AMY L GARDNER (Credential# 1231795) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2015. The license expiration date date is February 28, 2017. The license status is INACTIVE.
AMY L GARDNER is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0057668. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2015. The expiration date is February 28, 2017. The business address is 150 Union St Apt 606, Providence, RI 02903-1795. The current status is inactive.
| Licensee Name | AMY L GARDNER |
| Credential ID | 1231795 |
| Credential Number | CSP.0057668 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
150 Union St Apt 606 Providence RI 02903-1795 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE |
| Issue Date | 2014-08-06 |
| Effective Date | 2015-03-01 |
| Expiration Date | 2017-02-28 |
| Refresh Date | 2018-01-29 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1226386 | 1.053195 | Physician/Surgeon | 2014-06-24 | 2014-11-01 - 2015-10-31 | INACTIVE |
| Street Address | 150 UNION ST APT 606 |
| City | PROVIDENCE |
| State | RI |
| Zip Code | 02903-1795 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Hareem Park | 10 Park Row West, Providence, RI 02903 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
| Ian Baldwin | 755 Westminster St, Providence, RI 02903 | Architect | ~ |
| Michael J Viveiros | 111 Chestnut St, Providence, RI 02903 | Architect | 2020-08-01 ~ 2021-07-31 |
| Tamara Handerson | 100 Exchange Street, #802, Providence, RI 02903 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Citizens Bank, National Association | One Citizens Plaza, Providence, RI 02903 | Ct Bank Office | 1999-06-17 ~ |
| Nautic Carepathrx Co-invest, L.p. | 50 Kennedy Plaza, Fl12, Providence, RI 02903 | Securities - Exemptions | 2020-04-03 ~ |
| James L Mckeon | One Chestnut Street # 107, Providence, RI 02903 | Casino Class I Employee | 2019-12-11 ~ 2020-10-31 |
| Angeline M Gingerella | 1 West Exchanges Street Omni Residences, Providence, RI 02903 | Casino Class I Employee | 2019-12-11 ~ 2020-10-31 |
| Jason Domenic Dollard | 482 West Fountain Street, Providence, RI 02903 | Marital and Family Therapist | 2020-03-01 ~ 2021-02-28 |
| Edward F. Mc Crory | 40 Westminster Street 600, Providence, RI 02903 | Certified Public Accountant License | 2019-01-01 ~ 2019-12-31 |
| Find all Licenses in zip 02903 | |||
| City | PROVIDENCE |
| Zip Code | 02903 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + PROVIDENCE |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Yanghee Kwon | 14 Main St Apt 3b, Gardner, MA 01440-2650 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
| Peter W Gardner | 92 Jordan Ln, Stamford, CT 06903-3914 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Elizabeth C Gardner | 446 Humphrey St, New Haven, CT 06511-3710 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Sarah K Abbett | 168 Gardner Rd, Brookline, MA 02445-4560 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Michael Wieder | 1 Cross St, Gardner, MA 01440-2213 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
| Joanne Gardner Ms | 27 Marboy Dr, Plantsville, CT 06479-1517 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Susan L Donnelly Pac | 449 Gardner St, Manchester, CT 06040 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Sarah K Abbettt | 168 Gardner Rd, Brookline, MA 02445-4560 | Controlled Substance Registration for Practitioner | ~ |
| E Benjamin Gardner | 43 Caleb Dyer Ln, Enfield, NH 03748-3551 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Cathy L Sheredos-funfgeld Pa | 216 Gardner Ave, Jericho, NY 11753 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
Please comment or provide details below to improve the information on AMY L GARDNER.
| 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).