MARGRIET E VAN ACHTERBERT MD
Physician/surgeon


Address: 63 Halsey St, Providence, RI 02906-1457

MARGRIET E VAN ACHTERBERT MD (Credential# 555523) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is July 2, 1999. The license expiration date date is July 31, 2000. The license status is INACTIVE.

Business Overview

MARGRIET E VAN ACHTERBERT MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.037933. The credential type is physician/surgeon. The effective date is July 2, 1999. The expiration date is July 31, 2000. The business address is 63 Halsey St, Providence, RI 02906-1457. The current status is inactive.

Basic Information

Licensee Name MARGRIET E VAN ACHTERBERT MD
Credential ID 555523
Credential Number 1.037933
Credential Type Physician/Surgeon
Business Address 63 Halsey St
Providence
RI 02906-1457
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 1999-07-02
Effective Date 1999-07-02
Expiration Date 2000-07-31
Refresh Date 2009-07-11

Other licenses

ID Credential Code Credential Type Issue Term Status
225465 CSP.0029016 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 1999-11-18 - 2000-02-28 INACTIVE

Office Location

Street Address 63 HALSEY ST
City PROVIDENCE
State RI
Zip Code 02906-1457

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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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