KAREN A ROSENE-MONTELLA (Credential# 1145311) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2017. The license expiration date date is February 28, 2019. The license status is LAPSED.
KAREN A ROSENE-MONTELLA is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0054130. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2017. The expiration date is February 28, 2019. The business address is 593 Eddy St, Providence, RI 02903-4923. The current status is lapsed.
Licensee Name | KAREN A ROSENE-MONTELLA |
Credential ID | 1145311 |
Credential Number | CSP.0054130 |
Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
Business Address |
593 Eddy St Providence RI 02903-4923 |
Business Type | INDIVIDUAL |
Status | LAPSED |
Active | 1 |
Issue Date | 2013-01-16 |
Effective Date | 2017-03-01 |
Expiration Date | 2019-02-28 |
Refresh Date | 2019-03-06 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
1122699 | 1.051484 | Physician/Surgeon | 2012-11-21 | 2016-04-01 - 2017-03-31 | INACTIVE |
Street Address | 593 EDDY ST |
City | PROVIDENCE |
State | RI |
Zip Code | 02903-4923 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Gahie Nam | 593 Eddy St, Providence, RI 02903-4923 | Physician/surgeon | 2020-05-07 ~ 2021-05-31 |
Lifespan Pharmacy LLC Store #001 | 593 Eddy St, Providence, RI 02903-4923 | Nonresident Pharmacy | 2019-09-01 ~ 2020-08-31 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
David Byungjin Choi | 593 Eddy St Dept Neurosurgery, Providence, RI 02903-4923 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Hareem Park | 10 Park Row West, Providence, RI 02903 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
Ian Baldwin | 755 Westminster St, Providence, RI 02903 | Architect | ~ |
Michael J Viveiros | 111 Chestnut St, Providence, RI 02903 | Architect | 2020-08-01 ~ 2021-07-31 |
Tamara Handerson | 100 Exchange Street, #802, Providence, RI 02903 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
Citizens Bank, National Association | One Citizens Plaza, Providence, RI 02903 | Ct Bank Office | 1999-06-17 ~ |
Nautic Carepathrx Co-invest, L.p. | 50 Kennedy Plaza, Fl12, Providence, RI 02903 | Securities - Exemptions | 2020-04-03 ~ |
James L Mckeon | One Chestnut Street # 107, Providence, RI 02903 | Casino Class I Employee | 2019-12-11 ~ 2020-10-31 |
Angeline M Gingerella | 1 West Exchanges Street Omni Residences, Providence, RI 02903 | Casino Class I Employee | 2019-12-11 ~ 2020-10-31 |
Jason Domenic Dollard | 482 West Fountain Street, Providence, RI 02903 | Marital and Family Therapist | 2020-03-01 ~ 2021-02-28 |
Edward F. Mc Crory | 40 Westminster Street 600, Providence, RI 02903 | Certified Public Accountant License | 2019-01-01 ~ 2019-12-31 |
Find all Licenses in zip 02903 |
City | PROVIDENCE |
Zip Code | 02903 |
License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + PROVIDENCE |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Emily E Rosene | 47 Livingston St Apt 2, New Haven, CT 06511-2430 | Controlled Substance Registration for Practitioner | 2010-11-30 ~ 2011-02-28 |
Vincent A Montella · Montella Properties | 140a East Killingly Road, Foster, RI 02825 | New Home Construction Contractor | 2001-10-22 ~ 2003-09-30 |
Karen M Tie | 215 N Market St Apt 317, Wilmington, DE 19801-2563 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Karen P Nordberg Md | 4 Nappa Dr, Westport, CT 06880-5117 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Karen N Truitt | 23 Oleary Dr, Manchester, CT 06040-2611 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
Karen Rhee | 780 Litchfield St, Torrington, CT 06790-6268 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
Karen Y Mechanic Md | 81 Kenwood Ave, Fairfield, CT 06430 | Controlled Substance Registration for Practitioner | 1999-03-01 ~ 2000-02-28 |
Karen H Stickney | 87 Duncaster Rd, Bloomfield, CT 06002-1500 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Karen M Soika | 23 Nicholas Ave, Greenwich, CT 06831-4923 | Controlled Substance Registration for Practitioner | 2019-03-18 ~ 2021-02-28 |
Karen Eigen | 355 Maple St, Haworth, NJ 07641-1125 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
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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).