GERALD A COLVIN (Credential# 555793) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is March 11, 2020. The license expiration date date is December 31, 2020. The license status is ACTIVE.
GERALD A COLVIN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.038203-DO. The credential type is physician/surgeon. The effective date is March 11, 2020. The expiration date is December 31, 2020. The business address is 138 Grotto Ave, Providence, RI 02906-5721. The current status is active.
| Licensee Name | GERALD A COLVIN |
| Credential ID | 555793 |
| Credential Number | 1.038203-DO |
| Credential Type | Physician/Surgeon |
| Credential SubCategory | DO |
| Business Address |
138 Grotto Ave Providence RI 02906-5721 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 1999-10-18 |
| Effective Date | 2020-03-11 |
| Expiration Date | 2020-12-31 |
| Refresh Date | 2020-03-12 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 226556 | CSP.0029008 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2015-03-01 - 2017-02-28 | INACTIVE |
| Street Address | 138 GROTTO AVE |
| City | PROVIDENCE |
| State | RI |
| Zip Code | 02906-5721 |
| 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 |
|---|---|---|---|
| Joshua Colvin | 4535 Dressler Rd Nw, Canton, OH 44718-2545 | Physician/surgeon | 2020-02-29 ~ 2021-02-28 |
| Charisse Colvin | 40 Lower Rocky Point Rd, Miller Place, NY 11764-1630 | Physician/surgeon | 2020-04-01 ~ 2021-04-30 |
| Gerald L Springer | Po Box 43, Kotzebue, AK 99752 | Physician/surgeon | 1992-12-22 ~ 1994-02-28 |
| Scott R. Colvin, Cpa | 14 Serene Drive, Huntington, CT 06484-5201 | Certified Public Accountant Firm Permit | 2001-01-01 ~ 2001-12-31 |
| Scott R Colvin Cpa LLC | 14 Serene Drive, Huntington, CT 06484-5201 | Certified Public Accountant Firm Permit | 2020-01-01 ~ 2020-12-31 |
| Gerald A Cohen | 200 S Broadway, Tarrytown, NY 10591 | Physician/surgeon | 1993-02-25 ~ 1994-03-31 |
| Gerald Lieberman | 975 Lincoln St, Denver, CO 80203-2725 | Physician/surgeon | 2010-05-01 ~ 2011-04-30 |
| Gerald O Franklin | 132 Main St, Danbury, CT 06810-7863 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Gerald A Valletta | 12 Country Way, New Milford, CT 06776 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Gerald Fung | 30 Shelbourne Rd, Stamford, CT 06902 | Physician/surgeon | 2009-06-22 ~ 2010-06-30 |
Please comment or provide details below to improve the information on GERALD A COLVIN.
| 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).