CRAIG SMITH MD (Credential# 422879) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2013. The license expiration date date is February 28, 2015. The license status is INACTIVE.
CRAIG SMITH MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0038591. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2013. The expiration date is February 28, 2015. The business address is 55 Lake Ave N, Worcester, MA 01655. The current status is inactive.
| Licensee Name | CRAIG SMITH MD |
| Credential ID | 422879 |
| Credential Number | CSP.0038591 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
55 Lake Ave N Worcester MA 01655 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE |
| Issue Date | 2006-03-06 |
| Effective Date | 2013-03-01 |
| Expiration Date | 2015-02-28 |
| Refresh Date | 2016-01-29 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 561702 | 1.044120 | Physician/Surgeon | 2006-03-01 | 2013-04-01 - 2014-03-31 | INACTIVE |
| Street Address | 55 LAKE AVE N |
| City | WORCESTER |
| State | MA |
| Zip Code | 01655 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Nils Henninger | 55 Lake Ave N, Worcester, MA 01655-0002 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Wiley R Hall | 55 Lake Ave N, Worcester, MA 01655 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Susanne Muehlschlegel Md | 55 Lake Ave N, Worcester, MA 01655-0002 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Adalia H. Jun-o'connell | 55 Lake Ave N, Worcester, MA 01655-0002 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Leslie J Domalik | 55 Lake Ave N, Worcester, MA 01655-0002 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Raphael A Carandang Md | 55 Lake Ave N, Worcester, MA 01655-0002 | Physician/surgeon | 2019-10-01 ~ 2020-09-30 |
| Daniel J Weber | 55 Lake Ave N, Worcester, MA 01655-0002 | Physician/surgeon | 2017-10-01 ~ 2018-09-30 |
| Shirin Haddady Md | 55 Lake Ave N, Worcester, MA 01655 | Physician/surgeon | 2014-07-01 ~ 2015-06-30 |
| Mira Torres Md | 55 Lake Ave N, Worcester, MA 01655 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
| Brian Mady Md | 55 Lake Ave N, Worcester, MA 01655 | Controlled Substance Registration for Practitioner | 2008-03-01 ~ 2009-02-28 |
| Find all Licenses in the same address | |||
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Carolina Ionete | 55 Lake Avenue, Worcester, MA 01655 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Thomas J Fitzgerald | 55 Lake Ave, N, Worcester, MA 01655 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Majaz Moonis Md | Umassmemorial Health Care, Neurology, 55 Lake Ave, Worcester, MA 01655 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Ari Wilkenfeld | Neurology Department � 5th Floor, Worcester, MA 01655 | Physician/surgeon | ~ |
| Kate Daniello | 55 N Lake Ave, Worcester, MA 01655 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Brian Silver | 55 Lake Avenue North, Worcester, MA 01655 | Physician/surgeon | 2020-01-01 ~ 2020-12-31 |
| Andrew Bouley | Umass Memorial, Department of Neurology, Worcester, MA 01655 | Physician/surgeon | 2019-04-01 ~ 2020-03-31 |
| Cheryl A Laflamme Aprn | 58 Bentwood Dr, Sturbridge, MA 01655 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Lawrence S Rosenthal Md | Umass Memorial Medical Center, Worcester, MA 01655 | Physician/surgeon | 2016-08-01 ~ 2017-07-31 |
| Daniel Z Fisher Md | 55 Lake Ave North, Worcester, MA 01655 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
| Find all Licenses in zip 01655 | |||
| City | WORCESTER |
| Zip Code | 01655 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + WORCESTER |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Craig A Smith | 29 The Laurels, Enfield, CT 06082-2349 | Controlled Substance Registration for Practitioner | 2019-03-08 ~ 2021-02-28 |
| Craig C Curry Md | 268 Nod Rd, Ridgefield, CT 06877 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Craig C Clabaugh Dmd | 22 5th St, Stamford, CT 06905-5030 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Michael J Craig | 299 Carew St Ste 301, Springfield, MA 01104-2431 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Craig Tenenbaum | 30 Whitewood Rd, Newtown, CT 06470-1561 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Craig Ryan | 867 Pomfret Rd, Hampton, CT 06247-1217 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Craig A Thompson Md | 181 Armory St, Hamden, CT 06517-4005 | Controlled Substance Registration for Practitioner | 2015-04-11 ~ 2017-02-28 |
| A Craig Shealy Md | 40 Main St N, Woodbury, CT 06798-2966 | Controlled Substance Registration for Practitioner | 2017-03-28 ~ 2019-02-28 |
| Craig E Mcknight | 10 Liberty Way, Niantic, CT 06357 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Craig D Serin Md | 249 Danbury Rd, Wilton, CT 06897 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
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| 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).