CAROL A WHEELER MD (Credential# 897032) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is November 1, 2017. The license expiration date date is October 31, 2018. The license status is INACTIVE.
CAROL A WHEELER MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.048574. The credential type is physician/surgeon. The effective date is November 1, 2017. The expiration date is October 31, 2018. The business address is 101 Dudley St, Providence, RI 02905-2401. The current status is inactive.
Licensee Name | CAROL A WHEELER MD |
Credential ID | 897032 |
Credential Number | 1.048574 |
Credential Type | Physician/Surgeon |
Business Address |
101 Dudley St Providence RI 02905-2401 |
Business Type | INDIVIDUAL |
Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
Issue Date | 2010-03-29 |
Effective Date | 2017-11-01 |
Expiration Date | 2018-10-31 |
Refresh Date | 2019-02-03 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
926407 | CSP.0047582 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2010-06-07 | 2015-03-01 - 2017-02-28 | INACTIVE |
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 |
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 |
Christina Bandera Md | 101 Dudley St, Providence, RI 02905-2401 | Physician/surgeon | 2010-09-01 ~ 2011-08-31 |
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 |
---|---|---|---|
Robert K Palmer | 16 Wheeler Rd, Simsbury, CT 06070-3027 | Physician/surgeon | 2019-02-01 ~ 2020-01-31 |
Sharobi Chowdhury | 41 Wheeler Cir Apt 165, Stoughton, MA 02072-1343 | Physician/surgeon | 2015-09-23 ~ 2016-01-31 |
Christine A Wheeler | 84 A Seminole Lane, Stratford, CT 06497 | Physician/surgeon | 1997-06-26 ~ 1998-06-30 |
Moses K Lieberman Md | Wheeler Road, Litchfield, CT 06759 | Physician/surgeon | 2000-08-14 ~ 2001-08-31 |
Robin Deutsch | 14 Wheeler Road, Wethersfield, CT 06109 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
Martin M Bednar | 11 Tom Wheeler Road, North Stonington, CT 06359 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
Carol H Lee | 326 Colonial Rd, Guilford, CT 06437 | Physician/surgeon | 2019-12-01 ~ 2020-11-30 |
Carol A Westbrook | Po Box 444, Beverly Shores, IN 46301-0444 | Physician/surgeon | ~ |
Carol M Elrington Md | 41 Paerdegat 7th St, Brooklyn, NY 11236 | Physician/surgeon | 2012-07-01 ~ 2013-06-30 |
Carol A Ley | 3m Company, Saint Paul, MN 55144-0001 | Physician/surgeon | 2018-06-01 ~ 2019-05-31 |
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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).