FREDERICK J DEROSIER (Credential# 538025) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2020. The license expiration date date is February 28, 2021. The license status is ACTIVE.
FREDERICK J DEROSIER is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.000282-DO. The credential type is physician/surgeon. The effective date is March 1, 2020. The expiration date is February 28, 2021. The business address is 1065 Tacketts Pond Dr, Raleigh, NC 27614-7887. The current status is active.
| Licensee Name | FREDERICK J DEROSIER |
| Credential ID | 538025 |
| Credential Number | 1.000282-DO |
| Credential Type | Physician/Surgeon |
| Credential SubCategory | DO |
| Business Address |
1065 Tacketts Pond Dr Raleigh NC 27614-7887 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 1989-10-11 |
| Effective Date | 2020-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2019-12-13 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1408676 | CSP.0064872 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2017-02-28 | 2017-02-28 - 2019-02-28 | LAPSED |
| Street Address | 1065 TACKETTS POND DR |
| City | RALEIGH |
| State | NC |
| Zip Code | 27614-7887 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Melanie C. Lopes | 10824 Grassy Creek Pl, Raleigh, NC 27614 | Registered Nurse | ~ |
| Equity Shift, Inc. | 5532 Peakton Drive, Raleigh, NC 27614 | Securities - Exemptions | 2020-06-05 ~ |
| Octavian Mircea Belcea | 2810 Wakefield Pines Dr, Raleigh, NC 27614 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
| Rachel P Mclean · Nilsson | 2904 Witterton Place, Raleigh, NC 27614 | Licensed Clinical Social Worker | 2020-04-01 ~ 2021-03-31 |
| Catherine M Walker | 2066 Hopeton Avenue, Raleigh, NC 27614 | Registered Nurse | 2020-06-01 ~ 2021-05-31 |
| The Grey Muzzle Organization | 14460 Falls of Neuse Rd, Suite 149-269, Raleigh, NC 27614 | Public Charity | 2020-06-01 ~ 2021-05-31 |
| Derrick A Williams | 1605 Olde Chimney Court, Raleigh, NC 27614 | Professional Engineer | 2020-02-04 ~ 2021-01-31 |
| Patricia L Kolb | 6017 Drumquin Drive, Raleigh, NC 27614 | Registered Nurse | ~ |
| Gregory L Booth | 14460 Falls of Neuse Road, Raleigh, NC 27614 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
| Karen E Klas | 3506 Falls River Avenue, Raleigh, NC 27614 | Pharmacist | 2020-02-01 ~ 2022-01-31 |
| Find all Licenses in zip 27614 | |||
| City | RALEIGH |
| Zip Code | 27614 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + RALEIGH |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Frederick Derosier Do | 3500 Avenida Pantera, Carlsbad, CA 920090 | Controlled Substance Registration for Practitioner | 2015-03-11 ~ 2017-02-28 |
| Candace L Derosier · Armand L Derosier | 26 Adelaide St, Danielson, CT 06239 | Real Estate Salesperson | 2000-06-01 ~ 2001-05-31 |
| Frederick Lu | Po Box 546, Elizabeth, NJ 07207 | Physician/surgeon | 1994-05-06 ~ 1995-04-30 |
| Derosier Storage Co, Inc. | 110 Mayfair Place, Stratford, CT 06615 | Household Goods Carrier | 2019-01-01 ~ 2019-12-31 |
| Frederick Tan | 350 Timrod Rd, Manchester, CT 06040 | Physician/surgeon | 2000-10-04 ~ 2001-11-30 |
| Jay Frederick Diamond | 545 First Ave Suite 6g, New York, NY 10016 | Physician/surgeon | 2020-02-01 ~ 2021-01-31 |
| Frederick E Herro | 7334 N 2nd Dr, Phoenix, AZ 85021-7278 | Physician/surgeon | 2019-12-01 ~ 2020-11-30 |
| Frederick H Lohse | 4 Ashley Ct, Danbury, CT 06810-7288 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
| Frederick E Mott | 75 Westwood Rd, New Haven, CT 06515 | Physician/surgeon | 1995-09-08 ~ 1996-10-31 |
| Frederick W. Barker | Psc 3, Box 15978 Apo, San Francisco, CA 96432 | Physician/surgeon | 1986-10-02 ~ 1988-10-31 |
Please comment or provide details below to improve the information on FREDERICK J DEROSIER.
| 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).