RANDALL R LONG MD (Credential# 46844) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2008. The license expiration date date is February 28, 2009. The license status is INACTIVE.
RANDALL R LONG MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0025269. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2008. The expiration date is February 28, 2009. The business address is Univ of Mass Med Ctr, Worcester, MA 01655. The current status is inactive.
| Licensee Name | RANDALL R LONG MD |
| Credential ID | 46844 |
| Credential Number | CSP.0025269 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
Univ of Mass Med Ctr Worcester MA 01655 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE |
| Effective Date | 2008-03-01 |
| Expiration Date | 2009-02-28 |
| Refresh Date | 2011-01-12 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 553138 | 1.035545 | Physician/Surgeon | 1996-09-06 | 2007-08-02 - 2008-09-30 | INACTIVE |
| Street Address | UNIV OF MASS MED CTR |
| City | WORCESTER |
| State | MA |
| Zip Code | 01655 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Carolina Ionete | 55 Lake Avenue, Worcester, MA 01655 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Thomas J Fitzgerald | 55 Lake Ave, N, Worcester, MA 01655 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Majaz Moonis Md | Umassmemorial Health Care, Neurology, 55 Lake Ave, Worcester, MA 01655 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Ari Wilkenfeld | Neurology Department � 5th Floor, Worcester, MA 01655 | Physician/surgeon | ~ |
| Kate Daniello | 55 N Lake Ave, Worcester, MA 01655 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Brian Silver | 55 Lake Avenue North, Worcester, MA 01655 | Physician/surgeon | 2020-01-01 ~ 2020-12-31 |
| Andrew Bouley | Umass Memorial, Department of Neurology, Worcester, MA 01655 | Physician/surgeon | 2019-04-01 ~ 2020-03-31 |
| Cheryl A Laflamme Aprn | 58 Bentwood Dr, Sturbridge, MA 01655 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Lawrence S Rosenthal Md | Umass Memorial Medical Center, Worcester, MA 01655 | Physician/surgeon | 2016-08-01 ~ 2017-07-31 |
| Daniel Z Fisher Md | 55 Lake Ave North, Worcester, MA 01655 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
| Find all Licenses in zip 01655 | |||
| City | WORCESTER |
| Zip Code | 01655 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + WORCESTER |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Randall L Murphy | 321 Dogburn La, Orange, CT 06477 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Randall L Owen | 7 Montoya Dr, Branford, CT 06405-2533 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 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 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 |
| Stephen W Randall Dmd | 308 Main St, Bristol, CT 06010 | Controlled Substance Registration for Practitioner | 1997-03-01 ~ 1998-02-28 |
| 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 |
| Griffan D.p. Randall | 85 Seymour Street, Hartford, CT 06114 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Penny K Randall | 38 Temple Court, New Haven, CT 06511 | Controlled Substance Registration for Practitioner | 1994-05-11 ~ 1996-04-01 |
| Melinda Randall Md | 27 Sherman Lane, Hamden, CT 06514 | Controlled Substance Registration for Practitioner | 2009-03-01 ~ 2011-02-28 |
Please comment or provide details below to improve the information on RANDALL R LONG MD.
| 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).