FRANCES A DOUGLASS MD (Credential# 496487) 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.
FRANCES A DOUGLASS MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0043189. 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 20 William St Apt 2b, Mount Vernon, NY 10552-2835. The current status is inactive.
| Licensee Name | FRANCES A DOUGLASS MD |
| Credential ID | 496487 |
| Credential Number | CSP.0043189 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
20 William St Apt 2b Mount Vernon NY 10552-2835 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE |
| Issue Date | 2008-03-12 |
| Effective Date | 2015-03-01 |
| Expiration Date | 2017-02-28 |
| Refresh Date | 2018-01-29 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 563791 | 1.046209 | Physician/Surgeon | 2008-02-11 | 2015-02-01 - 2016-01-31 | INACTIVE |
| Street Address | 20 WILLIAM ST APT 2B |
| City | MOUNT VERNON |
| State | NY |
| Zip Code | 10552-2835 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Claudia M Spencer | 180 Pearsall Dr#1e, Mt Vernon, NY 10552 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Celeste M Bruno | 108 E. Birch St, Mt. Vernon, NY 10552 | Registered Nurse | 2020-05-01 ~ 2021-04-30 |
| Brenda L Thomas | 9 Chesterwood Avenue, Mt. Vernon, NY 10552 | Registered Nurse | 2020-05-01 ~ 2021-04-30 |
| Valeta V Bryant | 27 Vernon Place, Mt. Vernon, NY 10552 | Licensed Practical Nurse | 2020-06-01 ~ 2021-05-31 |
| Nadia Antoine-williams | 395 Gramatan Ave, Mt Vernon, NY 10552 | Registered Nurse - Temporary | 2020-04-14 ~ 2020-08-12 |
| Millicent R Thomas | 205 Bradley Avenue, Mount Vernon, NY 10552 | Licensed Practical Nurse | 2020-05-01 ~ 2021-04-30 |
| Alyssa Marie Sequinot | 531 E. Lincoln Ave Apt #1l, Mount Vernon, NY 10552 | Registered Nurse - Temporary | 2020-03-10 ~ 2020-07-08 |
| Tenille T Cameron | 211 Westchester Ave, Mount Vernon, NY 10552 | Licensed Practical Nurse | ~ |
| Eldorine F Manning | 58 Parkway South, Mt Vernon, NY 10552 | Licensed Practical Nurse | 2020-04-01 ~ 2021-03-31 |
| Idesta Adams | 80 William Street, Mount Vernon, NY 10552 | Notary Public Appointment | 2019-12-12 ~ 2024-12-31 |
| Find all Licenses in zip 10552 | |||
| City | MOUNT VERNON |
| Zip Code | 10552 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + MOUNT VERNON |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Amy Marie Douglass | 28 Crescent St, Middletown, CT 06457-3654 | Controlled Substance Registration for Practitioner | 2019-06-07 ~ 2021-02-28 |
| Nathan Douglass | 888 White Plains Rd, Trumbull, CT 06611-4552 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Frances Burrier | 65 Fleetwood Rd, Newington, CT 06111-4406 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Frances K Lin | 80 Seymour Street, Hartford, CT 06106 | Controlled Substance Registration for Practitioner | 2006-10-05 ~ 2007-02-28 |
| Frances W Ginsburg | 850 E Main St Apt 501, Stamford, CT 06902-3948 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Frances U Ogudebe | 45 Fountain Ter, New Haven, CT 06515-1823 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Frances Adachi | 297 George St Apt 4b, New Haven, CT 06511-6647 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Frances E Sites Od | 243 Main Street, Durham, CT 06422 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Frances M Deegan Aprn | 84 Jaffe Ter, Colchester, CT 06415-1004 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Elizabeth Frances Fuccillo | 79 Weaver St Apt C, Winooski, VT 05404-2073 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 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).