JOHN ANDREW RAFFO
Controlled Substance Registration for Practitioner


Address: 300 E 95th St, New York, NY 10128

JOHN ANDREW RAFFO (Credential# 1379252) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is July 31, 2018. The license expiration date date is February 28, 2019. The license status is INACTIVE.

Business Overview

JOHN ANDREW RAFFO is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0064044. The credential type is controlled substance registration for practitioner. The effective date is July 31, 2018. The expiration date is February 28, 2019. The business address is 300 E 95th St, New York, NY 10128. The current status is inactive.

Basic Information

Licensee Name JOHN ANDREW RAFFO
Credential ID 1379252
Credential Number CSP.0064044
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 300 E 95th St
New York
NY 10128
Business Type INDIVIDUAL
Status INACTIVE - SURRENDERED
Issue Date 2016-09-16
Effective Date 2018-07-31
Expiration Date 2019-02-28
Refresh Date 2018-07-31

Other licenses

ID Credential Code Credential Type Issue Term Status
1374760 23.003668 Physician Assistant 2016-09-06 2016-09-06 - 2017-07-31 INACTIVE

Office Location

Street Address 300 E 95th St
City New York
State NY
Zip Code 10128

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Competitor

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City New York
Zip Code 10128
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + New York

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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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