DAVID T BARRALL MD (Credential# 954267) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2020. The license expiration date date is February 28, 2021. The license status is ACTIVE.
DAVID T BARRALL MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.049277. The credential type is physician/surgeon. The effective date is March 1, 2020. The expiration date is February 28, 2021. The business address is 151 Waterman St, Providence, RI 02906-2118. The current status is active.
| Licensee Name | DAVID T BARRALL MD |
| Credential ID | 954267 |
| Credential Number | 1.049277 |
| Credential Type | Physician/Surgeon |
| Business Address |
151 Waterman St Providence RI 02906-2118 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2010-10-06 |
| Effective Date | 2020-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2019-12-02 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 973238 | CSP.0049260 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2010-11-08 | 2019-03-01 - 2021-02-28 | ACTIVE |
| Street Address | 151 WATERMAN ST |
| City | PROVIDENCE |
| State | RI |
| Zip Code | 02906-2118 |
| 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 |
|---|---|---|---|
| Cynthia B Sosnowski · Barrall | 6 Meetinghouse Ct, Shamong, NJ 08088-9421 | Marital and Family Therapist | 2019-10-01 ~ 2020-09-30 |
| David Khaski | 372 Avenue U Ste 1b, Brooklyn, NY 11223-4052 | Physician/surgeon | ~ |
| David M Lans | 838 Pelhamdale Ave, New Rochelle, NY 10801-1032 | Physician/surgeon | ~ |
| David I Soybel | Fmb 109, New Haven, CT 06511 | Physician/surgeon | 1992-10-23 ~ 1993-11-30 |
| David Kessler | 615 W 131st St, New York, NY 10027 | Physician/surgeon | ~ |
| David J Martin | C/o O.s.m., Trumbull, CT 06611 | Physician/surgeon | 2019-12-01 ~ 2020-11-30 |
| David M Heydt | 34 Loft Dr, Martinsville, NJ 08836-2261 | Physician/surgeon | ~ |
| David S Wilcox | P.o. Box 384, Osterville, MA 02655 | Physician/surgeon | 1996-03-14 ~ 1997-05-31 |
| David M Renison | Po Box 75, Middletown, CT 06457-0075 | Physician/surgeon | 2013-07-01 ~ 2014-06-30 |
| David L Brook | Rfd 3, Oakland, ME 04963 | Physician/surgeon | 1994-08-08 ~ 1995-10-31 |
Please comment or provide details below to improve the information on DAVID T BARRALL 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).