MEREDITH G FAGGEN (Credential# 560346) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is March 24, 2008. The license expiration date date is April 30, 2009. The license status is INACTIVE.
MEREDITH G FAGGEN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.042764. The credential type is physician/surgeon. The effective date is March 24, 2008. The expiration date is April 30, 2009. The business address is 125 Prospect Street, Providence, RI 02906. The current status is inactive.
| Licensee Name | MEREDITH G FAGGEN |
| Credential ID | 560346 |
| Credential Number | 1.042764 |
| Credential Type | Physician/Surgeon |
| Business Address |
125 Prospect Street Providence RI 02906 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 2004-08-30 |
| Effective Date | 2008-03-24 |
| Expiration Date | 2009-04-30 |
| Refresh Date | 2009-08-13 |
| Street Address | 125 Prospect Street |
| City | Providence |
| State | RI |
| Zip Code | 02906 |
| 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 |
|---|---|---|---|
| Meredith Faggen | 125 Prospect St #12, Providence, RI 02906 | Controlled Substance Registration for Practitioner | 2008-03-01 ~ 2009-02-28 |
| Meredith Halsey | 160 Cambridgepark Dr Apt 474, Cambridge, MA 02140-2472 | Physician/surgeon | ~ |
| Meredith M Renda Md | 79 New St, Ridgefield, CT 06877-3803 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Meredith Z Naidorf | 77 Seventh Ave, New York, NY 10011 | Physician/surgeon | 2019-09-01 ~ 2020-08-31 |
| Meredith K Kosann Md | 23 Lawrence Ln, Harrison, NY 10528-1107 | Physician/surgeon | 2014-09-01 ~ 2015-08-31 |
| Meredith Anne Mcfarland | 3 Kickapoo Run, Charlestown, RI 02813 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Charles E Meredith | 2526 Kingsley Dr Ne, Marietta, GA 30062 | Physician/surgeon | 1993-05-25 ~ 1994-04-30 |
| Nabeela Khan | 27 Meredith Lane, Stamford, CT 06903 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Meredith H Williams | 198 Platt Lane, Milford, CT 06461 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Meredith Wesley Clark | 52 Mimosa Cir, Ridgefield, CT 06877-2505 | Physician/surgeon | 2020-06-03 ~ 2021-03-31 |
Please comment or provide details below to improve the information on MEREDITH G FAGGEN.
| 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).