02-28 |
| Kelly A Lynch | Baystate Medical Center, Dept. of Obgyn, Springfield, MA 01199 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Orlando L Torres | 140 High Street, Springfield, MA 01199 | Physician/surgeon | 2005-11-21 ~ 2006-07-31 |
| Christopher N Otis | Baystate Medical Center, Springfield, MA 01199 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Kelly M Tyler | Baystate Medical Center, Springfield, MA 01199 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Neal E Seymour | Baystate Medical Center, Springfield, MA 01199 | Physician/surgeon | 2019-08-01 ~ 2020-07-31 |
| Venkatrao Medarametla | C3350; Hospital Medidine, Springfield, MA 01199-0001 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
| Find all Licenses in zip 01199 | |||
| City | SPRINGFIELD |
| Zip Code | 01199 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + SPRINGFIELD |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Daniel T Engelman | 7 Lincoln Ave, West Hartford, CT 06117 | Physician/surgeon | 1994-09-22 ~ 1995-11-30 |
| David R Engelman | 3 Saint Peters Court, Ledyard, CT 06339 | Physician/surgeon | 2005-09-26 ~ 2006-07-31 |
| Richard Pilot · Paul Richard Pilot | 5 Dock Watch Hollow Road, Warren, NJ 07059 | Physician/surgeon | 2019-11-01 ~ 2020-10-31 |
| Richard S Underkofler | CT | Physician/surgeon | 1983-07-01 ~ 1987-11-30 |
| Richard A Marino Md | Fairfield, CT 0643013 | Physician/surgeon | 2000-03-20 ~ 2001-05-31 |
| Benjamin Richard Jacobs | CT | Physician/surgeon | ~ 1992-03-31 |
| Richard M Pianti | 698 Ne 1st Ave, Miami, FL 33132 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
| Richard A Fraser | 5 Ellis Ct, Rye, NY 10580 | Physician/surgeon | 2010-12-01 ~ 2011-11-30 |
| Richard W Pooley Md | 290 W 580 S, Orem, UT 84058-6151 | Physician/surgeon | 2017-11-01 ~ 2018-10-31 |
| Richard W Kim Md | 333 Cedar St, New Haven, CT 06520-8039 | Physician/surgeon | 2010-06-01 ~ 2011-05-31 |
Please comment or provide details below to improve the information on RICHARD M ENGELMAN.
| 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).