ROBERT W PATTILLO (Credential# 548918) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is July 1, 2015. The license expiration date date is June 30, 2016. The license status is INACTIVE.
ROBERT W PATTILLO is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.031090. The credential type is physician/surgeon. The effective date is July 1, 2015. The expiration date is June 30, 2016. The business address is 1631 Meadowlark Rd, Wyomissing, PA 19610. The current status is inactive.
| Licensee Name | ROBERT W PATTILLO |
| Credential ID | 548918 |
| Credential Number | 1.031090 |
| Credential Type | Physician/Surgeon |
| Business Address |
1631 Meadowlark Rd Wyomissing PA 19610 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 1990-08-31 |
| Effective Date | 2015-07-01 |
| Expiration Date | 2016-06-30 |
| Refresh Date | 2016-10-03 |
| Street Address | 1631 MEADOWLARK RD |
| City | WYOMISSING |
| State | PA |
| Zip Code | 19610 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Carole J Neag | 1216 Old Mill Rd, Wyomissing, PA 19610 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Ranjan Pathak | 855 N Park Rd, Wyomissing, PA 19610 | Resident Physician | 2017-07-10 ~ 2021-06-30 |
| Tabitha Madzura | 141 Heather Lane, Wyomissing, PA 19610 | Registered Nurse | 2020-05-01 ~ 2021-04-30 |
| Robert J Pellegrini | 1023 Sandstone Drive, Wyomissing, PA 19610 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
| Capstone Compounding Pharmacy | 220 N. Park Rd, Wyomissing, PA 19610 | Nonresident Pharmacy | 2019-09-01 ~ 2020-08-31 |
| Emily Mengle | 443 Wroxham Drive, Wyomissing, PA 19610 | Occupational Therapist | 2019-08-01 ~ 2021-07-31 |
| Abhijay P Karandikar | 100 N Park Rd, Apt 1309, Wyomissing, PA 19610 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Cott Beverages Wyomissing Inc. | 1090 Spring St, Wyomissing, PA 19610 | Non-alcoholic Beverage & Water Bottlers | 2003-07-01 ~ 2004-06-30 |
| Scot M Depue Md | 1256 Girard Ave, Wyomissing, PA 19610 | Controlled Substance Registration for Practitioner | 2015-03-16 ~ 2017-02-28 |
| Robert J Bator Jr. | 2017 Cypress Ln, Wyomissing, PA 19610 | Professional Engineer | 2016-02-01 ~ 2017-01-31 |
| Find all Licenses in zip 19610 | |||
| City | WYOMISSING |
| Zip Code | 19610 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + WYOMISSING |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Robert M Pattillo | 277 Upper Grassy Hill Rd, Woodbury, CT 06798 | Emergency Medical Technician | 2006-08-01 ~ 2008-01-01 |
| Brent Robert Jacobson | Envision Physician Services, Dallas, TX 75240 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
| Melissa Mary Pattillo | 15 Old Turnpike Rd Apt 7, Southington, CT 06489-3657 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Jean Paige Pattillo | 5136 7th Ct S, Birmingham, AL 35212-3912 | Registered Nurse | 1986-09-12 ~ 1987-08-31 |
| Robert J Gionfriddo | CT | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| James G Pattillo IIi | 74 Mack St, Windsor, CT 06095 | Controlled Substance Registration for Practitioner | 1999-03-01 ~ 2000-02-28 |
| Robert Lee Gore | 79 Richmond St, Dorchester, MA 02124-5873 | Physician/surgeon | ~ |
| Robert M Amick | 260 Lee St, Brookline, MA 02445-5915 | Physician/surgeon | 2012-10-01 ~ 2013-09-30 |
| Robert Nekrich | Po Box 316, New City, NY 10956 | Physician/surgeon | 2019-12-01 ~ 2020-11-30 |
| Robert C Alvis Md | Po Box 194, Thornwood, NY 10594 | Physician/surgeon | 2019-02-01 ~ 2020-01-31 |
Please comment or provide details below to improve the information on ROBERT W PATTILLO.
| 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).