RICHARD A DOUGHERTY (Credential# 161695) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is November 15, 1993. The license expiration date date is June 1, 1995. The license status is INACTIVE.
RICHARD A DOUGHERTY is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0021588. The credential type is controlled substance registration for practitioner. The effective date is November 15, 1993. The expiration date is June 1, 1995. The business address is Internal Medicine, Groton, CT 06349. The current status is inactive.
| Licensee Name | RICHARD A DOUGHERTY |
| Credential ID | 161695 |
| Credential Number | CSP.0021588 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
Internal Medicine Groton CT 06349 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE |
| Effective Date | 1993-11-15 |
| Expiration Date | 1995-06-01 |
| Refresh Date | 2004-04-23 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 548683 | 1.030769 | Physician/Surgeon | 1990-05-11 | 1992-12-22 - 1994-01-31 | INACTIVE |
| Street Address | INTERNAL MEDICINE |
| City | GROTON |
| State | CT |
| Zip Code | 06349 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Geoffrey Miles Schnirman | 1 Wahoo Avenue, Groton, CT 06349 | Psychologist | ~ |
| Herb J Carlon | 49 Golf Street, Groton, CT 06349 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| Shariff Sanchez | 239 Laurel Hill Avenue, Norwich, CT 06349 | Casino Class I Employee | 2019-12-11 ~ 2020-10-31 |
| Renee F Dunn · James | Bldg 83 Box 93, Groton, CT 06349 | Licensed Clinical Social Worker | 2019-11-01 ~ 2020-10-31 |
| Pearle Vision #c439 | Building 484, Groton, CT 06349 | Optical Selling Permit | 2019-09-05 ~ 2020-08-31 |
| Shahiah Gibson | 43 South Rd Apt 43-12b, Groton, CT 06349 | Medication Administration Certification | ~ |
| Taco Bell/pizza Hut/tcby Treats · Tacala North Inc | 86 Ella Grasso Tpke, Windsor Locks, CT 06349 | Bakery | 2000-07-01 ~ 2001-06-30 |
| International Association of Fire Fighters Local F-219 · Iaff Local F-219; Groton Federal Firefighters Iaff Local F-219 | Po Box 5003, Groton, CT 06349 | Public Charity | 2013-06-07 ~ 2014-11-30 |
| Wayne K Scali | 368 C Tulibee Dr, Groton, CT 06349 | Physician/surgeon | 1987-08-14 ~ 1990-08-31 |
| Wendy A Rossi | Nacc, Groton, CT 06349 | Registered Nurse | 2002-07-01 ~ 2003-06-30 |
| Find all Licenses in zip 06349 | |||
| City | GROTON |
| Zip Code | 06349 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + GROTON |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Patrick K. Dougherty | 4815 Westgrove Dr Apt 302, Addison, TX 75001-6115 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
| Anthony J Dougherty Md | 34 Jillian Circle, West Hartford, CT 06107 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Richard M Goldman | Po Box 518, Fairfield, CT 06824-0518 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Richard Zhu | 20 York St Tmp 209, New Haven, CT 06510-3220 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Richard S Gottfried M.d. | 1 Theall Rd, Rye, NY 10580 | Controlled Substance Registration for Practitioner | 2009-03-01 ~ 2011-02-28 |
| Richard A Segool | 115 Elm St, Enfield, CT 06082 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Richard N Smith | Po Box 388, Middlebury, CT 06762 | Controlled Substance Registration for Practitioner | 2016-06-16 ~ 2019-02-28 |
| Richard L Yap Md | 151 Andrew Ave Apt 85, Naugatuck, CT 06770 | Controlled Substance Registration for Practitioner | 2003-03-01 ~ 2004-02-28 |
| Richard S Lee | 196 Crown St Apt 402, New Haven, CT 06510 | Controlled Substance Registration for Practitioner | 2004-10-25 ~ 2005-02-28 |
| Richard Young Pa | Belmont, VT 05730 | Controlled Substance Registration for Practitioner | 2003-03-01 ~ 2004-02-28 |
Please comment or provide details below to improve the information on RICHARD A DOUGHERTY.
| 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).