CAROLYN K MCCOURT MD (Credential# 512028) 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.
CAROLYN K MCCOURT MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0044465. 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 101 Dudley St, Providence, RI 02905-2401. The current status is inactive.
| Licensee Name | CAROLYN K MCCOURT MD |
| Credential ID | 512028 |
| Credential Number | CSP.0044465 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
101 Dudley St Providence RI 02905-2401 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE |
| Issue Date | 2008-08-22 |
| Effective Date | 2013-03-01 |
| Expiration Date | 2015-02-28 |
| Refresh Date | 2016-01-29 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 564479 | 1.046897 | Physician/Surgeon | 2008-08-05 | 2013-08-01 - 2014-07-31 | INACTIVE |
| Street Address | 101 DUDLEY ST |
| City | PROVIDENCE |
| State | RI |
| Zip Code | 02905-2401 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Cara A Mathews | 101 Dudley St, Providence, RI 02905-2401 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Elizabeth Lokich | 101 Dudley St, Providence, RI 02905-2401 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Katina M Robison | 101 Dudley St, Providence, RI 02905-2401 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Ashley R Stuckey Md | 101 Dudley St, Providence, RI 02905-2401 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| David A Edmonson Md | 101 Dudley St, Providence, RI 02905-2499 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Jennifer S. Gass | 101 Dudley St, Providence, RI 02905-2401 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Carol A Wheeler Md | 101 Dudley St, Providence, RI 02905-2401 | Physician/surgeon | 2017-11-01 ~ 2018-10-31 |
| Trevor Tejada-berges Md | 101 Dudley St, Providence, RI 02905 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
| Mariya S. Spasova Md | 101 Dudley St, Providence, RI 02905-2401 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
| Christina Bandera Md | 101 Dudley St, Providence, RI 02905-2401 | Physician/surgeon | 2010-09-01 ~ 2011-08-31 |
| Find all Licenses in the same address | |||
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Martha L Werenfels | 66 Fort Avenue, Cranston, RI 02905 | Architect | 2020-08-01 ~ 2021-07-31 |
| Deborah L Myers | 101 Dudley Street, Providence, RI 02905 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
| Peter M Scotti | 18 Hudson Place, Cranston, RI 02905 | Certified General Real Estate Appraiser | 2020-05-01 ~ 2021-04-30 |
| Paul H Dyer | 19 Henry St, Cranston, RI 02905 | Casino Class I Employee | 2019-12-11 ~ 2020-10-31 |
| Tammie W Sutton | 43 Colfax St., Providence, RI 02905 | Casino Class I Employee | 2019-12-11 ~ 2020-10-31 |
| Mark A Caruso | 9 Rhodes Avenue, Cranston, RI 02905 | Casino Class I Employee | 2019-12-11 ~ 2020-10-31 |
| Stephen Paul Tippe | 1972 Broad Street, Cranston, RI 02905 | Casino Class I Employee | 2019-12-11 ~ 2020-10-31 |
| Michael T Parker | 139 Babcock Street, Providence, RI 02905 | Casino Class I Employee | 2019-12-11 ~ 2020-10-31 |
| Jacquelyn Nicole Fellows | 198 Armington St Apt 8, Cranston, RI 02905 | Casino Class I Employee | 2019-12-03 ~ 2020-10-31 |
| David Duarte | 48 Harbor View Terrace, Stonington, CT 02905 | Casino Class I Employee | 2019-12-11 ~ 2020-10-31 |
| Find all Licenses in zip 02905 | |||
| City | PROVIDENCE |
| Zip Code | 02905 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + PROVIDENCE |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Maureen F Mccourt Aprn | 10 Oakledge Rd, Cumberland, RI 02864-6161 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Carolyn Swain Dds | Po Box 482, Fairfield, CT 06824-0482 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
| Carolyn R Blicharz Dmd | Po Box 222, Centerbrook, CT 06409 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Carolyn J Vitale | 282 Washington St, Hartford, CT 06106-3322 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Carolyn M Couture Md | 372 Danbury Rd, Wilton, CT 06897-2523 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Carolyn Fetzer Dmd | 100 Butternut Ln, Southington, CT 06489-3860 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
| Carolyn R Simmelink | 117 Cross Hwy, Redding, CT 06896-2406 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Carolyn J. Presley | 50 Carroll Rd., Hamden, CT 06517 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Carolyn A Roderick | 170 Grandview Ave, Waterbury, CT 06708-2525 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Carolyn K Mcgrath Md | 300 Front St #107, Pawtucket, RI 02868 | Controlled Substance Registration for Practitioner | 2009-03-01 ~ 2011-02-28 |
Please comment or provide details below to improve the information on CAROLYN K MCCOURT 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).