MAUREEN M BURNS MD (Credential# 560095) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is June 3, 2004. The license expiration date date is April 30, 2005. The license status is INACTIVE.
MAUREEN M BURNS MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.042513. The credential type is physician/surgeon. The effective date is June 3, 2004. The expiration date is April 30, 2005. The business address is Umass Memorial Center, Worcester, MA 01655. The current status is inactive.
Licensee Name | MAUREEN M BURNS MD |
Credential ID | 560095 |
Credential Number | 1.042513 |
Credential Type | Physician/Surgeon |
Business Address |
Umass Memorial Center Worcester MA 01655 |
Business Type | INDIVIDUAL |
Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
Issue Date | 2004-06-03 |
Effective Date | 2004-06-03 |
Expiration Date | 2005-04-30 |
Refresh Date | 2009-07-10 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
367257 | CSP.0034710 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2004-06-22 | 2004-06-22 - 2005-02-28 | INACTIVE |
Street Address | UMASS MEMORIAL CENTER |
City | WORCESTER |
State | MA |
Zip Code | 01655 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Carolina Ionete | 55 Lake Avenue, Worcester, MA 01655 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
Thomas J Fitzgerald | 55 Lake Ave, N, Worcester, MA 01655 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
Majaz Moonis Md | Umassmemorial Health Care, Neurology, 55 Lake Ave, Worcester, MA 01655 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
Ari Wilkenfeld | Neurology Department � 5th Floor, Worcester, MA 01655 | Physician/surgeon | ~ |
Kate Daniello | 55 N Lake Ave, Worcester, MA 01655 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
Brian Silver | 55 Lake Avenue North, Worcester, MA 01655 | Physician/surgeon | 2020-01-01 ~ 2020-12-31 |
Andrew Bouley | Umass Memorial, Department of Neurology, Worcester, MA 01655 | Physician/surgeon | 2019-04-01 ~ 2020-03-31 |
Cheryl A Laflamme Aprn | 58 Bentwood Dr, Sturbridge, MA 01655 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Lawrence S Rosenthal Md | Umass Memorial Medical Center, Worcester, MA 01655 | Physician/surgeon | 2016-08-01 ~ 2017-07-31 |
Daniel Z Fisher Md | 55 Lake Ave North, Worcester, MA 01655 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
Find all Licenses in zip 01655 |
City | WORCESTER |
Zip Code | 01655 |
License Type | Physician/Surgeon |
License Type + County | Physician/Surgeon + WORCESTER |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
William J Burns | 528 E. Larkspur Lane, Onalaska, WI 54650 | Physician/surgeon | 2006-09-12 ~ 2007-08-31 |
Zinoviy Gutkovich | 68-12 Burns Street, Forest Hills, NY 11375 | Physician/surgeon | 1999-01-11 ~ 1999-12-31 |
Lorraine F Burns Md | Family Medical Associates, Ridgefield, CT 06877 | Physician/surgeon | 2003-10-08 ~ 2004-11-30 |
Diana B Lowenthal | 76 Burns Place, Briarcliff Manor, NY 10510 | Physician/surgeon | 2019-10-01 ~ 2020-09-30 |
Gerard A Burns Md | Dept of Surgery/truama, New Haven, CT 06510 | Physician/surgeon | 2000-01-24 ~ 2000-10-31 |
Maureen M Okam Md | 333 Cedar St, W W W-403, New Haven, CT 06520 | Physician/surgeon | 2005-08-24 ~ 2006-05-31 |
Maureen F Zakowski | 504 East 63 St, New York, NY 10021 | Physician/surgeon | 2011-08-01 ~ 2012-07-31 |
Kelly Maureen Dillman | 342 E 110th St Apt 5d, New York, NY 10029-7088 | Physician/surgeon | ~ |
Maureen H Kunkel Md | 26 Colonial Dr, Trumbull, CT 06611-1506 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
Maureen P Mcevoy | 1 Emerson Pl Apt 7q, Boston, MA 02114-2207 | Physician/surgeon | 2016-02-23 ~ 2017-02-28 |
Please comment or provide details below to improve the information on MAUREEN M BURNS 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).