STEPHEN W RANDALL DMD (Credential# 154539) 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.
STEPHEN W RANDALL DMD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0011458. 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 308 Main St, Bristol, CT 06010. The current status is inactive.
| Licensee Name | STEPHEN W RANDALL DMD |
| Credential ID | 154539 |
| Credential Number | CSP.0011458 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
308 Main St Bristol CT 06010 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - SURRENDERED |
| Effective Date | 1997-03-01 |
| Expiration Date | 1998-02-28 |
| Refresh Date | 2008-07-15 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 701423 | 2.006293 | Dentist | 1983-03-15 | 1996-05-30 - 1997-04-28 | INACTIVE |
| Street Address | 308 MAIN ST |
| City | BRISTOL |
| State | CT |
| Zip Code | 06010 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Deborah M Dube · Adamaitis | 33 Peck Lane, Bristol, CT 06010 | Licensed Practical Nurse | 2020-07-01 ~ 2021-06-30 |
| Barbara M Williams | 45 Harrison Street, Bristol, CT 06010 | Notary Public Appointment | 2020-08-01 ~ 2025-07-31 |
| Le Bao Linh Nguyen | 229 Silo Rd, Bristol, CT 06010 | Nail Technician | ~ |
| Tara M Chipman | 38 Grove St, Bristol, CT 06010 | Licensed Practical Nurse | 2020-07-01 ~ 2021-06-30 |
| Jaclyn J Brandolini | 424 Emmett St, Bristol, CT 06010 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Hoa Le | 63 Seminary St, Bristol, CT 06010 | Nail Technician | ~ |
| Barbara E Trench | 25 Peacedale St, Bristol, CT 06010 | Hairdresser/cosmetician | 2020-07-01 ~ 2022-06-30 |
| Tisha A Balfour | 379 West Street, Bristol, CT 06010 | Licensed Practical Nurse | 2020-08-01 ~ 2021-07-31 |
| Meredith Rose Martineau | 15 Bishop Street, Bristol, CT 06010 | Master's Level Social Worker - Temporary Permit | 2020-06-26 ~ 2020-09-06 |
| Jaime L Krueger | 130 Garfield Road, Bristol, CT 06010 | Notary Public Appointment | 2020-06-26 ~ 2025-06-30 |
| Find all Licenses in zip 06010 | |||
| City | BRISTOL |
| Zip Code | 06010 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + BRISTOL |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Randall L Owen | 7 Montoya Dr, Branford, CT 06405-2533 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Randall P Graff Md | 187 Kenwood Est, Griswold, CT 06351-8923 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Raghav Aggarwal | 52 Randall Ave Apt 11, Stamford, CT 06905-4236 | Controlled Substance Registration for Practitioner | 2020-06-24 ~ 2021-02-28 |
| Randall D Harris | 127-4 Joshuatown Rd, Lyme, CT 06371-3139 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Randall J Rushin Dds | 20-30 Beaver Rd Ste 102, Wethersfield, CT 06109-2242 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Randall L Murphy | 321 Dogburn La, Orange, CT 06477 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Penny K Randall | 38 Temple Court, New Haven, CT 06511 | Controlled Substance Registration for Practitioner | 1994-05-11 ~ 1996-04-01 |
| Randall Zuckerman Md | 2800 Main St, Bridgeport, CT 06606-4201 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Aisha K Khan | 52 Randall Dr, North Haven, CT 06473-2836 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Randall C Wing | 1050 Sullivan Ave, So Windsor, CT 06074 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
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| 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).