TERENCE J MCGOVERN MD (Credential# 377037) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2005. The license expiration date date is February 28, 2006. The license status is INACTIVE.
TERENCE J MCGOVERN MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0035480. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2005. The expiration date is February 28, 2006. The business address is 346 Dover Ave, East Providence, RI 02914. The current status is inactive.
| Licensee Name | TERENCE J MCGOVERN MD |
| Credential ID | 377037 |
| Credential Number | CSP.0035480 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
346 Dover Ave East Providence RI 02914 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE |
| Issue Date | 2004-07-22 |
| Effective Date | 2005-03-01 |
| Expiration Date | 2006-02-28 |
| Refresh Date | 2009-01-26 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 559360 | 1.041777 | Physician/Surgeon | 2003-08-15 | 2005-01-05 - 2006-01-31 | INACTIVE |
| Street Address | 346 DOVER AVE |
| City | EAST PROVIDENCE |
| State | RI |
| Zip Code | 02914 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Cheryl B Fahey | 174 Hazard Ave, East Providence, RI 02914 | Advanced Practice Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Linda L Ferreira | 110 Warren Ave, East Providence, RI 02914 | Registered Nurse | 2018-12-01 ~ 2019-11-30 |
| John M Constantino | 175 Taunton Ave, E Providence, RI 02914 | Tax Preparer/facilitator Permit | 2020-02-11 ~ 2022-02-28 |
| John L Halliwell | 865 Waterman Ave, E Providence, RI 02914 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
| Marc R Chretien | 500 North Broadway, East Providence, RI 02914 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
| Scott A Cabral | 32 Burrough Street, East Providence, RI 02914 | Notary Public Appointment | 1998-03-13 ~ 2003-03-31 |
| Adam Collier | 80 South Brow St, East Providence, RI 02914 | Registered Nurse | 2018-11-14 ~ 2019-07-31 |
| Antonio T Daluz | 65 Farnum St, East Providence, RI 02914 | Heating, Piping & Cooling Limited Journeyperson | 2019-10-27 ~ 2020-08-31 |
| Walther Martin Pfeifer | East Side Clinical Laboratory, East Providence, RI 02914 | Physician/surgeon | 2019-12-01 ~ 2020-11-30 |
| Bruno Filipe Dasilva | 95 Farnum Street, East Providence, RI 02914 | Registered Nurse | 2019-11-01 ~ 2020-10-31 |
| Find all Licenses in zip 02914 | |||
| City | EAST PROVIDENCE |
| Zip Code | 02914 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + EAST PROVIDENCE |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Terence K Trow | 10 Pinnacle Dr, Newtown, CT 06470-1877 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Terence Rafferty Md | 17 East Wharf Rd, Madison, CT 06443 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Terence N. Chapman | 1301 Taylor St, Columbia, SC 29201 | Controlled Substance Registration for Practitioner | 2013-12-10 ~ 2015-02-28 |
| Terence F. Navin Md | 40 Boston Post Rd, Waterford, CT 06385-2424 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Kevin F Mcgovern Dmd | 177 Mona Terr, Fairfield, CT 06824 | Controlled Substance Registration for Practitioner | 2009-04-01 ~ 2011-02-28 |
| Terence K Gray Do | 70 Black Walnut Lane, Burlington, CT 06013 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
| Thomas W Mcgovern Md | 307 Upper State Street, North Haven, CT 06473 | Controlled Substance Registration for Practitioner | 1999-03-01 ~ 2000-02-28 |
| Erika Leigh Mcgovern | 3272 Page Ct, Yorktown Heights, NY 10598-2618 | Controlled Substance Registration for Practitioner | 2020-03-18 ~ 2021-02-28 |
| Terence Williams Pa | 126 Kent Hollow Rd, Kent, CT 06757 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Terence D Mcgovern | 75 Tait Rd, Trumbull, CT 06611-3825 | Emergency Medical Technician | 2019-07-01 ~ 2022-06-30 |
Please comment or provide details below to improve the information on TERENCE J MCGOVERN MD.
| 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).