TODD CARRANZA MD (Credential# 556381) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is December 1, 2019. The license expiration date date is November 30, 2020. The license status is ACTIVE.
TODD CARRANZA MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.038793. The credential type is physician/surgeon. The effective date is December 1, 2019. The expiration date is November 30, 2020. The business address is 101 Regent Ave, Providence, RI 02908. The current status is active.
| Licensee Name | TODD CARRANZA MD |
| Credential ID | 556381 |
| Credential Number | 1.038793 |
| Credential Type | Physician/Surgeon |
| Business Address |
101 Regent Ave Providence RI 02908 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2000-06-23 |
| Effective Date | 2019-12-01 |
| Expiration Date | 2020-11-30 |
| Refresh Date | 2019-08-26 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 237501 | CSP.0029850 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2006-03-17 | 2015-03-01 - 2017-02-28 | INACTIVE |
| Street Address | 101 REGENT AVE |
| City | PROVIDENCE |
| State | RI |
| Zip Code | 02908 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Olivia S Locker | 302 Eaton St, Providence, RI 02908 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Alexandra Jimenez | 405 Promenade Street, Providence, RI 02908 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Juan O Silfa | 15 Amity St., Providence, RI 02908 | Casino Class I Employee | 2019-12-11 ~ 2020-10-31 |
| Caitlyn M. Bouchard | 685 River Ave, Providence, RI 02908 | Casino Class I Employee | 2019-12-18 ~ 2020-10-31 |
| Brandon Russell Sweet | 38 Durham Street, Providence, RI 02908 | Casino Class I Employee | 2019-12-11 ~ 2020-10-31 |
| Howard J Sellers | 88 Jewett Street, Providence, RI 02908 | Casino Class I Employee | 2019-12-03 ~ 2020-10-31 |
| Khonesavanh Misay | 25 Rosebank Avenue, Providence, RI 02908 | Casino Class I Employee | 2019-12-11 ~ 2020-10-31 |
| Alan R Morrison | Providence Va Medical Center, Providence, RI 02908 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
| Tiffany Acosta | 34 Veazie St 3rd Flr, Providence, RI 02908 | Registered Nurse | ~ |
| Tomas I Perez | 80 Farragut Ave, Providence, RI 02908 | Professional Engineer | 2019-06-21 ~ 2020-01-31 |
| Find all Licenses in zip 02908 | |||
| City | PROVIDENCE |
| Zip Code | 02908 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + PROVIDENCE |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Emilio Carranza Installations LLC | 16 Woodland Terrace Court, Carmel, NY 10512 | Home Improvement Contractor | 2017-12-01 ~ 2018-11-30 |
| Todd C Patton | 73 Market St, Yonkers, NY 10710-7616 | Physician/surgeon | ~ |
| Todd A Silberstein Do | 198 Clark Ave, Branford, CT 06405 | Physician/surgeon | 2006-12-28 ~ 2007-12-31 |
| Todd Miller | 1 Hospital Plz, Stamford, CT 06902-3602 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Todd M Bishop Do | 80 S Main St, Middletown, CT 06457 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Todd A Bickmore | 11 Ridge Rd, Cromwell, CT 06416-1516 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Todd J Vinovrski | 3 Pleasant St, Dartmouth, MA 02748 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
| Todd A Samter | 68 S Service Rd Ste 350, Melville, NY 11747-2358 | Physician/surgeon | 2016-05-01 ~ 2017-04-30 |
| Todd Zalut | 114 Woodland St, Hartford, CT 06105 | Physician/surgeon | 2002-02-14 ~ 2002-12-31 |
| Todd Wider Md | 266 West End Ave, New York, NY 10023 | Physician/surgeon | 1997-10-10 ~ 1998-10-31 |
Please comment or provide details below to improve the information on TODD CARRANZA 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).