MARIYA S. SPASOVA MD (Credential# 947636) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2011. The license expiration date date is February 28, 2013. The license status is INACTIVE.
MARIYA S. SPASOVA MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0048474. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2011. The expiration date is February 28, 2013. The business address is 101 Dudley St, Providence, RI 02905-2401. The current status is inactive.
Licensee Name | MARIYA S. SPASOVA MD |
Credential ID | 947636 |
Credential Number | CSP.0048474 |
Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
Business Address |
101 Dudley St Providence RI 02905-2401 |
Business Type | INDIVIDUAL |
Status | INACTIVE |
Issue Date | 2010-08-11 |
Effective Date | 2011-03-01 |
Expiration Date | 2013-02-28 |
Refresh Date | 2014-01-29 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
927569 | 1.049059 | Physician/Surgeon | 2010-07-27 | 2012-01-01 - 2012-12-31 | 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 |
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 |
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 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + PROVIDENCE |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Mariya Yakubov | 715 W 172nd St Apt 5, New York, NY 10032-1722 | Controlled Substance Registration for Practitioner | 2020-03-09 ~ 2021-02-28 |
Mariya Shnaydman | 5 Talcott Ridge Rd, Farmington, CT 06032-2953 | Controlled Substance Registration for Practitioner | 2011-02-03 ~ 2013-02-28 |
Mariya K Trentcheva-kennedy | 435 Opening Hill Road, Madison, CT 06443 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Steven Kassels Md · Community Substance Abuse Center | Comm. Physicians PC/125 North Elm Street, Westfield, MA 01085 | Controlled Substance Registration for Practitioner | 2018-06-15 ~ 2019-02-28 |
Shu-i Lin | CT | Controlled Substance Registration for Practitioner | 2017-06-12 ~ 2019-02-28 |
Min Jin Kim | 639 4th Ave Apt 5c, Brooklyn, NY 11232-1048 | Controlled Substance Registration for Practitioner | 2012-05-10 ~ 2013-02-28 |
Huu Duc D Luu | 630 Mix Ave Apt 6p, Hamden, CT 06514-2320 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
Hae J Kim Pa | New Haven, CT 06511 | Controlled Substance Registration for Practitioner | 2008-03-31 ~ 2009-02-28 |
Erin K Fee | CT | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Qi Che Md | Bridgeport, CT 06610 | Controlled Substance Registration for Practitioner | 2006-03-01 ~ 2007-02-28 |
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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).