ULDER J TILLMAN
Physician/surgeon


Address: 722 South Old Mill, Dover, DE 19901

ULDER J TILLMAN (Credential# 548134) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is October 28, 1997. The license expiration date date is November 30, 1998. The license status is INACTIVE.

Business Overview

ULDER J TILLMAN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.029958. The credential type is physician/surgeon. The effective date is October 28, 1997. The expiration date is November 30, 1998. The business address is 722 South Old Mill, Dover, DE 19901. The current status is inactive.

Basic Information

Licensee Name ULDER J TILLMAN
Credential ID 548134
Credential Number 1.029958
Credential Type Physician/Surgeon
Business Address 722 South Old Mill
Dover
DE 19901
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 1989-05-12
Effective Date 1997-10-28
Expiration Date 1998-11-30
Refresh Date 2009-07-08

Other licenses

ID Credential Code Credential Type Issue Term Status
159398 CSP.0018215 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 1997-03-26 - 1998-02-28 INACTIVE

Office Location

Street Address 722 SOUTH OLD MILL
City DOVER
State DE
Zip Code 19901

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Ambreen Raza 351 Kimberton Ct, Apt B-2, Dover, DE 19901 Controlled Substance Registration for Practitioner 2020-05-26 ~ 2021-02-28
Gerald J Finnegan 1221 North Farmview Dr, Dover, DE 19901 Crane Operator 1992-10-01 ~ 1994-09-30
Robin Hood Israel Foundation 8 The Green, Str A, Dover, DE 19901 Public Charity-exempt From Financial Requirements 2015-11-23 ~
Jennifer A Grillo 400 North Dupont Highway, Dover, DE 19901 Registered Nurse 2015-11-01 ~ 2016-10-31
Jennifer L Brophy 126 Glohaven Court, Dover, DE 19901 Registered Nurse 2015-09-01 ~ 2016-08-31
Meghan E Andrews 662 Vista Avenue, Dover, DE 19901 Controlled Substance Registration for Practitioner 2013-03-01 ~ 2015-02-28
Samiddha D Gunasekera 208 Green Blade Dr, Dover, DE 19901 Professional Engineer 1994-03-18 ~ 1995-01-31
Linda Deleon 202 Baytree Rd., Dover, DE 19901 Registered Nurse 2012-11-01 ~ 2013-11-30
Jaime W Sherman 1700 North Dpont Highway, Dover, DE 19901 Dietitian/nutritionist 2008-05-01 ~ 2009-06-30
Joan Fry 337 Fox Road, Dover, DE 19901 Hairdresser/cosmetician 1992-01-23 ~ 1992-12-31
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Competitor

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City DOVER
Zip Code 19901
License Type Physician/Surgeon
License Type + County Physician/Surgeon + DOVER

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Dataset Information

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).

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