MARSHALL WOLD MD (Credential# 548297) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is January 30, 2006. The license expiration date date is March 31, 2007. The license status is INACTIVE.
MARSHALL WOLD MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.030196. The credential type is physician/surgeon. The effective date is January 30, 2006. The expiration date is March 31, 2007. The business address is 355 Thayer St, Providence, RI 02906. The current status is inactive.
| Licensee Name | MARSHALL WOLD MD |
| Credential ID | 548297 |
| Credential Number | 1.030196 |
| Credential Type | Physician/Surgeon |
| Business Address |
355 Thayer St Providence RI 02906 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 1989-07-28 |
| Effective Date | 2006-01-30 |
| Expiration Date | 2007-03-31 |
| Refresh Date | 2009-07-11 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 335419 | CSP.0033404 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2006-03-01 - 2007-02-28 | INACTIVE | |
| 160074 | CSP.0017431 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 1997-03-01 - 1998-02-28 | INACTIVE |
| Street Address | 355 THAYER ST |
| 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 | Physician/Surgeon |
| License Type + County | Physician/Surgeon + PROVIDENCE |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Karen T Wold | 300 Herron Ave #211, Glastonbury, CT 06033 | Physician/surgeon | 1992-07-23 ~ 1993-07-31 |
| Anne Devi Wold | 142 Irving Ave, Providence, RI 02906-5407 | Physician/surgeon | 2016-05-01 ~ 2017-04-30 |
| Wold Top Against The Grain | Connecticut Brand Registration, Hartford, CT 06106 | Liquor Brand Label | 2013-06-14 ~ 2016-06-13 |
| Marshall E. Bein | 910 Wellesley Ave, Los Angeles, CA 90049-5823 | Physician/surgeon | 1975-06-13 ~ 2019-01-29 |
| Jennifer Mcniff | 35 Marshall Ave, Guilford, CT 06437 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
| Marshall J Zamansky | 6 Summerland Way, Worcester, MA 01609 | Physician/surgeon | 2016-08-01 ~ 2017-07-31 |
| Peter N Bowers Md | 27 Marshall Ave, Guilford, CT 06437-3516 | Physician/surgeon | 2019-10-01 ~ 2020-09-30 |
| Lee J Steingisser | 5 Marshall Terrace, Wayland, MA 01778 | Physician/surgeon | 2019-11-01 ~ 2020-10-31 |
| Marshall D Kramer | 10 Kenilworth Lane, Rye, NY 10580 | Physician/surgeon | 2001-06-18 ~ 2002-03-31 |
| Justin Marshall | 200 Retreat Ave, Hartford, CT 06106-3309 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
Please comment or provide details below to improve the information on MARSHALL WOLD 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).