MICHAEL D HEIN
Physician/surgeon


Address: P.o.box 2564, Providence, RI 02906

MICHAEL D HEIN (Credential# 545766) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is July 31, 2000. The license expiration date date is July 31, 2001. The license status is INACTIVE.

Business Overview

MICHAEL D HEIN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.026005. The credential type is physician/surgeon. The effective date is July 31, 2000. The expiration date is July 31, 2001. The business address is P.o.box 2564, Providence, RI 02906. The current status is inactive.

Basic Information

Licensee Name MICHAEL D HEIN
Credential ID 545766
Credential Number 1.026005
Credential Type Physician/Surgeon
Business Address P.o.box 2564
Providence
RI 02906
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 1984-10-24
Effective Date 2000-07-31
Expiration Date 2001-07-31
Refresh Date 2009-07-08

Other licenses

ID Credential Code Credential Type Issue Term Status
158676 CSP.0017059 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 1996-10-01 - 1998-02-28 INACTIVE

Office Location

Street Address P.O.BOX 2564
City PROVIDENCE
State RI
Zip Code 02906

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The Stephen C. Rose Legacy Foundation · The Steve Fund 138 Governor Street, Providence, RI 02906 Public Charity 2020-06-12 ~ 2021-11-30
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Elizabeth Burns 198 Camp Street, Providence, RI 02906 Licensed Clinical Social Worker ~
Christine Montross 345 Blackstone Blvd, Providence, RI 02906 Physician/surgeon 2020-09-01 ~ 2021-08-31
Susan Dickstein 196 Freeman Parkway, Providence, RI 02906 Psychologist 2020-07-01 ~ 2021-06-30
Victoria S Karlsen 415 Angell St, Providence, RI 02906 Behavior Analyst ~
John W O'bell Md 14 Rose Ct., Providence, RI 02906 Physician/surgeon 2020-06-01 ~ 2021-05-31
Alexandria Hanul Simon 323 Angell Street, Providence, RI 02906 Emergency Medical Technician ~
Molly A Moran 202 Sixth Street, Providence, RI 02906 Advanced Practice Registered Nurse 2020-06-01 ~ 2021-05-31
Simon M Cornelissen 45 Balton Rd, Providence, RI 02906 Physician/surgeon 2020-05-01 ~ 2021-04-30
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Competitor

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City PROVIDENCE
Zip Code 02906
License Type Physician/Surgeon
License Type + County Physician/Surgeon + PROVIDENCE

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Dataset Information

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).

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