ROGER RAICHELSON MD (Credential# 430694) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2013. The license expiration date date is February 28, 2015. The license status is INACTIVE.
ROGER RAICHELSON MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0038863. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2013. The expiration date is February 28, 2015. The business address is 118 N Bedford Rd Ste 200, Mount Kisco, NY 10549-2555. The current status is inactive.
Licensee Name | ROGER RAICHELSON MD |
Credential ID | 430694 |
Credential Number | CSP.0038863 |
Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
Business Address |
118 N Bedford Rd Ste 200 Mount Kisco NY 10549-2555 |
Business Type | INDIVIDUAL |
Status | INACTIVE |
Issue Date | 2006-05-10 |
Effective Date | 2013-03-01 |
Expiration Date | 2015-02-28 |
Refresh Date | 2016-01-29 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
561599 | 1.044017 | Physician/Surgeon | 2006-01-10 | 2013-01-01 - 2013-12-31 | PENDING |
Street Address | 118 N BEDFORD RD STE 200 |
City | MOUNT KISCO |
State | NY |
Zip Code | 10549-2555 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Stephen Cagliostro | 118 N Bedford Rd Ste 200, Mount Kisco, NY 10549-2555 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
Jonathan Bauman | 118 N Bedford Rd Ste 200, Mount Kisco, NY 10549-2555 | Physician/surgeon | 2019-08-01 ~ 2020-07-31 |
David B Hershan | 118 N Bedford Rd Ste 200, Mount Kisco, NY 10549-2555 | Physician/surgeon | 2012-12-01 ~ 2013-11-30 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Allison Anne Drieves | 3001 Canterbury Way, Mount Kisco, NY 10549 | Licensed Clinical Social Worker | ~ |
Jacob Karro Routhier | 43 Bayberry Ln, Mount Kisco, NY 10549 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
Luigi Demasi | 105 Smith Ave, Mt Kisco, NY 10549 | Architect | 2020-08-01 ~ 2021-07-31 |
Ira J Grandberg | 117 East Main St, Mt Kisco, NY 10549 | Architect | 2020-08-01 ~ 2021-07-31 |
Kenneth R Nadler | 103 So Bedford Rd, Mt Kisco, NY 10549 | Architect | 2020-08-01 ~ 2021-07-31 |
Sid Schlomann | 3 Petersville Road, Mount Kisco, NY 10549 | Architect | 2020-08-01 ~ 2021-07-31 |
Jooyoung Lee Dds | 6 Dickson Ln, Bedford Corners, NY 10549 | Dentist | 2020-06-01 ~ 2021-05-31 |
Ana C Cannato · Cardenas | 25-503 Barker Street, Mt Kisco, NY 10549 | Hairdresser/cosmetician | 2020-08-01 ~ 2022-07-31 |
Marjorie J Strelzyn | 15 Courtmel Road, Mount Kisco, NY 10549 | Optometrist | 2020-06-01 ~ 2021-05-31 |
Alice Cerwinski | 122 Manchester Drive, Mount Kisco, NY 10549 | Notary Public Appointment | 2015-05-01 ~ 2020-04-30 |
Find all Licenses in zip 10549 |
City | MOUNT KISCO |
Zip Code | 10549 |
License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + MOUNT KISCO |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Roger N Fox | 2 Gordon Place, Middletown, CT 06457 | Controlled Substance Registration for Practitioner | 2007-03-13 ~ 2008-02-29 |
Roger L Goettsche Md | 31 Hammock Rd, Clinton, CT 06413-2366 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
Roger E Schmid Md | 159 Old Hall Rd, Woodstock, CT 06281 | Controlled Substance Registration for Practitioner | 1993-01-07 ~ 1995-02-01 |
Roger J Lagratta Md | 1 Birchwood Ln, Danbury, CT 06811-4317 | Controlled Substance Registration for Practitioner | 2009-03-01 ~ 2011-02-28 |
Roger D Coutant Dmd | 55 Peck Rd, Torrington, CT 06790 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
Roger P Desilets Dds | 67 Highland St., Worcester, MA 01609 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
Roger J. Branson | 12 Woodcreek Rd, Bethlehem, CT 06751 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Roger A Moore Od | 275 Tepi Dr, Southbury, CT 06488-1024 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
Roger Wang Md | 56 Franklin St, Waterbury, CT 06706 | Controlled Substance Registration for Practitioner | 2006-03-01 ~ 2007-02-28 |
Roger Ying | 20 York St Rm 226, New Haven, CT 06510-3220 | Controlled Substance Registration for Practitioner | 2019-06-05 ~ 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).