ROGER A GRAHAM (Credential# 539516) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is May 21, 2009. The license expiration date date is June 30, 2010. The license status is INACTIVE.
ROGER A GRAHAM is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.009700. The credential type is physician/surgeon. The effective date is May 21, 2009. The expiration date is June 30, 2010. The business address is 761 River Road, Mystic, CT 06355-1237. The current status is inactive.
| Licensee Name | ROGER A GRAHAM |
| Credential ID | 539516 |
| Credential Number | 1.009700 |
| Credential Type | Physician/Surgeon |
| Business Address |
761 River Road Mystic CT 06355-1237 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 1959-12-28 |
| Effective Date | 2009-05-21 |
| Expiration Date | 2010-06-30 |
| Refresh Date | 2010-10-06 |
| Street Address | 761 RIVER ROAD |
| City | MYSTIC |
| State | CT |
| Zip Code | 06355-1237 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Roger A Graham Md | 761 River Road, Mystic, CT 06355-1234 | Controlled Substance Registration for Practitioner | 2009-03-01 ~ 2011-02-28 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Rhonda L Shah | 767 River Rd, Mystic, CT 06355-1237 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Katherine A Flanagan | 36 Pearl St, Mystic, CT 06355-1237 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Karina Montoya | 181 Daniel Brown Drive, Mystic, CT 06355-1237 | Registered Nurse | 2020-02-01 ~ 2021-01-31 |
| Elijah E Andrews | 817 River Rd, Mystic, CT 06355-1237 | Pharmacist | 2020-02-01 ~ 2022-01-31 |
| Ace Overhead Doors LLC | 5 Rossie St, Mystic, CT 06355-1237 | Home Improvement Contractor | 2019-12-01 ~ 2020-11-30 |
| Ante Ljubicic · Tony Ljubicic | 743 River Rd, Mystic, CT 06355-1237 | Plumbing & Piping Unlimited Contractor | 2019-11-01 ~ 2020-10-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| John R Roorbach | 30 Starr Lane, Mystic, CT 06355 | Licensed Clinical Social Worker | 2020-09-01 ~ 2021-08-31 |
| David L Atkinson | 1184 River Road, Mystic, CT 06355 | Architect | 2020-08-01 ~ 2021-07-31 |
| Angies Pier 27 · Angies Pizza of Stoning D | 25 Roosevelt Ave, Mystic, CT 06355 | Bakery | 2020-07-01 ~ 2021-06-30 |
| Patricia A Halvordson | 287 Judson Avenue, Mystic, CT 06355 | Dietitian/nutritionist | 2020-09-01 ~ 2021-08-31 |
| Adam A Velez | 78 Denison Avenue, Mystic, CT 06355 | Real Estate Salesperson | ~ |
| Munson's Chocolates | Old Mystic Village, Mystic, CT 06355 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Mark A Comeau | 6 School Street, Mystic, CT 06355 | Architect | 2020-08-01 ~ 2021-07-31 |
| Mekhael E Srour | 2 Stonington Road, Mystic, CT 06355 | Real Estate Salesperson | ~ |
| Courtney Jane Littlewood | 244 High Meadow Ln, Mystic, CT 06355 | Master's Level Social Worker | 2020-07-01 ~ 2021-06-30 |
| Franklins General Store · H Supply Co Inc Dba | Olde Mistick Village, Mystic, CT 06355 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Find all Licenses in zip 06355 | |||
| City | MYSTIC |
| Zip Code | 06355 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + MYSTIC |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Andrew J Graham Md | 40 Temple St, New Haven, CT 06510 | Physician/surgeon | 2010-07-01 ~ 2011-06-30 |
| Arthur P Greenberg | 126 Graham St., Se, Pt. Charlotte, FL 33952 | Physician/surgeon | 1979-01-24 ~ 1982-01-31 |
| Kurt W Graham | 1220 Boren Ave Apt 805, Seattle, WA 98101-2712 | Physician/surgeon | ~ |
| Neville J Graham | Hartford Ob/gyn Group, Glastonbury, CT 06033 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Scott M Graham | 5760 E Gelding Dr, Scottsdale, AZ 85254-3073 | Physician/surgeon | 2019-12-01 ~ 2020-11-30 |
| Ashfaq H Hakim | 1224 Graham Rd, Florissant, MO 63031 | Physician/surgeon | 1998-07-13 ~ 1999-08-31 |
| Marcia K Graham | 1321 W Maplewood St, Springfield, MO 65807 | Physician/surgeon | 1985-08-20 ~ 1989-06-30 |
| Robert G Graham | 72a Long Pond Rd S, Ledyard, CT 06339 | Physician/surgeon | 2008-06-13 ~ 2009-08-31 |
| Jacob Graham | 171 East 84th St, New York, NY 10028 | Physician/surgeon | 1996-05-28 ~ 1997-02-28 |
| Roger Elliott Belson | CT | Physician/surgeon | 1980-06-09 ~ 1984-03-31 |
Please comment or provide details below to improve the information on ROGER A GRAHAM.
| 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).