OLIVIA S LOCKER (Credential# 1257658) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is May 1, 2020. The license expiration date date is April 30, 2021. The license status is ACTIVE.
OLIVIA S LOCKER is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.053961. The credential type is physician/surgeon. The effective date is May 1, 2020. The expiration date is April 30, 2021. The business address is 302 Eaton St, Providence, RI 02908. The current status is active.
| Licensee Name | OLIVIA S LOCKER |
| Credential ID | 1257658 |
| Credential Number | 1.053961 |
| Credential Type | Physician/Surgeon |
| Business Address |
302 Eaton St Providence RI 02908 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2015-04-01 |
| Effective Date | 2020-05-01 |
| Expiration Date | 2021-04-30 |
| Refresh Date | 2020-05-05 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1277673 | CSP.0059834 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2015-04-14 | 2019-03-01 - 2021-02-28 | ACTIVE |
| Street Address | 302 Eaton St |
| City | Providence |
| State | RI |
| Zip Code | 02908 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Alexandra Jimenez | 405 Promenade Street, Providence, RI 02908 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Juan O Silfa | 15 Amity St., Providence, RI 02908 | Casino Class I Employee | 2019-12-11 ~ 2020-10-31 |
| Caitlyn M. Bouchard | 685 River Ave, Providence, RI 02908 | Casino Class I Employee | 2019-12-18 ~ 2020-10-31 |
| Brandon Russell Sweet | 38 Durham Street, Providence, RI 02908 | Casino Class I Employee | 2019-12-11 ~ 2020-10-31 |
| Howard J Sellers | 88 Jewett Street, Providence, RI 02908 | Casino Class I Employee | 2019-12-03 ~ 2020-10-31 |
| Khonesavanh Misay | 25 Rosebank Avenue, Providence, RI 02908 | Casino Class I Employee | 2019-12-11 ~ 2020-10-31 |
| Alan R Morrison | Providence Va Medical Center, Providence, RI 02908 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
| Tiffany Acosta | 34 Veazie St 3rd Flr, Providence, RI 02908 | Registered Nurse | ~ |
| Tomas I Perez | 80 Farragut Ave, Providence, RI 02908 | Professional Engineer | 2019-06-21 ~ 2020-01-31 |
| Michael E Lebeau | 77 Hilltop Ave, Providence, RI 02908 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
| Find all Licenses in zip 02908 | |||
| City | Providence |
| Zip Code | 02908 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + Providence |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Olivia Lyn Snir | 49 Filbert Street, Hamden, CT 06517 | Physician/surgeon | 2018-06-01 ~ 2019-05-31 |
| Virginia Olivia Volpe | 9 Lake Terrace, Woburn, MA 01801 | Physician/surgeon | 2018-12-18 ~ 2019-08-31 |
| Litchfield Locker | 205 East St, Litchfield, CT 06759-3604 | Operator of Weighing & Measuring Devices | 2017-08-01 ~ 2018-07-31 |
| Olivia V Carcoana | 2688 Meadow Creek Circle, Fargo, ND 58104 | Physician/surgeon | 2000-04-25 ~ 2001-02-28 |
| Olivia E Coiculescu | 2 South Ledge Rock Road, Niantic, CT 06357 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Olivia Z Hutchinson | 121a East 83rd Street, New York, NY 10028 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Chapmans Liquor Locker | 432 Shelton Ave, Hamden, CT 06511-1125 | Lottery Sales Agent | 2018-04-01 ~ 2019-03-31 |
| Lighthouse Liquor Locker | 88 Ryders Ln, Stratford, CT 06614-1666 | Lottery Sales Agent | 2020-04-01 ~ 2021-03-31 |
| Galleyette/ship's Locker | Po Box 219, Essex, CT 06426 | Non Legend Drug Permit | 2004-01-01 ~ 2004-12-31 |
| Michael D Wilson · Locker Room Cafe | 430 J Chapel Hill Road, Oakdale, CT 06370 | Cafe Liquor | 2001-05-27 ~ 2002-05-26 |
Please comment or provide details below to improve the information on OLIVIA S LOCKER.
| 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).