IAN R TULLBERG (Credential# 564873) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is September 1, 2009. The license expiration date date is August 31, 2010. The license status is INACTIVE.
IAN R TULLBERG is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.047291. The credential type is physician/surgeon. The effective date is September 1, 2009. The expiration date is August 31, 2010. The business address is 711 Georgetown Ln, Colorado Springs, CO 80919-2011. The current status is inactive.
| Licensee Name | IAN R TULLBERG |
| Credential ID | 564873 |
| Credential Number | 1.047291 |
| Credential Type | Physician/Surgeon |
| Business Address |
711 Georgetown Ln Colorado Springs CO 80919-2011 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 2009-01-12 |
| Effective Date | 2009-09-01 |
| Expiration Date | 2010-08-31 |
| Refresh Date | 2010-12-01 |
| Street Address | 711 Georgetown Ln |
| City | COLORADO SPRINGS |
| State | CO |
| Zip Code | 80919-2011 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Roberta A Beckman | 2197 Denton Grove, Colorado Springs, CO 80919 | Registered Nurse | 2020-03-01 ~ 2021-02-28 |
| World Radio Missionary Fellowship Inc. | 1065 Garden of The Gods Road, Colorado, CO 80919 | Public Charity-exempt From Financial Requirements | ~ |
| James G Rooney | 2570 Edenderry Dr, Colorado Springs, CO 80919 | Physical Therapist | 2001-07-06 ~ 2002-08-31 |
| Arlene R Rush De Burgos | 5375 Mule Deer Dr, Colorado Springs, CO 80919 | Registered Nurse | 2007-09-27 ~ 2008-11-30 |
| Bonnie Waluda | 6760 Grey Wolf Ct, Colorado Springs, CO 80919 | Registered Nurse | 2005-06-21 ~ 2006-06-30 |
| Ilhan H Tuzel | 8445 Lauralwood Ln, Colorado Springs, CO 80919 | Physician/surgeon | 1992-11-24 ~ 1993-12-31 |
| Doreen A Risley | 4780 Holister Court, Colorado, CO 80919 | Registered Nurse | 1995-12-13 ~ 1997-02-28 |
| Beth K Wade | 6812 Ravencrest Dr., Colo. Springs, CO 80919 | Physical Therapist Assistant | 2001-02-21 ~ 2006-11-01 |
| Julianne C Wright | 6460 Ashton Park Place, Colorado Springs, CO 80919 | Psychologist | 2002-06-20 ~ 2003-03-31 |
| Hope Elizabeth Mullally | 5324 Mule Deer Drive, Colorado Springs, CO 80919 | Pharmacist | 2005-02-01 ~ 2006-01-31 |
| Find all Licenses in zip 80919 | |||
| City | COLORADO SPRINGS |
| Zip Code | 80919 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + COLORADO SPRINGS |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Penny Lamhut Md | Genesis Physician Services, Windsor, CT 06098 | Physician/surgeon | 1999-07-15 ~ 2000-07-31 |
| Gilbert L Drozdow | Envision Physician Services, Plantation, FL 33322 | Physician/surgeon | 2019-10-01 ~ 2020-09-30 |
| Russell H Harris Md | Envision Physician Services, Horsham, PA 19044 | Physician/surgeon | 2019-09-01 ~ 2020-08-31 |
| John T Thompson | Physician Pavilion W, Towson, MD 21204 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Arnold R Kriegstein | College Physician, New York, NY 10032 | Physician/surgeon | 1993-04-23 ~ 1994-03-31 |
| Catherine Nguyen Keegan | Envision Physician Services, Dallas, TX 75240 | Physician/surgeon | 2020-02-01 ~ 2021-01-31 |
| Brent Robert Jacobson | Envision Physician Services, Dallas, TX 75240 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
| Nazanin Barzideh Md | North Shore Retina Physician, Pllc, East Hills, NY 11576 | Physician/surgeon | 2010-05-01 ~ 2011-04-30 |
| Barbara A Brandes Md | Danbury Office of Physician Services, Danbury, CT 06810 | Physician/surgeon | 2004-07-08 ~ 2005-07-31 |
| Susan J Batlan Md | Eye Physician Associates of Hartford, West Hartford, CT 06107 | Physician/surgeon | 2000-07-27 ~ 2001-07-31 |
Please comment or provide details below to improve the information on IAN R TULLBERG.
| 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).