BETH ROSEN MD (Credential# 184718) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 1999. The license expiration date date is February 28, 2000. The license status is INACTIVE.
BETH ROSEN MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0025742. The credential type is controlled substance registration for practitioner. The effective date is March 1, 1999. The expiration date is February 28, 2000. The business address is Ummc Department of Pediatrics, Worcester, MA 01655. The current status is inactive.
| Licensee Name | BETH ROSEN MD |
| Credential ID | 184718 |
| Credential Number | CSP.0025742 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
Ummc Department of Pediatrics Worcester MA 01655 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE |
| Effective Date | 1999-03-01 |
| Expiration Date | 2000-02-28 |
| Refresh Date | 2009-01-26 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 549847 | 1.032222 | Physician/Surgeon | 1992-04-24 | 1998-09-25 - 1999-10-31 | INACTIVE |
| Street Address | UMMC DEPARTMENT OF PEDIATRICS |
| 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 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + WORCESTER |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Marc L Rosen | Po Box 208071, New Haven, CT 06520-8071 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Jonathan Rosen | 25 Collins Rd, Bristol, CT 06010 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Arthur N Rosen Od | 13 Lanewood Ave, Framingham, MA 01701-3660 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
| Susan Rosen Md | 32 Caroline Dr, Princeton, NJ 08540 | Controlled Substance Registration for Practitioner | 2009-03-01 ~ 2011-02-28 |
| Valerie C Rosen Md | Po Box 208237, New Haven, CT 06520-8237 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
| Jessica A Rosen | 32 Barnett St D22, New Haven, CT 06515 | Controlled Substance Registration for Practitioner | 2005-03-01 ~ 2006-02-28 |
| Fredric L Rosen Dds | 315 Whitney Ave, New Haven, CT 06511 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
| Jonathan Minder Rosen | 24 Hospital Ave, Danbury, CT 06810-6099 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Emily Rosen-wachs | 200 Retreat Ave, Hartford, CT 06106-3309 | Controlled Substance Registration for Practitioner | ~ |
| Jules Rosen | 189 Storrs Rd, Mansfield Center, CT 06250-1683 | Controlled Substance Registration for Practitioner | 2020-03-03 ~ 2021-02-28 |
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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).