MEREDITH FAGGEN (Credential# 374260) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2008. The license expiration date date is February 28, 2009. The license status is INACTIVE.
MEREDITH FAGGEN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0035212. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2008. The expiration date is February 28, 2009. The business address is 125 Prospect St #12, Providence, RI 02906. The current status is inactive.
Licensee Name | MEREDITH FAGGEN |
Credential ID | 374260 |
Credential Number | CSP.0035212 |
Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
Business Address |
125 Prospect St #12 Providence RI 02906 |
Business Type | INDIVIDUAL |
Status | INACTIVE |
Issue Date | 2004-07-15 |
Effective Date | 2008-03-01 |
Expiration Date | 2009-02-28 |
Refresh Date | 2011-01-12 |
Street Address | 125 PROSPECT ST #12 |
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 |
---|---|---|---|
Meredith G Faggen | 125 Prospect Street, Providence, RI 02906 | Physician/surgeon | 2008-03-24 ~ 2009-04-30 |
Meredith P Re Dvm | 18 Raymond Hts, Darien, CT 06820-4920 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Meredith W Barrows | 1 Eastview Dr, Simsbury, CT 06070-3009 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Meredith Tucker Md | Po Box 3161, Redmond, WA 98073-3161 | Controlled Substance Registration for Practitioner | 2009-03-01 ~ 2011-02-28 |
Meredith H Blodget Pa | 129 York St Apt #5-j, New Haven, CT 06511 | Controlled Substance Registration for Practitioner | 2005-03-01 ~ 2006-02-28 |
Meredith Goff Cnm | 869 Orange St Apt 10w, New Haven, CT 06511-2563 | Controlled Substance Registration for Practitioner | 2009-03-01 ~ 2011-02-28 |
Meredith A Bailey | 726 New Haven Rd, Durham, CT 06422-2408 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Meredith A Mckenna | 95 S Ridge Ln # G-201, Berlin, CT 06037-5005 | Controlled Substance Registration for Practitioner | 2019-11-13 ~ 2021-02-28 |
Meredith L Young | 78 Wildcat Rd, Madison, CT 06443-2417 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Meredith K Clark | 137 West Rd, Collinsville, CT 06019-3742 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Please comment or provide details below to improve the information on MEREDITH FAGGEN.
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).