DR RACHEL E RANDOLPH (Credential# 1352582) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2019. The license expiration date date is February 28, 2021. The license status is ACTIVE.
DR RACHEL E RANDOLPH is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0062676. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2019. The expiration date is February 28, 2021. The business address is 1619 3rd Ave Apt 12, New York, NY 10128-3459. The current status is active.
| Licensee Name | DR RACHEL E RANDOLPH |
| Credential ID | 1352582 |
| Credential Number | CSP.0062676 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
1619 3rd Ave Apt 12 New York NY 10128-3459 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2016-06-24 |
| Effective Date | 2019-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2019-01-25 |
| Street Address | 1619 3RD AVE APT 12 |
| City | NEW YORK |
| State | NY |
| Zip Code | 10128-3459 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Hilli Dagony-clark | 1619 3rd Ave Ste 2, New York, NY 10128-3459 | Psychologist | 2020-03-01 ~ 2021-02-28 |
| Kings Third Ave Pharmacy Inc | 1619 3rd Ave, New York, NY 10128-3459 | Nonresident Pharmacy | 2019-09-01 ~ 2020-08-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Kevin D Plancher Md | 1160 Park Avenue, New York, NY 10128 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| David Vlahov | 250 E 87th St. Apt 25aj, New York, NY 10128 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Richard Lewis Kadin | 47 E. 87th Street, New York, NY 10128 | Architect | 2018-08-01 ~ 2019-07-31 |
| Wesbuilt Construction Managers LLC | 145 E 94th Street, New York, NY 10128 | Major Contractor | 2018-07-01 ~ 2019-06-30 |
| Gain G Lu | 110 East 87th Street, 3e, New York, NY 10128 | Dentist | 2020-04-01 ~ 2021-03-31 |
| Mitzi H Liotta | 45 East 89th St, New York, NY 10128 | Licensed Clinical Social Worker | 2020-05-01 ~ 2021-04-30 |
| Carla Gergi Sawan | Apartment 5g, New York, NY 10128 | Physician/surgeon | ~ |
| Tyler S Lucas Md | 1349 Lexington Avenue #4d, New York, NY 10128 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Peter S Rattner | 50 East 89th St, New York, NY 10128 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Jennifer Sarah Millman | 108 E 96th St, New York, NY 10128 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Find all Licenses in zip 10128 | |||
| City | NEW YORK |
| Zip Code | 10128 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + NEW YORK |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Heather L Luce Dvm | 730 Randolph Rd, Middletown, CT 06457 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
| Randolph B Reinhold | 113 Linden Ave, Branford, CT 06405 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Randolph S Thomas | 421 Blake St, New Haven, CT 06515 | Controlled Substance Registration for Practitioner | 2011-03-16 ~ 2013-02-28 |
| James E Dipoce Md | 33 Church Rd, Randolph, NJ 07869-2926 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
| Ovleto W Ciccarelli Md | 44 S Main St, Randolph, VT 05060-1381 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
| Karin A Provost Do | 27 Randolph St, Wallingford, CT 06492 | Controlled Substance Registration for Practitioner | 2008-03-01 ~ 2009-02-28 |
| Alexandra B Kuvaldina | 730 Randolph Rd, Middletown, CT 06457-5331 | Controlled Substance Registration for Practitioner | 2019-07-15 ~ 2021-02-28 |
| Elizabeth M Reynolds | 34 Randolph Ave, Thomaston, CT 06787-1530 | Controlled Substance Registration for Practitioner | 2019-07-19 ~ 2021-02-28 |
| Randolph Ramirez Md | 186 Pawson Rd, Branford, CT 06405 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Daniel F Niemczyk | 730 Randolph Rd, Middletown, CT 06457-5331 | Controlled Substance Registration for Practitioner | 2019-03-13 ~ 2021-02-28 |
Please comment or provide details below to improve the information on DR RACHEL E RANDOLPH.
| 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).