PHILIP RAIFORD (Credential# 549224) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is August 1, 2020. The license expiration date date is July 31, 2021. The license status is ACTIVE.
PHILIP RAIFORD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.031486. The credential type is physician/surgeon. The effective date is August 1, 2020. The expiration date is July 31, 2021. The business address is 172 Peterson Rd, Pomfret Center, CT 06259. The current status is active.
| Licensee Name | PHILIP RAIFORD |
| Credential ID | 549224 |
| Credential Number | 1.031486 |
| Credential Type | Physician/Surgeon |
| Business Address |
172 Peterson Rd Pomfret Center CT 06259 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - PRIOR DISCIPLINE |
| Active | 1 |
| Issue Date | 1991-04-12 |
| Effective Date | 2020-08-01 |
| Expiration Date | 2021-07-31 |
| Refresh Date | 2020-06-05 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 158828 | CSP.0020009 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 1999-03-01 | 2019-03-01 - 2021-02-28 | ACTIVE |
| Street Address | 172 peterson rd |
| City | pomfret center |
| State | CT |
| Zip Code | 06259 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Lisa A. Raiford | 172 Peterson Rd, Pomfret Center, CT 06259-1417 | Dental Hygienist | 2019-11-01 ~ 2020-10-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Beth A. Poland | 123 Ragged Hill Road, Pomfret Center, CT 06259 | Radiographer | 2020-08-01 ~ 2021-07-31 |
| Saara A Slevinsky · Kahonen | 244 Paine Road, Pomfret Center, CT 06259 | Licensed Clinical Social Worker | 2020-08-01 ~ 2021-07-31 |
| Sandra Fredrickson | 135 Cooney Road, Pomfret Center, CT 06259 | Notary Public Appointment | 2020-09-01 ~ 2025-08-31 |
| Lillian R Erskine | 443 Hampton Road, Abington, CT 06259 | Hairdresser/cosmetician | 2020-09-01 ~ 2022-08-31 |
| Gary J Pazienza | 120 Cooney Road, Pomfret Center, CT 06259 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Jennifer L Jasmin | 524 Mashamoquet Rd, Pomfret Center, CT 06259 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Irina P Ionkina | 185 Babbitt Hill Road, Pomfret Center, CT 06259 | Master's Level Social Worker | 2019-01-01 ~ 2019-12-31 |
| Donna J Navarro | 88 Freedley Rd, Pomfret Center, CT 06259 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| Jennifer W Mahr | 89 Covell Road, Pomfret Center, CT 06259 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| Brenda Chubbuck | 281 Putnam Road, Pomfret Center, CT 06259 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| Find all Licenses in zip 06259 | |||
| City | pomfret center |
| Zip Code | 06259 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + pomfret center |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Laurence Raiford | 909 Palm Trail, Suite 200, Delray Beach, FL 33483 | Physician/surgeon | 1982-09-10 ~ 1983-05-31 |
| Philip H Glogover | Aventura, FL 33180 | Physician/surgeon | 2020-02-01 ~ 2021-01-31 |
| Philip B Jensen | Po Box 606, Lincoln, MA 01773-0606 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Philip Felig | 1056 Fifth Ave, New York, NY 10028 | Physician/surgeon | 2019-01-01 ~ 2019-12-31 |
| Philip T Ho Md | 685 Kellogg Ave, Palo Alto, CA 94301 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
| Philip E Sumner | 6 Tunxis Dr, Farmington, CT 06032-2814 | Physician/surgeon | 1998-04-13 ~ 1999-05-31 |
| Philip S Brezina | 28 Broadview St, Bristol, CT 06010 | Physician/surgeon | 1993-10-25 ~ 1994-10-31 |
| Philip D Williams Md | 300 George St Ste 901, New Haven, CT 06511-6662 | Physician/surgeon | 2012-06-01 ~ 2013-05-31 |
| Philip Bilello | 81 Main St #11 B, Branford, CT 06405 | Physician/surgeon | 1981-01-01 ~ 1993-12-31 |
| Philip R Orlander | Univ Tx Med Sch Hst, Houston, TX 77025 | Physician/surgeon | 2019-11-01 ~ 2020-10-31 |
Please comment or provide details below to improve the information on PHILIP RAIFORD.
| 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).