RANDY P. BOULIGNY (Credential# 1145765) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is April 1, 2020. The license expiration date date is March 31, 2021. The license status is ACTIVE.
RANDY P. BOULIGNY is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.051705. The credential type is physician/surgeon. The effective date is April 1, 2020. The expiration date is March 31, 2021. The business address is 409 Avenue F, Bogalusa, LA 70427. The current status is active.
| Licensee Name | RANDY P. BOULIGNY |
| Credential ID | 1145765 |
| Credential Number | 1.051705 |
| Credential Type | Physician/Surgeon |
| Business Address |
409 Avenue F Bogalusa LA 70427 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2013-03-14 |
| Effective Date | 2020-04-01 |
| Expiration Date | 2021-03-31 |
| Refresh Date | 2020-03-10 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1167380 | CSP.0054819 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2013-06-07 | 2019-03-01 - 2021-02-28 | ACTIVE |
| Street Address | 409 Avenue F |
| City | Bogalusa |
| State | LA |
| Zip Code | 70427 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Duane T Whitecotton | 20305 Hillcrest Road, Bogalusa, LA 70427 | Registered Nurse | 2002-04-11 ~ 2003-05-31 |
| Karen Starns Mitchell | 1228 Borgne Ave, Bogalusa, LA 70427-8436 | Registered Nurse - Temporary | 2020-06-05 ~ 2020-10-03 |
| City | Bogalusa |
| Zip Code | 70427 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + Bogalusa |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Randy L Gellman | 1 Thingvalla Ave, Cambridge, MA 02138 | Physician/surgeon | 1992-12-22 ~ 1994-01-31 |
| Randy Seewald | 27 Governor St, Ridgefield, CT 06877-4608 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Randy Luciano | 15 Forest Glen Drive, Woodbridge, CT 06525-1104 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Randy Hassen Md | 29 North Plains Hwy Suite #19, Wallingford, CT 06492 | Physician/surgeon | ~ 1997-08-04 |
| Randy Geringer Md | 395 Greens Farm Road, Westport, CT 06880 | Physician/surgeon | 2007-06-08 ~ 2008-05-31 |
| Randy Adam Sag | 5655 Hudson Drive, Hudson, VA 44236 | Physician/surgeon | 2018-08-01 ~ 2019-07-31 |
| Randy Nyborg | 21 Carol Dr, Plainville, CT 06062 | Home Improvement Contractor | ~ 1995-10-01 |
| Randy H Cremasco · Randy's Painting & Remodeling | 18 Field St, Torrington, CT 06790 | Home Improvement Contractor | 1998-12-04 ~ 1999-11-30 |
| Randy S Heckman · Randy S Heckman Const | 727 Avery St, South Windsor, CT 06074 | Home Improvement Contractor | 2017-12-01 ~ 2018-11-30 |
| Randy Blais · Randy Blais Masonary | 101 Lambtown Rd, Ledyard, CT 06339 | Home Improvement Contractor | ~ 1995-07-01 |
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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).