RAE J DAVIS (Credential# 560937) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is August 1, 2019. The license expiration date date is July 31, 2020. The license status is ACTIVE.
RAE J DAVIS is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.043355. The credential type is physician/surgeon. The effective date is August 1, 2019. The expiration date is July 31, 2020. The business address is 11350 Mccormick Road, Executive Plaza, Hunt Valley, MD 21031. The current status is active.
| Licensee Name | RAE J DAVIS |
| Credential ID | 560937 |
| Credential Number | 1.043355 |
| Credential Type | Physician/Surgeon |
| Business Address |
11350 Mccormick Road, Executive Plaza Hunt Valley MD 21031 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2005-04-26 |
| Effective Date | 2019-08-01 |
| Expiration Date | 2020-07-31 |
| Refresh Date | 2019-07-19 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 463440 | CSP.0041147 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2007-02-28 | 2008-02-29 - 2009-02-28 | INACTIVE |
| Street Address | 11350 MCCORMICK ROAD, EXECUTIVE PLAZA |
| City | HUNT VALLEY |
| State | MD |
| Zip Code | 21031 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Karyn Emmanuel Catt | 11011 Mccormick Road, Hunt Valley, MD 21031 | Physician/surgeon | 2020-02-01 ~ 2021-01-31 |
| Pharmaceutics International, Inc. · Pharmaceutics International, Inc. | 10819 Gilroy Rd, Hunt Valley, MD 21031 | Out of State Manufacturer of Drugs, Cosmetics & Medical Devices | 2019-07-10 ~ |
| Canyon Pharmaceuticals Inc | Executive Plaza One, Hunt Valley, MD 21031 | Wholesaler of Drugs, Cosmetics & Medical Devices | ~ |
| Eastern Athletic Services | 11350 Mccormick Rd Suite #800 Plaza I, Hunt Valley, MD 21031 | Student Athlete Agent | 2004-06-16 ~ 2004-12-31 |
| Century Engineering Inc | 10710 Gilroy Rd, Hunt Valley, MD 21031-1310 | Professional Engineering Corporation | 2020-06-13 ~ 2021-06-12 |
| N Ginsburg & Son Inc · Floors Etc | 10709 Gilroy Rd Ste 150, Hunt Valley, MD 21031-1311 | Home Improvement Contractor | 2011-12-01 ~ 2012-11-30 |
| E A Engineering Science & Technology Inc Pbc | 225 Schilling Cir Ste 400, Hunt Valley, MD 21031-1800 | Professional Engineering Corporation | 2020-05-09 ~ 2021-05-08 |
| Vesna M Micic | 11011 Mccormick Rd Ste 200, Hunt Valley, MD 21031-8619 | Physician/surgeon | 2017-04-01 ~ 2018-03-31 |
| Wahid Rashidzada | 11011 Mccormick Rd Ste 200, Hunt Valley, MD 21031-8619 | Physician/surgeon | 2017-02-01 ~ 2018-01-31 |
| Saher Rizvi | 11011 Mccormick Rd Ste 200, Hunt Valley, MD 21031-8619 | Physician/surgeon | 2014-12-12 ~ 2015-05-31 |
| Find all Licenses in zip 21031 | |||
| City | HUNT VALLEY |
| Zip Code | 21031 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + HUNT VALLEY |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Mark Davis | Po Box 222, Abingdon, MD 21009-0222 | Physician/surgeon | ~ |
| Davis C Chu | 28-49 Corporal, Bayside, NY 11360 | Physician/surgeon | 2003-07-23 ~ 2004-08-31 |
| Davis Liu | 150 Spear St Ste 350, San Francisco, CA 94105-1747 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
| Vinod V Pathy | 5 Davis Rd E, Old Lyme, CT 06371-1413 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
| Shyamal K Maitra | 714 Mockingbird Pl, Davis, CA 95616-7521 | Physician/surgeon | 2019-09-01 ~ 2020-08-31 |
| Cheryl L Davis Md | 201 Merion Ave, Haddonfield, NJ 08033 | Physician/surgeon | 2012-04-01 ~ 2013-03-31 |
| Edgar C Davis Jr | Po Box 15538, Durham, NC 27704 | Physician/surgeon | 1992-06-25 ~ 1993-06-30 |
| Alan M Davis | 200 W 86th St, New York, NY 10024 | Physician/surgeon | 1996-12-24 ~ 1998-02-28 |
| John M Davis | 442 Webster Ave, Chicago, IL 60614 | Physician/surgeon | 2015-11-01 ~ 2016-10-31 |
| Brian James Davis | 200 First Street Sw, Rochester, MN 55905 | Physician/surgeon | ~ |
Please comment or provide details below to improve the information on RAE J DAVIS.
| 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).