RICHARD G MILLER (Credential# 553070) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is January 28, 2009. The license expiration date date is October 31, 2009. The license status is INACTIVE.
RICHARD G MILLER is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.035477. The credential type is physician/surgeon. The effective date is January 28, 2009. The expiration date is October 31, 2009. The business address is 20 Gray Rock Lane, Chappaqua, NY 10514. The current status is inactive.
Licensee Name | RICHARD G MILLER |
Credential ID | 553070 |
Credential Number | 1.035477 |
Credential Type | Physician/Surgeon |
Business Address |
20 Gray Rock Lane Chappaqua NY 10514 |
Business Type | INDIVIDUAL |
Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
Issue Date | 1996-08-09 |
Effective Date | 2009-01-28 |
Expiration Date | 2009-10-31 |
Refresh Date | 2010-03-12 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
449709 | CSP.0040573 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2006-09-12 | 2006-09-12 - 2007-02-28 | INACTIVE |
176110 | CSP.0024714 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2002-03-01 - 2003-02-28 | INACTIVE |
Street Address | 20 GRAY ROCK LANE |
City | CHAPPAQUA |
State | NY |
Zip Code | 10514 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
James David Shorser | 480 Bedford Road Suite 4202, Chappaqua, NY 10514 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
Sheryl Manasse | 5 Walden Hill, Chappaqua, NY 10514 | Master's Level Social Worker | 2020-08-01 ~ 2021-07-31 |
Ross A Cole Briskman | 26 Douglas Rd, Chappaqua, NY 10514 | Architect | 2020-08-01 ~ 2021-07-31 |
Eric M Dorsch | 37 Aldridge Road, Chappaqua, NY 10514 | Landscape Architect | 2020-08-01 ~ 2021-07-31 |
Lauren R Safran | 6 Chappaqua Mountain Road, Chappaqua, NY 10514 | Licensed Clinical Social Worker | 2020-06-01 ~ 2021-05-31 |
Stacy Weinberg | 75 High Way, Chappaqua, NY 10514 | Real Estate Salesperson | 2019-06-01 ~ 2020-05-31 |
Rita H Stern | Raveis 75 N Greeley Ave, Chappaqua, NY 10514 | Real Estate Salesperson | 2017-06-01 ~ 2018-05-31 |
Samuel Goldfarb | 2 Sunset Drive North, Chappaqua, NY 10514 | Notary Public Appointment | 2015-05-29 ~ 2020-05-31 |
John Panzone | 42 Hardscrabble Hill Road 42 Hardscrabble Hill Roa, Chappaqua, NY 10514 | Physician/surgeon | ~ |
Boris Usherenko | 480 Bedford Road, Chappaqua, NY 10514 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
Find all Licenses in zip 10514 |
City | CHAPPAQUA |
Zip Code | 10514 |
License Type | Physician/Surgeon |
License Type + County | Physician/Surgeon + CHAPPAQUA |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Richard A Miller | 122a Naubuc Ave Ste 101, Glastonbury, CT 06033-4246 | Physician/surgeon | 2019-10-01 ~ 2020-09-30 |
Richard Douglas Dickinson | 16 Sycamore St, Miller Place, NY 11764-3012 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
Richard C Miller | 2229 Greenbriar Drive, Jackson, MS 39211 | Physician/surgeon | 2008-09-12 ~ 2009-11-30 |
Richard J Miller | 407 Bedford Dr, Richardson, TX 75080 | Professional Engineer | 1991-02-06 ~ 1992-01-31 |
Audrey F Miller Md | Physician/surgeon | 2010-06-01 ~ 2011-05-31 | |
Leo R Miller | 268 Hillspoint Rd, Westport, CT 06880 | Physician/surgeon | 1996-02-08 ~ 1997-03-31 |
Dorothy A Miller | 110 Fisher Ave Apt 3f, Eastchester, NY 10709-2620 | Physician/surgeon | ~ |
Martin A Miller Md | 208 Valley Rd, New Canaan, CT 06840 | Physician/surgeon | 2003-05-20 ~ 2004-06-30 |
Ronald L Miller | 98 Woodbridge Ave, New Haven, CT 06515-2034 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
Jeffrey S Miller | 538 Litchfield St, Torrington, CT 06790 | Physician/surgeon | 2020-03-01 ~ 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).