ANA MATA FINK (Credential# 1279896) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is April 23, 2015. The license expiration date date is February 28, 2017. The license status is INACTIVE.
ANA MATA FINK is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0059893. The credential type is controlled substance registration for practitioner. The effective date is April 23, 2015. The expiration date is February 28, 2017. The business address is 120 S Angell St #6, Providence, RI 02906. The current status is inactive.
| Licensee Name | ANA MATA FINK |
| Credential ID | 1279896 |
| Credential Number | CSP.0059893 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
120 S Angell St #6 Providence RI 02906 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE |
| Issue Date | 2015-04-23 |
| Effective Date | 2015-04-23 |
| Expiration Date | 2017-02-28 |
| Refresh Date | 2018-01-29 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1273225 | 1.053998 | Physician/Surgeon | 2015-04-16 | 2016-02-01 - 2017-01-31 | INACTIVE |
| Street Address | 120 S Angell St #6 |
| City | Providence |
| State | RI |
| Zip Code | 02906 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| The Stephen C. Rose Legacy Foundation · The Steve Fund | 138 Governor Street, Providence, RI 02906 | Public Charity | 2020-06-12 ~ 2021-11-30 |
| Moriah Connor | 211 Waterman Street, Unit 20, Providence, RI 02906 | Behavior Analyst | ~ |
| Elizabeth Burns | 198 Camp Street, Providence, RI 02906 | Licensed Clinical Social Worker | ~ |
| Christine Montross | 345 Blackstone Blvd, Providence, RI 02906 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
| Susan Dickstein | 196 Freeman Parkway, Providence, RI 02906 | Psychologist | 2020-07-01 ~ 2021-06-30 |
| Victoria S Karlsen | 415 Angell St, Providence, RI 02906 | Behavior Analyst | ~ |
| John W O'bell Md | 14 Rose Ct., Providence, RI 02906 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Alexandria Hanul Simon | 323 Angell Street, Providence, RI 02906 | Emergency Medical Technician | ~ |
| Molly A Moran | 202 Sixth Street, Providence, RI 02906 | Advanced Practice Registered Nurse | 2020-06-01 ~ 2021-05-31 |
| Simon M Cornelissen | 45 Balton Rd, Providence, RI 02906 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Find all Licenses in zip 02906 | |||
| City | Providence |
| Zip Code | 02906 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + Providence |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Severino J Mata Mata | 55 Brittany Farms Rd Apt 213, New Britain, CT 06053-1203 | Controlled Substance Registration for Practitioner | 2015-07-27 ~ 2017-02-28 |
| Lindsay M Fink | 10 Cattail Dr, Westerly, RI 02891-4071 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Kenneth Fink Dmd | 375 Willard Ave, Newington, CT 06111 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Howard D Fink Md | 57 Stone Manor Dr, Milford, CT 06461-1948 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
| Steven M Fink Md | 3030 Westchester Ave, Purchase, NY 10577 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Lisa Abigail Fink | 105 High Wood Rd, West Hartford, CT 06117-1121 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Finca La Mata Red | Connecticut Brand Registration, Hartford, CT 06106 | Liquor Brand Label | 2013-09-06 ~ 2016-09-05 |
| Te Mata Estate Castle | Connecticut Brand Registration, Hartford, CT 06106 | Liquor Brand Label | 2001-02-09 ~ 2004-02-09 |
| Brewster's Mata Hari | Connecticut Brand Registration, Hartford, CT 06106 | Liquor Brand Label | 2006-06-08 ~ 2009-06-07 |
| Te Mata Woodthorpe Viognier | Connecticut Brand Registration, Hartford, CT 06106 | Liquor Brand Label | 2006-09-21 ~ 2009-09-20 |
Please comment or provide details below to improve the information on ANA MATA FINK.
| 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).