BETH W RACKOW MD
Controlled Substance Registration for Practitioner


Address: Cwrc, New York, NY 10019

BETH W RACKOW MD (Credential# 365652) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2011. The license expiration date date is February 28, 2013. The license status is INACTIVE.

Business Overview

BETH W RACKOW MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0034759. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2011. The expiration date is February 28, 2013. The business address is Cwrc, New York, NY 10019. The current status is inactive.

Basic Information

Licensee Name BETH W RACKOW MD
Credential ID 365652
Credential Number CSP.0034759
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address Cwrc
New York
NY 10019
Business Type INDIVIDUAL
Status INACTIVE
Effective Date 2011-03-01
Expiration Date 2013-02-28
Refresh Date 2014-01-29

Other licenses

ID Credential Code Credential Type Issue Term Status
559800 1.042218 Physician/Surgeon 2004-03-15 2011-04-01 - 2012-03-31 INACTIVE

Office Location

Street Address CWRC
City New York
State NY
Zip Code 10019

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Competitor

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City New York
Zip Code 10019
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + New York

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Beth Rocchio Md 1 Juniper Dr, E Greenwich, RI 02818 Controlled Substance Registration for Practitioner 2004-02-29 ~ 2005-02-28
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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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