LAURA G SHAWHUGHES MD (Credential# 564986) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is September 1, 2010. The license expiration date date is August 31, 2011. The license status is INACTIVE.
LAURA G SHAWHUGHES MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.047404. The credential type is physician/surgeon. The effective date is September 1, 2010. The expiration date is August 31, 2011. The business address is 26 Grotto Ave, Providence, RI 02906. The current status is inactive.
Licensee Name | LAURA G SHAWHUGHES MD |
Credential ID | 564986 |
Credential Number | 1.047404 |
Credential Type | Physician/Surgeon |
Business Address |
26 Grotto Ave Providence RI 02906 |
Business Type | INDIVIDUAL |
Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
Issue Date | 2009-02-27 |
Effective Date | 2010-09-01 |
Expiration Date | 2011-08-31 |
Refresh Date | 2011-12-02 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
530540 | CSP.0045401 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2009-04-24 | 2009-04-24 - 2011-02-28 | INACTIVE |
Street Address | 26 Grotto Ave |
City | Providence |
State | RI |
Zip Code | 02906 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Lincoln Foundation Inc | 26 Grotto Ave, Providence, RI 02906-5557 | Public Charity-exempt From Financial Requirements | 2011-05-06 ~ |
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 |
---|---|---|---|
Laura R Triano | Po Box 167, Milldale, CT 06467-0167 | Physician/surgeon | 2018-02-01 ~ 2019-01-31 |
Laura Popper | 116 E 66th St, New York, NY 10065-6547 | Physician/surgeon | ~ |
Laura Chen | 789 Howard Ave, New Haven, CT 06519-1304 | Physician/surgeon | ~ |
Laura J Pickett | 400 Main St, Farmington, CT 06032-2906 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
Laura A Dove | 248 Deepwoods Dr, Longmeadow, MA 01106-2137 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
Laura J Alexander | 113 Valentine Pl Apt 960, Ithaca, NY 14850-6176 | Physician/surgeon | 2019-04-01 ~ 2020-03-31 |
Laura M Debrot | 220 W Jersey St Apt 5e, Elizabeth, NJ 07202-1309 | Physician/surgeon | 2011-04-15 ~ 2011-09-30 |
Laura C. Been | Po Box 2386, Round Rock, TX 78680-2386 | Physician/surgeon | 2020-02-01 ~ 2021-01-31 |
Laura P Devita Md | 90 Locust Ave, Danbury, CT 06810 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
Laura S Greci M.d. | 7 Victoria Ct, Roswell, NM 88201 | Physician/surgeon | 2002-04-09 ~ 2003-04-30 |
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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).