DAVID A EDMONSON MD
Controlled Substance Registration for Practitioner


Address: 101 Dudley St, Providence, RI 02905-2499

DAVID A EDMONSON MD (Credential# 1028420) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2017. The license expiration date date is February 28, 2019. The license status is LAPSED.

Business Overview

DAVID A EDMONSON MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0051210. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2017. The expiration date is February 28, 2019. The business address is 101 Dudley St, Providence, RI 02905-2499. The current status is lapsed.

Basic Information

Licensee Name DAVID A EDMONSON MD
Credential ID 1028420
Credential Number CSP.0051210
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 101 Dudley St
Providence
RI 02905-2499
Business Type INDIVIDUAL
Status LAPSED
Active 1
Issue Date 2011-08-12
Effective Date 2017-03-01
Expiration Date 2019-02-28
Refresh Date 2019-03-06

Other licenses

ID Credential Code Credential Type Issue Term Status
1005006 1.050202 Physician/Surgeon 2011-08-04 2017-09-01 - 2018-08-31 INACTIVE

Office Location

Street Address 101 DUDLEY ST
City PROVIDENCE
State RI
Zip Code 02905-2499

Licenses in the same location

Licensee Name Office Address Credential Effective / Expiration
Cara A Mathews 101 Dudley St, Providence, RI 02905-2401 Physician/surgeon 2020-07-01 ~ 2021-06-30
Elizabeth Lokich 101 Dudley St, Providence, RI 02905-2401 Physician/surgeon 2020-06-01 ~ 2021-05-31
Katina M Robison 101 Dudley St, Providence, RI 02905-2401 Physician/surgeon 2020-05-01 ~ 2021-04-30
Ashley R Stuckey Md 101 Dudley St, Providence, RI 02905-2401 Controlled Substance Registration for Practitioner 2019-03-01 ~ 2021-02-28
Jennifer S. Gass 101 Dudley St, Providence, RI 02905-2401 Controlled Substance Registration for Practitioner 2017-03-01 ~ 2019-02-28
Carol A Wheeler Md 101 Dudley St, Providence, RI 02905-2401 Physician/surgeon 2017-11-01 ~ 2018-10-31
Trevor Tejada-berges Md 101 Dudley St, Providence, RI 02905 Controlled Substance Registration for Practitioner 2013-03-01 ~ 2015-02-28
Carolyn K Mccourt Md 101 Dudley St, Providence, RI 02905-2401 Controlled Substance Registration for Practitioner 2013-03-01 ~ 2015-02-28
Mariya S. Spasova Md 101 Dudley St, Providence, RI 02905-2401 Controlled Substance Registration for Practitioner 2011-03-01 ~ 2013-02-28
Christina Bandera Md 101 Dudley St, Providence, RI 02905-2401 Physician/surgeon 2010-09-01 ~ 2011-08-31
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Licenses in the same zip code

Licensee Name Office Address Credential Effective / Expiration
Michael Steller Md Women & Infant's Hospital, Providence, RI 02905-2499 Physician/surgeon 2006-05-31 ~ 2007-02-28

Licenses in the same zip code

Licensee Name Office Address Credential Effective / Expiration
Martha L Werenfels 66 Fort Avenue, Cranston, RI 02905 Architect 2020-08-01 ~ 2021-07-31
Deborah L Myers 101 Dudley Street, Providence, RI 02905 Physician/surgeon 2020-09-01 ~ 2021-08-31
Peter M Scotti 18 Hudson Place, Cranston, RI 02905 Certified General Real Estate Appraiser 2020-05-01 ~ 2021-04-30
Paul H Dyer 19 Henry St, Cranston, RI 02905 Casino Class I Employee 2019-12-11 ~ 2020-10-31
Tammie W Sutton 43 Colfax St., Providence, RI 02905 Casino Class I Employee 2019-12-11 ~ 2020-10-31
Mark A Caruso 9 Rhodes Avenue, Cranston, RI 02905 Casino Class I Employee 2019-12-11 ~ 2020-10-31
Stephen Paul Tippe 1972 Broad Street, Cranston, RI 02905 Casino Class I Employee 2019-12-11 ~ 2020-10-31
Michael T Parker 139 Babcock Street, Providence, RI 02905 Casino Class I Employee 2019-12-11 ~ 2020-10-31
Jacquelyn Nicole Fellows 198 Armington St Apt 8, Cranston, RI 02905 Casino Class I Employee 2019-12-03 ~ 2020-10-31
David Duarte 48 Harbor View Terrace, Stonington, CT 02905 Casino Class I Employee 2019-12-11 ~ 2020-10-31
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Competitor

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City PROVIDENCE
Zip Code 02905
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + PROVIDENCE

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Dataset Information

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).

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