BETTINA A FITZGERALD (Credential# 551483) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is March 17, 2003. The license expiration date date is April 30, 2004. The license status is INACTIVE.
BETTINA A FITZGERALD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.033884. The credential type is physician/surgeon. The effective date is March 17, 2003. The expiration date is April 30, 2004. The business address is Va Outpatient Clinic, Jennings, LA 70546. The current status is inactive.
| Licensee Name | BETTINA A FITZGERALD |
| Credential ID | 551483 |
| Credential Number | 1.033884 |
| Credential Type | Physician/Surgeon |
| Business Address |
Va Outpatient Clinic Jennings LA 70546 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 1994-07-15 |
| Effective Date | 2003-03-17 |
| Expiration Date | 2004-04-30 |
| Refresh Date | 2009-07-08 |
| Street Address | VA OUTPATIENT CLINIC |
| City | JENNINGS |
| State | LA |
| Zip Code | 70546 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Corey J Herpin | 376 Don Drive, Jennings, LA 70546 | Registered Nurse | 2001-08-22 ~ 2002-02-28 |
| Gilda Copeland Whittington | 5494 Pine Island Hwy, Jennings, LA 70546-8854 | Registered Nurse - Temporary | 2011-06-15 ~ 2011-10-13 |
| City | JENNINGS |
| Zip Code | 70546 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + JENNINGS |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Bettina Fitzgerald Md | 65 Orchard Lane, Easton, CT 06612 | Controlled Substance Registration for Practitioner | 1994-09-28 ~ 1996-09-01 |
| Lisa M. Fitzgerald | 16 Chauncy St, Cambridge, MA 02138-2439 | Physician/surgeon | 1987-05-01 ~ 1992-05-31 |
| Thomas J Fitzgerald | 55 Lake Ave, N, Worcester, MA 01655 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Jerri N Fitzgerald | 72 Davis Road, Southwick, MA 01077 | Physician/surgeon | 2009-02-05 ~ 2010-03-31 |
| Regina M Fitzgerald | 36 Revere Place, Ridgefield, CT 06877 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Terence S Fitzgerald | 184 Rowayton Woods Dr, Norwalk, CT 06854-3911 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Thomas Baird Fitzgerald | 170 Hazard Ave, Enfield, CT 06082-4520 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Kevin P Fitzgerald | 934 Thornbury Place, O'fallon, IL 62269 | Physician/surgeon | 1999-09-28 ~ 2000-05-31 |
| Robert T Fitzgerald | 20 Martins Lane, Hingham, MA 02043 | Physician/surgeon | 2003-11-10 ~ 2004-10-31 |
| Donald T Fitzgerald Md | 11109 Woodhar Place, Bakersfield, CA 93311 | Physician/surgeon | 2001-12-24 ~ 2003-02-28 |
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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).