JOSIAH CHILD MD (Credential# 558728) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is January 1, 2014. The license expiration date date is December 31, 2014. The license status is EXPIRED APPLICATION.
JOSIAH CHILD MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.041145. The credential type is physician/surgeon. The effective date is January 1, 2014. The expiration date is December 31, 2014. The business address is 5 Cooke St, Providence, RI 02906-2005. The current status is expired application.
| Licensee Name | JOSIAH CHILD MD |
| Credential ID | 558728 |
| Credential Number | 1.041145 |
| Credential Type | Physician/Surgeon |
| Business Address |
5 Cooke St Providence RI 02906-2005 |
| Business Type | INDIVIDUAL |
| Status | EXPIRED APPLICATION - EXPIRED APPLICATION |
| Issue Date | 2003-02-14 |
| Effective Date | 2014-01-01 |
| Expiration Date | 2014-12-31 |
| Refresh Date | 2018-03-04 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 335842 | CSP.0033316 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2011-03-01 - 2013-02-28 | INACTIVE |
| Street Address | 5 COOKE ST |
| City | PROVIDENCE |
| State | RI |
| Zip Code | 02906-2005 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| The Stephen C. Rose Legacy Foundation · The Steve Fund | 138 Governor Street, Providence, RI 02906 | Public Charity | 2020-06-12 ~ 2021-11-30 |
| Moriah Connor | 211 Waterman Street, Unit 20, Providence, RI 02906 | Behavior Analyst | ~ |
| 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 |
| Find all Licenses in zip 02906 | |||
| City | PROVIDENCE |
| Zip Code | 02906 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + PROVIDENCE |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Josiah F Wedgwood Md | 240 Saint Ronan Street, New Haven, CT 06511 | Physician/surgeon | 2001-12-18 ~ 2003-02-28 |
| Josiah Venture Nfp | P.o. Box 4317, Wheaton, IL 60189-4317 | Public Charity-exempt From Financial Requirements | ~ |
| Leon M Hecht | 117 Josiah Norton Rd, Cape Neddick, ME 03902 | Naturopathic Physician | 1996-05-29 ~ 1997-06-30 |
| Kristy L Fassler | 117 Josiah Norton Rd, Cape Neddick, ME 03902 | Naturopathic Physician | 1996-05-29 ~ 1997-06-30 |
| Amanda Weil Harrington | 20 Child St Apt 913, Cambridge, MA 02141-1777 | Physician/surgeon | 2019-12-01 ~ 2020-11-30 |
| Fred R Volkmar Md | Child Study Ctr, New Haven, CT 06520-7900 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Richard H Granger | Yale Child Study Ct, New Haven, CT 06520-7900 | Physician/surgeon | 1999-08-04 ~ 2000-08-31 |
| James P Comer Md | Yale Child Study Ctr, New Haven, CT 06520-7900 | Physician/surgeon | 2019-10-01 ~ 2020-09-30 |
| Roger J Jou | Yale Child Study Center, New Haven, CT 06519 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
| Sreenath Nekkalapu | Child & Adolescent Psychiatry, Farmington, CT 06030 | Physician/surgeon | 2016-05-01 ~ 2017-04-30 |
Please comment or provide details below to improve the information on JOSIAH CHILD 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).