CLIFFORD J. FIELDS (Credential# 951960) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2019. The license expiration date date is February 28, 2021. The license status is ACTIVE.
CLIFFORD J. FIELDS is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0048782. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2019. The expiration date is February 28, 2021. The business address is 43 Elmgrove Ave, Providence, RI 02906-4103. The current status is active.
| Licensee Name | CLIFFORD J. FIELDS |
| Credential ID | 951960 |
| Credential Number | CSP.0048782 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
43 Elmgrove Ave Providence RI 02906-4103 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2010-10-14 |
| Effective Date | 2019-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2019-01-28 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 949330 | 1.049250-DO | Physician/Surgeon | 2010-09-28 | 2019-10-01 - 2020-09-30 | ACTIVE |
| Street Address | 43 ELMGROVE AVE |
| City | PROVIDENCE |
| State | RI |
| Zip Code | 02906-4103 |
| 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 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + PROVIDENCE |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Alvin L Fields Dds | 8 Ferrin Dr, Southwick, MA 01077-9265 | Controlled Substance Registration for Practitioner | 2009-06-26 ~ 2011-02-28 |
| Irwin August | 128 Five Fields Rd, Madison, CT 06443-2558 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Thomas R Szwejkowski | 75 Five Fields Rd, Madison, CT 06443-2559 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Barry G Fields | 64 Robbins St, Waterbury, CT 06708 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
| Gulam A. Noorani Md | 120 Severn Dr, Seven Fields, PA 16046-4344 | Controlled Substance Registration for Practitioner | 2011-04-14 ~ 2013-02-28 |
| Bina L Chaddha Md | 111 Five Fields Road, Madison, CT 06443 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Karen D Fields | 900 Chapel Street Apt 113, New Haven, CT 06510 | Controlled Substance Registration for Practitioner | 2007-09-24 ~ 2008-02-29 |
| Aaron M Fields | 477 Bradley St, East Haven, CT 06512 | Controlled Substance Registration for Practitioner | 2007-03-01 ~ 2008-02-29 |
| Robert S Fields | 125 Strawberry Hill, Stamford, CT 06902 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Clifford C Evans Dmd | 27 Bridge St, Stamford, CT 06905 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
Please comment or provide details below to improve the information on CLIFFORD J. FIELDS.
| 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).