NANCY L RACCONE (Credential# 548333) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is February 22, 2008. The license expiration date date is April 30, 2009. The license status is INACTIVE.
NANCY L RACCONE is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.030254. The credential type is physician/surgeon. The effective date is February 22, 2008. The expiration date is April 30, 2009. The business address is 6 Sawgrass Dr., Coal Valley, IL 61240. The current status is inactive.
| Licensee Name | NANCY L RACCONE |
| Credential ID | 548333 |
| Credential Number | 1.030254 |
| Credential Type | Physician/Surgeon |
| Business Address |
6 Sawgrass Dr. Coal Valley IL 61240 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 1989-08-11 |
| Effective Date | 2008-02-22 |
| Expiration Date | 2009-04-30 |
| Refresh Date | 2009-08-13 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 158275 | CSP.0017941 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2005-03-01 | 2005-03-01 - 2006-02-28 | INACTIVE |
| Street Address | 6 Sawgrass Dr. |
| City | Coal Valley |
| State | IL |
| Zip Code | 61240 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Beth E Kelley | 5 Forestview Dr, Coal Valley, IL 61240-9411 | Registered Nurse | 2020-03-01 ~ 2021-02-28 |
| Jann D Oliver | 1005 E 5th St, Coal Valley, IL 61240-9584 | Registered Nurse | 2020-01-01 ~ 2020-12-31 |
| City | Coal Valley |
| Zip Code | 61240 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + Coal Valley |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Andrew J Raccone | 27 Crestview Dr, Brookfield, CT 06804 | Home Improvement Contractor | ~ 1995-04-01 |
| Nancy E Austin | P.o. Box 926, Putnam, CT 06260 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
| Nancy Berliner Md | 416 Yale Ave, New Haven, CT 06515 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Nancy C Lathrop Md | 177 Battery St, Burlington, VT 05401 | Physician/surgeon | 1999-12-10 ~ 2000-11-30 |
| Nancy Chung | 73 Market St Ste 219, Yonkers, NY 10710-7617 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Nancy Schantz Md | 434 Heritage Hls # A, Somers, NY 10589-1919 | Physician/surgeon | 2011-12-01 ~ 2012-11-30 |
| Nancy H Lindberg Md | 14 Highland Dr, Peterborough, NH 03458 | Physician/surgeon | 2019-12-01 ~ 2020-11-30 |
| Nancy L Schrader | 315 S. Valmar, Little Rock, AR 72205 | Physician/surgeon | ~ 1996-02-29 |
| Nancy Czarkowski Md | 152 Broad St, Guilford, CT 06437 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Nancy M Kloczko | 157 Gillette Ave, Springfield, MA 01118-1559 | Physician/surgeon | 2019-11-01 ~ 2020-10-31 |
Please comment or provide details below to improve the information on NANCY L RACCONE.
| 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).