CHARLES F ALLENDORF MD
Controlled Substance Registration for Practitioner


Address: 52 Sage Drive, Warwick, RI 02886

CHARLES F ALLENDORF MD (Credential# 936634) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2013. The license expiration date date is February 28, 2015. The license status is INACTIVE.

Business Overview

CHARLES F ALLENDORF MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0047811. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2013. The expiration date is February 28, 2015. The business address is 52 Sage Drive, Warwick, RI 02886. The current status is inactive.

Basic Information

Licensee Name CHARLES F ALLENDORF MD
Credential ID 936634
Credential Number CSP.0047811
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 52 Sage Drive
Warwick
RI 02886
Business Type INDIVIDUAL
Status INACTIVE
Issue Date 2010-06-25
Effective Date 2013-03-01
Expiration Date 2015-02-28
Refresh Date 2016-01-29

Other licenses

ID Credential Code Credential Type Issue Term Status
548638 1.030713 Physician/Surgeon 1990-04-20 2012-12-01 - 2013-11-30 INACTIVE
368345 CSP.0034837 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 2004-05-05 2008-03-01 - 2009-02-28 INACTIVE

Office Location

Street Address 52 SAGE DRIVE
City WARWICK
State RI
Zip Code 02886

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Abraham W Aron 11 Grandview Drive, Warwick, RI 02886 Resident Physician 2019-07-01 ~ 2021-06-30
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Leilani Acap Olea 103 Burbank Drive, Warwick, RI 02886 Registered Nurse 2020-05-01 ~ 2021-04-30
William Francis Varr 220 Toll Gate Road, Ste. B, Warwick, RI 02886 Physician/surgeon 2020-07-01 ~ 2021-06-30
Codi M. Ethier 100 Quaker Ln, Warwick, RI 02886 Real Estate Salesperson 2020-06-01 ~ 2021-05-31
Brian D Keig 34 Orient St, Warwick, RI 02886 Casino Class I Employee 2019-12-11 ~ 2020-10-31
Paul J Menezes 162 Asylum Rd., Warwick, RI 02886 Casino Class I Employee 2019-12-11 ~ 2020-10-31
Jennifer R Duffy-garces 56 Viceroy Rd., Warwick, RI 02886 Casino Class I Employee 2019-12-03 ~ 2020-10-31
Christopher R Allen 58 King Street, Warwick, RI 02886 Casino Class I Employee 2019-12-11 ~ 2020-10-31
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Competitor

Search similar business entities

City WARWICK
Zip Code 02886
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + WARWICK

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Dataset Information

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).

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