DEBORAH L MYERS (Credential# 548725) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is September 1, 2020. The license expiration date date is August 31, 2021. The license status is ACTIVE.
DEBORAH L MYERS is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.030828. The credential type is physician/surgeon. The effective date is September 1, 2020. The expiration date is August 31, 2021. The business address is 101 Dudley Street, Providence, RI 02905. The current status is active.
Licensee Name | DEBORAH L MYERS |
Credential ID | 548725 |
Credential Number | 1.030828 |
Credential Type | Physician/Surgeon |
Business Address |
101 Dudley Street Providence RI 02905 |
Business Type | INDIVIDUAL |
Status | ACTIVE - CURRENT |
Active | 1 |
Issue Date | 1990-06-01 |
Effective Date | 2020-09-01 |
Expiration Date | 2021-08-31 |
Refresh Date | 2020-06-02 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
947494 | CSP.0048464 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2010-08-11 | 2013-03-01 - 2015-02-28 | INACTIVE |
Street Address | 101 Dudley Street |
City | Providence |
State | RI |
Zip Code | 02905 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Wendy B Young | 101 Dudley Street, Providence, RI 02905 | Registered Nurse | 2020-03-01 ~ 2021-02-28 |
Rebecca H Allen | 101 Dudley Street, Providence, RI 02905 | Controlled Substance Registration for Practitioner | 2020-02-26 ~ 2021-02-28 |
James F Padbury | 101 Dudley Street, Providence, RI 02905 | Physician/surgeon | 2016-09-01 ~ 2017-08-31 |
Margaret M Steinhoff | 101 Dudley Street, Providence, RI 02905 | Physician/surgeon | 2016-08-01 ~ 2017-07-31 |
Trevor Tejada-berges | 101 Dudley Street, Providence, RI 02905 | Physician/surgeon | 2013-03-01 ~ 2014-02-28 |
Balasubramanian Bhagavath | 101 Dudley Street, Providence, RI 02905 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
Walter H Gajewski | 101 Dudley Street, Providence, RI 02905 | Physician/surgeon | 2003-12-18 ~ 2004-12-31 |
David Frankfurter Md | 101 Dudley Street, Providence, RI 02905 | Controlled Substance Registration for Practitioner | 2002-03-01 ~ 2003-02-28 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Martha L Werenfels | 66 Fort Avenue, Cranston, RI 02905 | Architect | 2020-08-01 ~ 2021-07-31 |
Peter M Scotti | 18 Hudson Place, Cranston, RI 02905 | Certified General Real Estate Appraiser | 2020-05-01 ~ 2021-04-30 |
Paul H Dyer | 19 Henry St, Cranston, RI 02905 | Casino Class I Employee | 2019-12-11 ~ 2020-10-31 |
Tammie W Sutton | 43 Colfax St., Providence, RI 02905 | Casino Class I Employee | 2019-12-11 ~ 2020-10-31 |
Mark A Caruso | 9 Rhodes Avenue, Cranston, RI 02905 | Casino Class I Employee | 2019-12-11 ~ 2020-10-31 |
Stephen Paul Tippe | 1972 Broad Street, Cranston, RI 02905 | Casino Class I Employee | 2019-12-11 ~ 2020-10-31 |
Michael T Parker | 139 Babcock Street, Providence, RI 02905 | Casino Class I Employee | 2019-12-11 ~ 2020-10-31 |
Jacquelyn Nicole Fellows | 198 Armington St Apt 8, Cranston, RI 02905 | Casino Class I Employee | 2019-12-03 ~ 2020-10-31 |
David Duarte | 48 Harbor View Terrace, Stonington, CT 02905 | Casino Class I Employee | 2019-12-11 ~ 2020-10-31 |
Szu Ching Wu | 1185 Narragansett Blvd Apt 206, Cranston, RI 02905 | Casino Class I Employee | 2019-12-03 ~ 2020-10-31 |
Find all Licenses in zip 02905 |
City | Providence |
Zip Code | 02905 |
License Type | Physician/Surgeon |
License Type + County | Physician/Surgeon + Providence |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Michael G Myers | Los Gatos, CA 95032 | Physician/surgeon | 2018-07-01 ~ 2019-06-30 |
Griffin Robert Myers | 30 W. Monroe St, Chicago, IL 60603 | Physician/surgeon | ~ |
Eliza H Myers | 57 Edgehill Rd, New Haven, CT 06511-1343 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
David M Myers | 169 Ramapo Vly Rd, Oakland, NJ 07436 | Physician/surgeon | 1994-07-15 ~ 1995-09-30 |
Teresa A. Myers | 283 Ashford Dr, Copley, OH 44321-3157 | Physician/surgeon | 2019-11-01 ~ 2020-10-31 |
David H Turkel | 3680 Broadway, Ft. Myers, FL 33901 | Physician/surgeon | 2001-02-02 ~ 2002-02-28 |
Tamara T Myers | 243 Steele Rd Apt 524, West Hartford, CT 06117-1722 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
Joyce E Myers | 22 Coniston Court, Princeton, NJ 08540 | Physician/surgeon | 2002-09-05 ~ 2003-08-31 |
Kevin W Carroll | 3680 Broadway, Ft. Myers, FL 33901 | Physician/surgeon | 2001-01-11 ~ 2002-02-28 |
Kishan A. Patel | 308 Myers Ave, Hasbrouck Heights, NJ 07604-2236 | Physician/surgeon | 2013-07-12 ~ 2014-02-28 |
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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).