GERALD J CARROLL MD (Credential# 189863) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2003. The license expiration date date is February 28, 2004. The license status is INACTIVE.
GERALD J CARROLL MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0026367. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2003. The expiration date is February 28, 2004. The business address is Worcester Med Ctr Cardio Thor Surg, Worcester, MA 01604. The current status is inactive.
| Licensee Name | GERALD J CARROLL MD |
| Credential ID | 189863 |
| Credential Number | CSP.0026367 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
Worcester Med Ctr Cardio Thor Surg Worcester MA 01604 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE |
| Effective Date | 2003-03-01 |
| Expiration Date | 2004-02-28 |
| Refresh Date | 2009-01-26 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 554095 | 1.036504 | Physician/Surgeon | 1997-11-21 | 1999-01-25 - 2000-01-31 | INACTIVE |
| Street Address | WORCESTER MED CTR CARDIO THOR SURG |
| City | WORCESTER |
| State | MA |
| Zip Code | 01604 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Jessica Marie Baroni | 69 Dustin Street, Worcester, MA 01604 | Psychologist | 2020-07-01 ~ 2021-06-30 |
| Karen Fontanares Mancera | 282 Hamilton Street, Worcester, MA 01604 | Registered Nurse | 2020-06-01 ~ 2021-05-31 |
| Justin T Jarboe | 8 Seward St, Worcester, MA 01604 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| Liza Detenber | 7 E. Lake St., Worcester, MA 01604 | Licensed Clinical Social Worker | ~ |
| James Franklin Scola | 433 Sunderland Road, Ap. K, Worcester, MA 01604 | Notary Public Appointment | 2020-03-13 ~ 2025-03-31 |
| Dennis J Mercure | 44 Ernest Ave, Worcester, MA 01604 | Pharmacist | 2018-02-01 ~ 2020-01-31 |
| Johnathan A Simpson | 113 Warner Ave, Worcester, MA 01604 | Professional Counselor | 2020-04-01 ~ 2021-03-31 |
| Allan Kasozi Musoke | 59 Heywood St, Worcester, MA 01604 | Registered Nurse | 2019-01-14 ~ 2019-10-31 |
| Worcester Pharmacy LLC · Boulevard Pharmeceutical Compounding | 149 Shrewsbury St, Worcester, MA 01604 | Nonresident Pharmacy | 2020-01-21 ~ 2020-08-31 |
| Rachel E Swedo | 62 Alvarado Ave, Worcester, MA 01604 | Licensed Practical Nurse | 2019-12-01 ~ 2020-11-30 |
| Find all Licenses in zip 01604 | |||
| City | WORCESTER |
| Zip Code | 01604 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + WORCESTER |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Jason B Untrauer Dds | 144 Carroll St #2, New Britain, CT 06053 | Controlled Substance Registration for Practitioner | 2006-06-19 ~ 2007-02-28 |
| Louise Carroll | 114 Woodland St, Hartford, CT 06105-1208 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Melissa D Carroll Dvm | 78 Edwards St # 2, New Haven, CT 06511-3914 | Controlled Substance Registration for Practitioner | 2009-03-01 ~ 2011-02-28 |
| Joseph N Ponticiello Md | 226 Carroll Ave, Mamaroneck, NY 10543 | Controlled Substance Registration for Practitioner | 2005-03-01 ~ 2006-02-28 |
| Carolyn J. Presley | 50 Carroll Rd., Hamden, CT 06517 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Eric B Silver | 932 Carroll St Apt 4d, Brooklyn, NY 11225-1843 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Joseph N Ponticiello | 226 Carroll Avenue, Mamaroneck, NY 10543 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Robert J Soper | 61 Carroll St, City Island Bx, NY 10464 | Controlled Substance Registration for Practitioner | 1994-02-01 ~ 1996-02-01 |
| Wesley John Talcott | 27 Carroll Cir, Weston, MA 02493-2029 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Christopher L Carroll Md | 33 Andrea Lane, Avon, CT 06001 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Please comment or provide details below to improve the information on GERALD J CARROLL MD.
| 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).