CARROLL ANNE RAYNER MD (Credential# 560104) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is September 19, 2007. The license expiration date date is October 31, 2008. The license status is INACTIVE.
CARROLL ANNE RAYNER MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.042522. The credential type is physician/surgeon. The effective date is September 19, 2007. The expiration date is October 31, 2008. The business address is 745 East Boston Post Rd, Mamaroneck, NY 10543. The current status is inactive.
Licensee Name | CARROLL ANNE RAYNER MD |
Credential ID | 560104 |
Credential Number | 1.042522 |
Credential Type | Physician/Surgeon |
Business Address |
745 East Boston Post Rd Mamaroneck NY 10543 |
Business Type | INDIVIDUAL |
Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
Issue Date | 2004-06-08 |
Effective Date | 2007-09-19 |
Expiration Date | 2008-10-31 |
Refresh Date | 2009-07-11 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
376769 | CSP.0035433 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2004-07-22 | 2007-03-01 - 2008-02-29 | INACTIVE |
Street Address | 745 EAST BOSTON POST RD |
City | MAMARONECK |
State | NY |
Zip Code | 10543 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Danielle Lombardozzi | 336 Florence Streeet, Mamaroneck, NY 10543 | Registered Nurse | ~ |
Benedict Salanitro | 609 Brook Street, Mamaroneck, NY 10543 | Physical Therapist | 2020-09-01 ~ 2021-08-31 |
Martin D Keltz | 1000 Old White Plains Rd, Mamaroneck, NY 10543 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
Pamela Bren | 3 Jenny Close, Mamaroneck, NY 10543 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
Jeremy R Sanderson | 1311 Stoneybrook Ave., Mamaroneck, NY 10543 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
Anthony Cecere | 200 West Boston Post Road, Mamaroneck, NY 10543 | Real Estate Salesperson | 2017-06-01 ~ 2018-05-31 |
Elizabeth A Anderson | 315 Anita Lane, Mamaroneck, NY 10543 | Physical Therapist | 2020-07-01 ~ 2021-06-30 |
Catherine L Leone | 453 Halstead Avenue, Apt. 7, Mamaroneck, NY 10543 | Notary Public Appointment | 2020-05-01 ~ 2025-04-30 |
Gregg Cameron Deangelis | 451 E Boston Post Rd 2nd Flr, Mamaroneck, NY 10543 | Architect | 2018-08-01 ~ 2019-07-31 |
Allan G Styer | 325 Union Ave, Mamaroweck, NY 10543 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
Find all Licenses in zip 10543 |
City | MAMARONECK |
Zip Code | 10543 |
License Type | Physician/Surgeon |
License Type + County | Physician/Surgeon + MAMARONECK |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Carroll B Lesesne | 620 Park Ave, New York, NY 10065-6591 | Physician/surgeon | 2011-03-01 ~ 2012-02-29 |
Deborah J Carroll | 699 Route 9w S, Nyack, NY 10960-5011 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
Tamara Carroll | 20 York St, New Haven, CT 06510-3220 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
Lynda Carroll | P.o. Box 1006, Nelspruit, 1200 | Physician/surgeon | 2019-12-01 ~ 2020-11-30 |
Patrick H. Carroll | 126 Meadowbrook Ln, Westport, MA 02790 | Physician/surgeon | 2020-01-01 ~ 2020-12-31 |
Carroll P Osgood Jr | 501 Howard Ave, Altoona, PA 16601 | Physician/surgeon | 1996-09-03 ~ 1997-10-31 |
Suzanne M Carroll Md | 11 S Brainard St, Naperville, IL 60540-4901 | Physician/surgeon | 2015-02-01 ~ 2016-01-31 |
Kisik Kim | 2246 Fairway Heights, Carroll, IA 51401 | Physician/surgeon | 2016-02-01 ~ 2017-01-31 |
Carroll S Woodford | 13032 Old Stagecoach, Laurel, MD 20708 | Physician/surgeon | 1994-11-14 ~ 1995-11-30 |
Brett A Carroll | 31 Elizabeth Street, Shelton, CT 06484 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
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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).