FREDERICK SPENCER MD (Credential# 560395) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is June 3, 2005. The license expiration date date is June 30, 2006. The license status is INACTIVE.
FREDERICK SPENCER MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.042813. The credential type is physician/surgeon. The effective date is June 3, 2005. The expiration date is June 30, 2006. The business address is Umass Memorial Medical Center, Worcester, MA 01655. The current status is inactive.
| Licensee Name | FREDERICK SPENCER MD |
| Credential ID | 560395 |
| Credential Number | 1.042813 |
| Credential Type | Physician/Surgeon |
| Business Address |
Umass Memorial Medical Center Worcester MA 01655 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 2004-09-20 |
| Effective Date | 2005-06-03 |
| Expiration Date | 2006-06-30 |
| Refresh Date | 2009-07-11 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 367259 | CSP.0034712 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2004-09-29 | 2005-03-01 - 2006-02-28 | INACTIVE |
| Street Address | UMASS MEMORIAL MEDICAL CENTER |
| City | WORCESTER |
| State | MA |
| Zip Code | 01655 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Lawrence S Rosenthal Md | Umass Memorial Medical Center, Worcester, MA 01655 | Physician/surgeon | 2016-08-01 ~ 2017-07-31 |
| Dennis A Tighe | Umass Memorial Medical Center, Worcester, MA 01655 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
| Ira S Ockene Md | Umass Memorial Medical Center, Worcester, MA 01655 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
| Gerard P Aurigemma Md | Umass Memorial Medical Center, Worcester, MA 01655 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
| Kurt G Barringhaus Md | Umass Memorial Medical Center, Worcester, MA 01655 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
| John A Paraskos Md | Umass Memorial Medical Center, Worcester, MA 01655 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
| Kurt G Barringhaus | Umass Memorial Medical Center, Worcester, MA 01655 | Physician/surgeon | 2013-09-01 ~ 2014-08-31 |
| Dionyssios A Robotis Md | Umass Memorial Medical Center, Worcester, MA 01655 | Physician/surgeon | 2012-12-01 ~ 2013-11-30 |
| Ediz F Cosar | Umass Memorial Medical Center, Worcester, MA 01605 | Physician/surgeon | 2012-08-01 ~ 2013-07-31 |
| Joel M Gore Md | Umass Memorial Medical Center, Worcester, MA 01655 | Physician/surgeon | 2012-04-01 ~ 2013-03-31 |
| Find all Licenses in the same address | |||
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Carolina Ionete | 55 Lake Avenue, Worcester, MA 01655 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Thomas J Fitzgerald | 55 Lake Ave, N, Worcester, MA 01655 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Majaz Moonis Md | Umassmemorial Health Care, Neurology, 55 Lake Ave, Worcester, MA 01655 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Ari Wilkenfeld | Neurology Department � 5th Floor, Worcester, MA 01655 | Physician/surgeon | ~ |
| Kate Daniello | 55 N Lake Ave, Worcester, MA 01655 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Brian Silver | 55 Lake Avenue North, Worcester, MA 01655 | Physician/surgeon | 2020-01-01 ~ 2020-12-31 |
| Andrew Bouley | Umass Memorial, Department of Neurology, Worcester, MA 01655 | Physician/surgeon | 2019-04-01 ~ 2020-03-31 |
| Cheryl A Laflamme Aprn | 58 Bentwood Dr, Sturbridge, MA 01655 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Daniel Z Fisher Md | 55 Lake Ave North, Worcester, MA 01655 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
| Theo E Meyer Md | Umass Memorial Medical Ctr, Worcester, MA 01655 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
| Find all Licenses in zip 01655 | |||
| City | WORCESTER |
| Zip Code | 01655 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + WORCESTER |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Spencer H Mccleave | 925 N 3rd Ave, Tucson, AZ 85705 | Physician/surgeon | 2015-07-01 ~ 2016-06-30 |
| Spencer K Martin Md | Po Box 2473, Darien, CT 06820 | Physician/surgeon | 2019-07-01 ~ 2020-06-30 |
| Micky R Riggs Md | 88 Spencer Ave, Guilford, CT 06437-3366 | Physician/surgeon | 2000-06-28 ~ 2001-06-30 |
| Leonard A Schonberg | 52 Spencer St, Winsted, CT 06098 | Physician/surgeon | 1995-04-24 ~ 1996-04-30 |
| Spencer S Richlin Md | 761 Main Ave Ste 200, Norwalk, CT 06851-1080 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| George M Spencer | 5 Dovercrest Ct, Greensboro, NC 27407-8314 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| David Leitenberg | 154 Spencer Ave, Guilford, CT 06437 | Physician/surgeon | 2000-09-21 ~ 2001-09-30 |
| Michael C Dubik | 112 Spencer St, Manchester, CT 06040-4601 | Physician/surgeon | 2016-11-01 ~ 2017-10-31 |
| James C Spencer Jr | 774 Reef Rd, Fairfield, CT 06824-6540 | Physician/surgeon | 2014-03-01 ~ 2015-02-28 |
| Mark Spencer Md | 114 Woodland St, Hartford, CT 06105-1208 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
Please comment or provide details below to improve the information on FREDERICK SPENCER 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).