ANNE M TIMMERMAN (Credential# 548296) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is May 1, 2020. The license expiration date date is April 30, 2021. The license status is ACTIVE.
ANNE M TIMMERMAN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.030194. The credential type is physician/surgeon. The effective date is May 1, 2020. The expiration date is April 30, 2021. The business address is 32 S Angell St, Providence, RI 02906-5207. The current status is active.
| Licensee Name | ANNE M TIMMERMAN |
| Credential ID | 548296 |
| Credential Number | 1.030194 |
| Credential Type | Physician/Surgeon |
| Business Address |
32 S Angell St Providence RI 02906-5207 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 1989-07-28 |
| Effective Date | 2020-05-01 |
| Expiration Date | 2021-04-30 |
| Refresh Date | 2020-04-27 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 157786 | CSP.0017752 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2005-03-01 | 2013-03-01 - 2015-02-28 | INACTIVE |
| Street Address | 32 S ANGELL ST |
| City | PROVIDENCE |
| State | RI |
| Zip Code | 02906-5207 |
| 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 | Physician/Surgeon |
| License Type + County | Physician/Surgeon + PROVIDENCE |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Anne S Davidson | Randolph, NJ 07869-1243 | Physician/surgeon | 2009-10-01 ~ 2010-09-30 |
| Anne M Weisensee | 166 4th St E, Saint Paul, MN 55101-1421 | Physician/surgeon | 2010-02-01 ~ 2011-01-31 |
| Marie-anne Denayer Md | 31 Lee Dr, Southington, CT 06489-2926 | Physician/surgeon | 2016-01-01 ~ 2016-12-31 |
| Anne L Lally Md | 505 Willard Ave, Newington, CT 06111-2650 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Anne Pearl | 17 Keeler Pl, Ridgefield, CT 06877 | Physician/surgeon | 1992-10-23 ~ 1993-11-30 |
| Anne M Weber | 17 Trumbull St, Manchester, CT 06040 | Physician/surgeon | 1992-02-24 ~ 1993-02-28 |
| Anne H Angevine Md | 14 Westway, Bronxville, NY 10708 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
| Anne M Ferris | 62 Rockledge Rd #1a, Hartsdale, NY 10530 | Physician/surgeon | 2000-03-06 ~ 2000-09-30 |
| Anne R Bass | 535 E 70th St, New York, NY 10021-4823 | Physician/surgeon | 1991-03-15 ~ 1995-04-30 |
| Anne B. Platt | 127 Beethoven Ct, Eastport, NY 11941-1603 | Physician/surgeon | 2015-04-01 ~ 2016-03-31 |
Please comment or provide details below to improve the information on ANNE M TIMMERMAN.
| 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).