ANGELA A. R. COULTMAN MD (Credential# 952565) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is November 1, 2010. The license expiration date date is November 30, 2011. The license status is INACTIVE.
ANGELA A. R. COULTMAN MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.049306. The credential type is physician/surgeon. The effective date is November 1, 2010. The expiration date is November 30, 2011. The business address is 1275 Summer St, Stamford, CT 06905-5359. The current status is inactive.
| Licensee Name | ANGELA A. R. COULTMAN MD |
| Credential ID | 952565 |
| Credential Number | 1.049306 |
| Credential Type | Physician/Surgeon |
| Business Address |
1275 Summer St Stamford CT 06905-5359 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 2010-11-01 |
| Effective Date | 2010-11-01 |
| Expiration Date | 2011-11-30 |
| Refresh Date | 2012-03-02 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 974902 | CSP.0049331 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2010-11-17 | 2010-11-17 - 2011-02-28 | INACTIVE |
| Street Address | 1275 SUMMER ST |
| City | STAMFORD |
| State | CT |
| Zip Code | 06905-5359 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Richard B Weber | 1275 Summer St, Stamford, CT 06905 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Richard Weber Md | 1275 Summer St, Stamford, CT 06905 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Ora Burstein | 1275 Summer St, Stamford, CT 06902 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Eric L Wasserman | 1275 Summer St, Stamford, CT 06905 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Marisa B Rommeney | 1275 Summer St, Stamford, CT 06905-5359 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Robin D Evans | 1275 Summer St, Stamford, CT 06905 | Physician/surgeon | 2020-02-01 ~ 2021-01-31 |
| Gad Lavy Md · New England Fertility Institute | 1275 Summer St, Stamford, CT 06905-5359 | Out-patient Surgical Facility | 2015-01-01 ~ 2016-12-31 |
| Stamford Asc, LLC | 1275 Summer St, Stamford, CT 06905-5359 | Out-patient Surgical Facility | 2014-12-15 ~ 2016-09-30 |
| Neil A Kravitz | 1275 Summer St, Stamford, CT 06905 | Controlled Substance Registration for Practitioner | 1995-11-21 ~ 1997-02-28 |
| Eileen M Madsen | 1275 Summer St, Stamford, CT 06905 | Non Legend Drug Permit | ~ |
| Find all Licenses in the same address | |||
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Robin Evans | 1275 Summer St Ste 101, Stamford, CT 06905-5359 | Controlled Substance Registration for Practitioner | 2019-03-12 ~ 2021-02-28 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Wanjun Xiao | 603, Stamford, CT 06905 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Karina E Lidums | 90 Ken Court, Stamford, CT 06905 | Real Estate Salesperson | 2020-06-26 ~ 2021-05-31 |
| Julie E Geiser Aprn | 94 Hirsch Rd, Stamford, CT 06905 | Advanced Practice Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Jason R Teitelbaum | 66 Dann Drive, Stamford, CT 06905 | Notary Public Appointment | 2020-08-01 ~ 2025-07-31 |
| Iliana Nikolova | 106 Oaklawn Ave, Stamford, CT 06905 | Notary Public Appointment | 2020-07-01 ~ 2025-06-30 |
| Grade A Market | 563 New Field Ave, Stamford, CT 06905 | Bakery | 2020-07-01 ~ 2021-06-30 |
| Valerie Ann Legrone | 146 Cold Spring Road Unit 12, Stamford, CT 06905 | Advanced Practice Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Liang Shan | 142-37 38 Ave, Flushing, NY 06905 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Peter C Hart | 160 Bridge St, Stamford, CT 06905 | Architect | 2020-08-01 ~ 2021-07-31 |
| Anthony Masciarelli | 31 Bradley Place, Stamford, CT 06905 | Architect | 2020-08-01 ~ 2021-07-31 |
| Find all Licenses in zip 06905 | |||
| City | STAMFORD |
| Zip Code | 06905 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + STAMFORD |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Angela S. Ro | 175 E 96th St Apt 16j, New York, NY 10128-6208 | Physician/surgeon | 2011-07-01 ~ 2012-06-30 |
| Raymond J Foley Do | 32 Angela's Way, Burlington, CT 06013 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Angela Bosjolie | 47 Jolley Dr, Bloomfield, CT 06002-3092 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
| Angela M Montgomery | 16 Overlook Ln, Guilford, CT 06437-4904 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Angela N Aslami Md | 19 Chapel St, Greenwich, CT 06831 | Physician/surgeon | 2006-10-02 ~ 2007-09-30 |
| Hikmat H. Shaarbaf | 41 Angela Dr, Wallingford, CT 06492-1779 | Physician/surgeon | 2019-10-01 ~ 2020-09-30 |
| Angela A Steinhardt | 10 Orkney Rd Apt 41, Brighton, MA 02135-7762 | Physician/surgeon | 2013-08-09 ~ 2014-05-31 |
| Angela H Ryan | 30 Drumlin Rd, Westport, CT 06880-6137 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
| Angela A Giardino | 824 Town Colony Dr, Middletown, CT 06457 | Physician/surgeon | ~ 1996-08-31 |
| Angela F. Mattke | 1080 Pebblebrook Rd Se, Mableton, GA 30126-5612 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
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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).