MICHAEL DAVID BEITLE
Physician/surgeon


Address: 115 Fernwood Drive, East Greenwich, RI 02818

MICHAEL DAVID BEITLE (Credential# 554540) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is October 26, 1998. The license expiration date date is December 31, 1999. The license status is INACTIVE.

Business Overview

MICHAEL DAVID BEITLE is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.036950. The credential type is physician/surgeon. The effective date is October 26, 1998. The expiration date is December 31, 1999. The business address is 115 Fernwood Drive, East Greenwich, RI 02818. The current status is inactive.

Basic Information

Licensee Name MICHAEL DAVID BEITLE
Credential ID 554540
Credential Number 1.036950
Credential Type Physician/Surgeon
Business Address 115 Fernwood Drive
East Greenwich
RI 02818
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 1998-06-12
Effective Date 1998-10-26
Expiration Date 1999-12-31
Refresh Date 2009-07-08

Office Location

Street Address 115 FERNWOOD DRIVE
City EAST GREENWICH
State RI
Zip Code 02818

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Steven B Prudhomme 184 So Pierce Rd, East Greenwich, RI 02818 Home Inspector 2017-07-01 ~ 2019-06-30
Hanns Christoph Stretz 17 Chace Street, East Greenwich, RI 02818 Physician/surgeon 2020-07-01 ~ 2021-06-30
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David Candow Md 1 Juniper Dr, East Greenwich, RI 02818 Physician/surgeon 2020-05-01 ~ 2021-04-30
Katherine Nicastri · Chrostowski 25 Bow St, East Greenwich, RI 02818 Registered Nurse 2020-04-01 ~ 2021-03-31
Pedro Franco Tactacan 1995 Division Rd, East Greenwich, RI 02818 Physician/surgeon ~
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James A Rosenman 130 River Farm Dr, East Greenwich, RI 02818 Nursing Home Administrator 2020-02-01 ~ 2022-01-31
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Competitor

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City EAST GREENWICH
Zip Code 02818
License Type Physician/Surgeon
License Type + County Physician/Surgeon + EAST GREENWICH

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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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