REGINA M FITZGERALD (Credential# 552060) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is June 1, 2020. The license expiration date date is May 31, 2021. The license status is ACTIVE.
REGINA M FITZGERALD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.034462. The credential type is physician/surgeon. The effective date is June 1, 2020. The expiration date is May 31, 2021. The business address is 36 Revere Place, Ridgefield, CT 06877. The current status is active.
Licensee Name | REGINA M FITZGERALD |
Credential ID | 552060 |
Credential Number | 1.034462 |
Credential Type | Physician/Surgeon |
Business Address |
36 Revere Place Ridgefield CT 06877 |
Business Type | INDIVIDUAL |
Status | ACTIVE - CURRENT |
Active | 1 |
Issue Date | 1995-05-12 |
Effective Date | 2020-06-01 |
Expiration Date | 2021-05-31 |
Refresh Date | 2020-05-06 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
1469065 | CSP.0067278 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2018-01-29 | 2019-03-01 - 2021-02-28 | ACTIVE |
164567 | CSP.0023252 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 1996-03-01 - 1997-02-28 | INACTIVE |
Street Address | 36 Revere Place |
City | Ridgefield |
State | CT |
Zip Code | 06877 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Kathleen Morrin | 169 Nod Road, Ridgefield, CT 06877 | Radiographer | 2020-09-01 ~ 2021-08-31 |
Elena Yakimova | 8 Lawson Lane, Ridgefield, CT 06877 | Dental Hygienist | 2020-07-01 ~ 2021-06-30 |
Jasmine Gannalo | 35 Clearview Dr, Ridgefield, CT 06877 | Esthetician | 2020-06-26 ~ 2022-06-30 |
Nicole A Van Alstyne | 105 Stonecrest Road, Ridgefield, CT 06877 | Real Estate Salesperson | ~ |
Andrea A Delange · Ledina | 5 Copper Beech Lane, Ridgefield, CT 06877 | Physical Therapist | 2020-09-01 ~ 2021-08-31 |
Mitchell O Hubsher | 77 Chestnut Hill Road, Ridgefield, CT 06877 | Naturopathic Physician | 2020-07-01 ~ 2021-06-30 |
Milillo Farms | 424 R Main St, Ridgefield, CT 06877 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
Marie G Donofrio | 36 Woodlawn Dr, Ridgefield, CT 06877 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
Jennifer M Kinford | 40 Woodland Way, Ridgefield, CT 06877 | Esthetician | ~ |
Lauren Elizabeth Pambianchi | 49 11 Levels Road, Ridgefield, CT 06877 | Registered Nurse | ~ |
Find all Licenses in zip 06877 |
City | Ridgefield |
Zip Code | 06877 |
License Type | Physician/Surgeon |
License Type + County | Physician/Surgeon + Ridgefield |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Lisa M. Fitzgerald | 16 Chauncy St, Cambridge, MA 02138-2439 | Physician/surgeon | 1987-05-01 ~ 1992-05-31 |
Thomas J Fitzgerald | 55 Lake Ave, N, Worcester, MA 01655 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
Regina E Ensenauer | Edlingerstrasse 3, Munchen, 81543 | Physician/surgeon | 2012-01-01 ~ 2012-12-31 |
Jerri N Fitzgerald | 72 Davis Road, Southwick, MA 01077 | Physician/surgeon | 2009-02-05 ~ 2010-03-31 |
Bettina A Fitzgerald | Va Outpatient Clinic, Jennings, LA 70546 | Physician/surgeon | 2003-03-17 ~ 2004-04-30 |
Kevin P Fitzgerald | 934 Thornbury Place, O'fallon, IL 62269 | Physician/surgeon | 1999-09-28 ~ 2000-05-31 |
Terence S Fitzgerald | 184 Rowayton Woods Dr, Norwalk, CT 06854-3911 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
Robert T Fitzgerald | 20 Martins Lane, Hingham, MA 02043 | Physician/surgeon | 2003-11-10 ~ 2004-10-31 |
Thomas Baird Fitzgerald | 170 Hazard Ave, Enfield, CT 06082-4520 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
Regina J Hooley | 38 Sunset Drive, Weston, CT 06883 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
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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).