ALICIA KOTELES MD
Controlled Substance Registration for Practitioner


Address: 107 Sport Hill Rd, Easton, CT 06612-2204

ALICIA KOTELES MD (Credential# 992001) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2013. The license expiration date date is February 28, 2015. The license status is INACTIVE.

Business Overview

ALICIA KOTELES MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0049902. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2013. The expiration date is February 28, 2015. The business address is 107 Sport Hill Rd, Easton, CT 06612-2204. The current status is inactive.

Basic Information

Licensee Name ALICIA KOTELES MD
Credential ID 992001
Credential Number CSP.0049902
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 107 Sport Hill Rd
Easton
CT 06612-2204
Business Type INDIVIDUAL
Status INACTIVE
Issue Date 2011-04-08
Effective Date 2013-03-01
Expiration Date 2015-02-28
Refresh Date 2017-05-02

Other licenses

ID Credential Code Credential Type Issue Term Status
977917 1.049578 Physician/Surgeon 2011-03-08 2012-10-01 - 2013-09-30 INACTIVE
879772 72.001565 Paramedic 2001-05-20 2012-07-26 - 2013-09-30 INACTIVE
872121 70.980208 Emergency Medical Technician 1997-08-01 - 2002-04-01 INACTIVE

Office Location

Street Address 107 SPORT HILL RD
City EASTON
State CT
Zip Code 06612-2204

Licenses in the same zip code

Licensee Name Office Address Credential Effective / Expiration
Jeri D Barrett 109 Sport Hill Rd, Easton, CT 06612-2204 Landscape Architect 2020-08-01 ~ 2021-07-31

Licenses in the same zip code

Licensee Name Office Address Credential Effective / Expiration
Stacy L Belanger 140 Stepney Road, Easton, CT 06612 Physical Therapist 2020-09-01 ~ 2021-08-31
Gwen C Easdon 888 Sport Hill Rd, Easton, CT 06612 Hairdresser/cosmetician 2020-07-01 ~ 2022-06-30
Jessica Lynne Oliver 4 Lilac Lane, Easton, CT 06612 Registered Nurse 2020-08-01 ~ 2021-07-31
Sarah E Grega 412 Sport Hill Road, Easton, CT 06612 Registered Nurse 2020-07-01 ~ 2021-06-30
Pierre H Estime Do 45 Meadow Ridge Drive, Easton, CT 06612 Physician/surgeon 2020-07-01 ~ 2021-06-30
Melissa Ann Liik 1092 Black Rock Turnpike, Easton, CT 06612 Registered Nurse 2020-08-01 ~ 2021-07-31
Stephen Izzo · H. Roark Woodworking 56 Burr Street, Easton, CT 06612 Home Improvement Contractor 2020-06-16 ~ 2020-11-30
Louise Weintraub Linsky 45 Ridgeway Road, Easton, CT 06612 Notary Public Appointment 2020-07-01 ~ 2025-06-30
Ewa B Dembosky 14 Crescent Drive, Easton, CT 06612 Real Estate Salesperson 2020-06-15 ~ 2021-05-31
Andrew S Nemergut 706 North Park Avenue, Easton, CT 06612 Real Estate Salesperson 2020-06-01 ~ 2021-05-31
Find all Licenses in zip 06612

Competitor

Search similar business entities

City EASTON
Zip Code 06612
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + EASTON

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Alicia C Potes Pa 18 Rose Ln Apt 5, Danbury, CT 06811-3758 Controlled Substance Registration for Practitioner 2009-03-01 ~ 2011-02-28
Alicia Murray 6 Stillman Ln, Pleasantville, NY 10570-3902 Controlled Substance Registration for Practitioner 2015-03-01 ~ 2017-02-28
Alicia N Derobertis 94 Truman St, Norwalk, CT 06850-3553 Controlled Substance Registration for Practitioner 2019-03-01 ~ 2021-02-28
Alicia A Romeo Md 501 Billingsley Rd, Charlotte, NC 28211 Controlled Substance Registration for Practitioner 2013-03-01 ~ 2015-02-28
Alicia C Sigal Md 140 Green Rd, Meriden, CT 06450-6612 Controlled Substance Registration for Practitioner 2019-03-01 ~ 2021-02-28
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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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