DANIEL Z FISHER MD (Credential# 357335) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2013. The license expiration date date is February 28, 2015. The license status is INACTIVE.
DANIEL Z FISHER MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0034386. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2013. The expiration date is February 28, 2015. The business address is 55 Lake Ave North, Worcester, MA 01655. The current status is inactive.
Licensee Name | DANIEL Z FISHER MD |
Credential ID | 357335 |
Credential Number | CSP.0034386 |
Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
Business Address |
55 Lake Ave North Worcester MA 01655 |
Business Type | INDIVIDUAL |
Status | INACTIVE |
Effective Date | 2013-03-01 |
Expiration Date | 2015-02-28 |
Refresh Date | 2016-01-29 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
560118 | 1.042536 | Physician/Surgeon | 2004-06-10 | 2013-08-01 - 2014-07-31 | INACTIVE |
Street Address | 55 LAKE AVE NORTH |
City | WORCESTER |
State | MA |
Zip Code | 01655 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
David Cave | 55 Lake Ave North, Worcester, MA 01655 | Physician/surgeon | 2013-01-01 ~ 2013-12-31 |
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 |
Theo E Meyer Md | Umass Memorial Medical Ctr, 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 |
---|---|---|---|
Robin L Fisher | 8 Woods Rd, Sherman, CT 06784-1941 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Molly Fisher | 100 Strickland Road, Cos Cob, CT 06087 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Constance T Chang | 22 Fisher St, Providence, RI 02906-2626 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Rebecca M Fisher | 282 Washington St 4h, Hartford, CT 06106 | Controlled Substance Registration for Practitioner | 2008-04-07 ~ 2009-02-28 |
Ann F Fisher Md | 54 Vineyard Point Rd, Guilford, CT 06437 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
John Fisher | 17 Heritage Dr, Danbury, CT 06811 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Sherwood Jonathas | 11 Fisher Rdg, Bristol, CT 06010-8959 | Controlled Substance Registration for Practitioner | 2020-02-13 ~ 2021-02-28 |
Stephanie S Fisher | 973 Buck Rd, Madrid, NY 13660-3144 | Controlled Substance Registration for Practitioner | 2014-06-24 ~ 2015-02-28 |
Allison M Trinker | 11 Fisher Lane, Ridgefield, CT 06877 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Robert L Fisher | 500 Highland Street, Wethersfield, CT 06109 | Controlled Substance Registration for Practitioner | 2005-03-01 ~ 2006-02-28 |
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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).