RANDY L TIGUE
Controlled Substance Registration for Practitioner


Address: 4654 Village Mill Way, Rancho Cordova, CA 95742

RANDY L TIGUE (Credential# 1359632) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2017. The license expiration date date is February 28, 2019. The license status is LAPSED.

Business Overview

RANDY L TIGUE is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0063059. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2017. The expiration date is February 28, 2019. The business address is 4654 Village Mill Way, Rancho Cordova, CA 95742. The current status is lapsed.

Basic Information

Licensee Name RANDY L TIGUE
Credential ID 1359632
Credential Number CSP.0063059
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 4654 Village Mill Way
Rancho Cordova
CA 95742
Business Type INDIVIDUAL
Status LAPSED
Active 1
Issue Date 2016-06-15
Effective Date 2017-03-01
Expiration Date 2019-02-28
Refresh Date 2019-03-06

Office Location

Street Address 4654 VILLAGE MILL WAY
City RANCHO CORDOVA
State CA
Zip Code 95742

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Competitor

Search similar business entities

City RANCHO CORDOVA
Zip Code 95742
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + RANCHO CORDOVA

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Dataset Information

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).

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