REUBEN RAVDEN
Controlled Substance Registration for Practitioner


Address: 52 Beach Road, Fairfield, CT 06430

REUBEN RAVDEN (Credential# 151411) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 1997. The license expiration date date is February 28, 1998. The license status is INACTIVE.

Business Overview

REUBEN RAVDEN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0001908. The credential type is controlled substance registration for practitioner. The effective date is March 1, 1997. The expiration date is February 28, 1998. The business address is 52 Beach Road, Fairfield, CT 06430. The current status is inactive.

Basic Information

Licensee Name REUBEN RAVDEN
Credential ID 151411
Credential Number CSP.0001908
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 52 Beach Road
Fairfield
CT 06430
Business Type INDIVIDUAL
Status INACTIVE
Effective Date 1997-03-01
Expiration Date 1998-02-28
Refresh Date 2004-04-23

Other licenses

ID Credential Code Credential Type Issue Term Status
542941 1.019190 Physician/Surgeon 1977-09-13 1996-10-08 - 1997-12-31 INACTIVE

Office Location

Street Address 52 BEACH ROAD
City FAIRFIELD
State CT
Zip Code 06430

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Owen B Schneider 52 Beach Road, Fairfield, CT 06824 Physician/surgeon 2020-06-01 ~ 2021-05-31
Monica M Jain Md 52 Beach Road, Fairfield, CT 06824 Controlled Substance Registration for Practitioner 2019-03-01 ~ 2021-02-28
Angela C Candelaria 52 Beach Road, Fairfield, CT 06824 Controlled Substance Registration for Practitioner 2019-03-01 ~ 2021-02-28
Rahul S Anand Md 52 Beach Road, Fairfield, CT 06824 Controlled Substance Registration for Practitioner 2019-03-01 ~ 2021-02-28
Anca Bazile 52 Beach Road, Fairfield, CT 06824 Dentist 2010-05-01 ~ 2011-04-30
Peter J Molinaro 52 Beach Road, Fairfield, CT 06430 Physician/surgeon 1998-09-21 ~ 1999-11-30

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Competitor

Search similar business entities

City FAIRFIELD
Zip Code 06430
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + FAIRFIELD

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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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