EDWARD T R HOLT MD (Credential# 541028) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is June 9, 2004. The license expiration date date is July 31, 2005. The license status is INACTIVE.
EDWARD T R HOLT MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.014251. The credential type is physician/surgeon. The effective date is June 9, 2004. The expiration date is July 31, 2005. The business address is 145 Military Hwy, Groton, CT 06340. The current status is inactive.
Licensee Name | EDWARD T R HOLT MD |
Credential ID | 541028 |
Credential Number | 1.014251 |
Credential Type | Physician/Surgeon |
Business Address |
145 Military Hwy Groton CT 06340 |
Business Type | INDIVIDUAL |
Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
Issue Date | 1969-12-16 |
Effective Date | 2004-06-09 |
Expiration Date | 2005-07-31 |
Refresh Date | 2009-07-10 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
146001 | CSP.0006061 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2004-02-29 - 2005-02-28 | INACTIVE |
Street Address | 145 MILITARY HWY |
City | GROTON |
State | CT |
Zip Code | 06340 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Swatiben R. Patel | 81 Charlton Lane, Groton, CT 06340 | Pharmacy Technician | 2020-06-26 ~ 2021-03-31 |
Susan E Mammone | 39 Chestnut Hill Sq, Groton, CT 06340 | Real Estate Salesperson | 2020-06-23 ~ 2021-05-31 |
Jennifer L Lundie | 302b Meridian Street, Groton, CT 06340 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
Jennifer Gauthier | 55 Fieldside Drive # B, Groton, CT 06340 | Master's Level Social Worker - Temporary Permit | ~ |
Anthony Di Lullo Md | Thameside Ob/gyn Centre, Groton, CT 06340 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
Carrien Williams | 186 Mirra Dr, Groton, CT 06340 | Nail Technician | ~ |
Mustapha Kemal Md | 61 Leeward Lane, Groton, CT 06340 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
Subway #309 | 967 Poquonnock Rd, Groton, CT 06340 | Bakery | 2020-07-01 ~ 2021-06-30 |
Kathlene M Hunt | 75 Pleasant Street, Groton, CT 06340 | Notary Public Appointment | 2020-10-01 ~ 2025-09-30 |
Paul A Morosky | 2 Cross Street, Groton, CT 06340 | Distribution System Operator - Class I | 2020-04-01 ~ 2023-03-31 |
Find all Licenses in zip 06340 |
City | GROTON |
Zip Code | 06340 |
License Type | Physician/Surgeon |
License Type + County | Physician/Surgeon + GROTON |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Jonathan H Holt | 70 Livingston St, New Haven, CT 06511-2466 | Physician/surgeon | 1983-04-14 ~ 1984-08-31 |
Stephen R Holt Md | 53 Dundee Drive, Cheshire, CT 06410 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
Thomas R Kosten | 4615 Holt Street, Bellaire, TX 77401 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
Peter D Holt | 11995 Singletree Lane, Ste 500, Eden Prairie, MN 55344-5349 | Physician/surgeon | 2015-05-01 ~ 2016-04-30 |
Mack R Holt · Holt Builders | 104 Nooks Hill Road, Cromwell, CT 06416 | Home Improvement Contractor | ~ 1995-10-01 |
Edward A Eisenberg | Edward A Eisenberg, Md, Facep, Pawcatuck, CT 06379 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
Holt Property Services Inc · Holt Construction Group | 8846 E 33rd St, Indianapolis, IN 46226-6501 | Major Contractor | 2017-07-01 ~ 2018-06-30 |
Jonathan Edward Scott | CT | Physician/surgeon | ~ |
Bruce Edward Holt | 8580 Marysville Avenue, Cordova, TN 38016-1434 | Professional Engineer | 2020-05-09 ~ 2021-01-31 |
Edward J Day | 993 Racebrook Rd., Woodbridge, CT 06525 | Physician/surgeon | 2010-08-01 ~ 2011-07-31 |
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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).