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.
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.
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 |
Street Address | 115 FERNWOOD DRIVE |
City | EAST GREENWICH |
State | RI |
Zip Code | 02818 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Laurie J Laverty | 1993 Middle Rd, East Greenwich, RI 02818 | Registered Nurse | ~ |
Valerie L Stadnik | 85 Collins Ave, Warwick, RI 02818 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
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 |
Elisabeth Farnum | 98 Overhill Road, East Greenwich, RI 02818 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
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 | ~ |
Andrew Leonard | 230 Cooper Lane, East Greenwich, RI 02818 | Hoisting Equipment Operator | ~ |
James A Rosenman | 130 River Farm Dr, East Greenwich, RI 02818 | Nursing Home Administrator | 2020-02-01 ~ 2022-01-31 |
Find all Licenses in zip 02818 |
City | EAST GREENWICH |
Zip Code | 02818 |
License Type | Physician/Surgeon |
License Type + County | Physician/Surgeon + EAST GREENWICH |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Michael David Duplessie | 7815 English Way, Bethesda, MD 20817-1966 | Physician/surgeon | ~ |
David Michael Shafer | 535 Fifth Avenue, New York, NY 10017 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
David Michael Vermette | 171 Waite St, Hamden, CT 06517-2527 | Physician/surgeon | 2020-04-01 ~ 2021-04-30 |
Michael David Passafaro | 39 S Murray Ave, Ridgewood, NJ 07450-3610 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
Michael David Parker Md | 22 Upper Main St, Sharon, CT 06069 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
David C Kim | 1345 Rxr Plz, Uniondale, NY 11556-1301 | Physician/surgeon | 2019-04-01 ~ 2020-03-31 |
David M Drvaric | 516 Carew St, Springfield, MA 01104-2330 | Physician/surgeon | ~ |
David L Brook | Rfd 3, Oakland, ME 04963 | Physician/surgeon | 1994-08-08 ~ 1995-10-31 |
David Chu Md | 358 W Hyerdale Dr, Goshen, CT 06756 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
David A Brill | Po Box 710, Mystic, CT 06355-0710 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
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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).