GARY B WITMAN (Credential# 1392358) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is November 3, 1978. The license expiration date date is August 31, 1981. The license status is PENDING.
GARY B WITMAN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.020801. The credential type is physician/surgeon. The effective date is November 3, 1978. The expiration date is August 31, 1981. The business address is 64 Hazard Ave, Providence, RI 02906-3308. The current status is pending.
| Licensee Name | GARY B WITMAN |
| Credential ID | 1392358 |
| Credential Number | 1.020801 |
| Credential Type | Physician/Surgeon |
| Business Address |
64 Hazard Ave Providence RI 02906-3308 |
| Business Type | INDIVIDUAL |
| Status | PENDING - APPLICATION PENDING |
| Issue Date | 1978-11-03 |
| Effective Date | 1978-11-03 |
| Expiration Date | 1981-08-31 |
| Refresh Date | 2016-12-29 |
| Street Address | 64 HAZARD AVE |
| City | PROVIDENCE |
| State | RI |
| Zip Code | 02906-3308 |
| 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 | Physician/Surgeon |
| License Type + County | Physician/Surgeon + PROVIDENCE |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Michael N Witman | 28 Oakbrook Lane, Lagrangeville, NY 12540 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Gary A Dee | 294 Morehouse Rd, Easton, CT 06612-2145 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Gary T Yacono | 96 Ct-37, New Fairfield, CT 06812 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Gary Leeds | 16 Elizabeth Ln, Riverside, CT 06878-1302 | Physician/surgeon | ~ |
| Gary Blume | 217 176th Pl Sw, Bothell, WA 98012-9107 | Physician/surgeon | 2019-06-28 ~ 2020-06-30 |
| Gary S Gordon | 600 N. Mcclurg Ct, Chicago, IL 60611 | Physician/surgeon | 1996-10-01 ~ 1997-10-31 |
| Gary S Berger | 114 E 71st St Ste 1w, New York, NY 10021-5038 | Physician/surgeon | 2015-12-01 ~ 2016-11-30 |
| Gary J Kaml Md | 257 Bartlett Dr, Madison, CT 06443-1784 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
| Gary E Rothbart | 1 Theall Road, Rye, NY 10580 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
| Gary M Cohen | 75 Santa Fe Ave, Hamden, CT 06517-1421 | Physician/surgeon | 2019-11-01 ~ 2020-10-31 |
Please comment or provide details below to improve the information on GARY B WITMAN.
| 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).