ELIZABETH LOKICH (Credential# 1521217) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is June 1, 2020. The license expiration date date is May 31, 2021. The license status is ACTIVE.
ELIZABETH LOKICH is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.062291. The credential type is physician/surgeon. The effective date is June 1, 2020. The expiration date is May 31, 2021. The business address is 101 Dudley St, Providence, RI 02905-2401. The current status is active.
| Licensee Name | ELIZABETH LOKICH |
| Credential ID | 1521217 |
| Credential Number | 1.062291 |
| Credential Type | Physician/Surgeon |
| Business Address |
101 Dudley St Providence RI 02905-2401 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2019-01-23 |
| Effective Date | 2020-06-01 |
| Expiration Date | 2021-05-31 |
| Refresh Date | 2020-06-13 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1636725 | CSP.0070404 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2019-03-06 | 2019-03-06 - 2021-02-28 | ACTIVE |
| Street Address | 101 DUDLEY ST |
| City | PROVIDENCE |
| State | RI |
| Zip Code | 02905-2401 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Cara A Mathews | 101 Dudley St, Providence, RI 02905-2401 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Katina M Robison | 101 Dudley St, Providence, RI 02905-2401 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Ashley R Stuckey Md | 101 Dudley St, Providence, RI 02905-2401 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| David A Edmonson Md | 101 Dudley St, Providence, RI 02905-2499 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Jennifer S. Gass | 101 Dudley St, Providence, RI 02905-2401 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Carol A Wheeler Md | 101 Dudley St, Providence, RI 02905-2401 | Physician/surgeon | 2017-11-01 ~ 2018-10-31 |
| Trevor Tejada-berges Md | 101 Dudley St, Providence, RI 02905 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
| Carolyn K Mccourt Md | 101 Dudley St, Providence, RI 02905-2401 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
| Mariya S. Spasova Md | 101 Dudley St, Providence, RI 02905-2401 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
| Christina Bandera Md | 101 Dudley St, Providence, RI 02905-2401 | Physician/surgeon | 2010-09-01 ~ 2011-08-31 |
| Find all Licenses in the same address | |||
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Martha L Werenfels | 66 Fort Avenue, Cranston, RI 02905 | Architect | 2020-08-01 ~ 2021-07-31 |
| Deborah L Myers | 101 Dudley Street, Providence, RI 02905 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
| Peter M Scotti | 18 Hudson Place, Cranston, RI 02905 | Certified General Real Estate Appraiser | 2020-05-01 ~ 2021-04-30 |
| Paul H Dyer | 19 Henry St, Cranston, RI 02905 | Casino Class I Employee | 2019-12-11 ~ 2020-10-31 |
| Tammie W Sutton | 43 Colfax St., Providence, RI 02905 | Casino Class I Employee | 2019-12-11 ~ 2020-10-31 |
| Mark A Caruso | 9 Rhodes Avenue, Cranston, RI 02905 | Casino Class I Employee | 2019-12-11 ~ 2020-10-31 |
| Stephen Paul Tippe | 1972 Broad Street, Cranston, RI 02905 | Casino Class I Employee | 2019-12-11 ~ 2020-10-31 |
| Michael T Parker | 139 Babcock Street, Providence, RI 02905 | Casino Class I Employee | 2019-12-11 ~ 2020-10-31 |
| Jacquelyn Nicole Fellows | 198 Armington St Apt 8, Cranston, RI 02905 | Casino Class I Employee | 2019-12-03 ~ 2020-10-31 |
| David Duarte | 48 Harbor View Terrace, Stonington, CT 02905 | Casino Class I Employee | 2019-12-11 ~ 2020-10-31 |
| Find all Licenses in zip 02905 | |||
| City | PROVIDENCE |
| Zip Code | 02905 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + PROVIDENCE |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Nicole Caldwell | 240 Elizabeth St # H1-120, Elizabeth, CO 80107-7537 | Physician/surgeon | 2015-03-01 ~ 2016-02-29 |
| Frederick Lu | Po Box 546, Elizabeth, NJ 07207 | Physician/surgeon | 1994-05-06 ~ 1995-04-30 |
| Elizabeth Baorto | 360 3rd St Ste 425, San Francisco, CA 94107-2164 | Physician/surgeon | ~ |
| Elizabeth C Glass Md | 7 Dandy Dr, Cos Cob, CT 06807-2204 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Elizabeth Virginia-hartman | 92 Hix Ave, Rye, NY 10580-2450 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
| Gary Leeds | 16 Elizabeth Ln, Riverside, CT 06878-1302 | Physician/surgeon | ~ |
| Elizabeth Kao | 4 Edenville Rd, Warwick, NY 10990-2419 | Physician/surgeon | 2017-10-01 ~ 2018-09-30 |
| Elizabeth C Dubovsky | 117 N Jay St, Middleburg, VA 20117-2661 | Physician/surgeon | 2019-12-01 ~ 2020-11-30 |
| Nina R Rivera | 141 Elizabeth St, Hartford, CT 06105-2211 | Physician/surgeon | ~ |
| Elizabeth Y Lee | 37 Ridge Rd, Danbury, CT 06810-6362 | Physician/surgeon | 2016-12-13 ~ 2017-06-30 |
Please comment or provide details below to improve the information on ELIZABETH LOKICH.
| 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).