ANDREW BLAZAR (Credential# 897016) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license status is EXPIRED APPLICATION.
ANDREW BLAZAR is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1. The credential type is physician/surgeon. The business address is 101 Dudley St, Providence, RI 02905-2401. The current status is expired application.
| Licensee Name | ANDREW BLAZAR |
| Credential ID | 897016 |
| Credential Number | 1 |
| Credential Type | Physician/Surgeon |
| Business Address |
101 Dudley St Providence RI 02905-2401 |
| Business Type | INDIVIDUAL |
| Status | EXPIRED APPLICATION - EXPIRED APPLICATION |
| Refresh Date | 2011-05-24 |
| Street Address | 101 DUDLEY ST |
| City | PROVIDENCE |
| State | RI |
| Zip Code | 02905-2401 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Cara A Mathews | 101 Dudley St, Providence, RI 02905-2401 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Elizabeth Lokich | 101 Dudley St, Providence, RI 02905-2401 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Katina M Robison | 101 Dudley St, Providence, RI 02905-2401 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Ashley R Stuckey Md | 101 Dudley St, Providence, RI 02905-2401 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| David A Edmonson Md | 101 Dudley St, Providence, RI 02905-2499 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Jennifer S. Gass | 101 Dudley St, Providence, RI 02905-2401 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Carol A Wheeler Md | 101 Dudley St, Providence, RI 02905-2401 | Physician/surgeon | 2017-11-01 ~ 2018-10-31 |
| Trevor Tejada-berges Md | 101 Dudley St, Providence, RI 02905 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
| Carolyn K Mccourt Md | 101 Dudley St, Providence, RI 02905-2401 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
| Mariya S. Spasova Md | 101 Dudley St, Providence, RI 02905-2401 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
| Find all Licenses in the same address | |||
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Martha L Werenfels | 66 Fort Avenue, Cranston, RI 02905 | Architect | 2020-08-01 ~ 2021-07-31 |
| Deborah L Myers | 101 Dudley Street, Providence, RI 02905 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
| Peter M Scotti | 18 Hudson Place, Cranston, RI 02905 | Certified General Real Estate Appraiser | 2020-05-01 ~ 2021-04-30 |
| Paul H Dyer | 19 Henry St, Cranston, RI 02905 | Casino Class I Employee | 2019-12-11 ~ 2020-10-31 |
| Tammie W Sutton | 43 Colfax St., Providence, RI 02905 | Casino Class I Employee | 2019-12-11 ~ 2020-10-31 |
| Mark A Caruso | 9 Rhodes Avenue, Cranston, RI 02905 | Casino Class I Employee | 2019-12-11 ~ 2020-10-31 |
| Stephen Paul Tippe | 1972 Broad Street, Cranston, RI 02905 | Casino Class I Employee | 2019-12-11 ~ 2020-10-31 |
| Michael T Parker | 139 Babcock Street, Providence, RI 02905 | Casino Class I Employee | 2019-12-11 ~ 2020-10-31 |
| Jacquelyn Nicole Fellows | 198 Armington St Apt 8, Cranston, RI 02905 | Casino Class I Employee | 2019-12-03 ~ 2020-10-31 |
| David Duarte | 48 Harbor View Terrace, Stonington, CT 02905 | Casino Class I Employee | 2019-12-11 ~ 2020-10-31 |
| Find all Licenses in zip 02905 | |||
| City | PROVIDENCE |
| Zip Code | 02905 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + PROVIDENCE |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Andrew S Hsu Md | 276 1st Ave, Milford, CT 06460-5209 | Physician/surgeon | 2010-04-01 ~ 2011-03-31 |
| Andrew S Whyte Do | 17 Hi Ann Ct, Bethany, CT 06524-3259 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Andrew S Gee | 116 Ardmore Rd, W Hartford, CT 06119 | Physician/surgeon | 2001-06-29 ~ 2002-06-30 |
| Andrew J Panettieri | Rt 7 So Po Box 282, Shelburne, VT 05482 | Physician/surgeon | 1998-01-02 ~ 1999-01-31 |
| Andrew E Price | 530 First Ave, New York, NY 10016 | Physician/surgeon | 1998-03-04 ~ 1999-03-31 |
| Andrew J. Illig | 390 1st Ave Apt 9c, New York, NY 10010-6521 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Andrew W Litt | New York, NY 10024 | Physician/surgeon | 2010-05-01 ~ 2011-04-30 |
| Andrew Scatola | 80 Seymour St, Hartford, CT 06102 | Physician/surgeon | ~ |
| Andrew Le | 701 5th Avenue, Seattle, WA 98104 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Andrew Granas | 88 Edgewood Drive, Ho Ho Kus, NJ 07423 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
Please comment or provide details below to improve the information on ANDREW BLAZAR.
| 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).