RACHEL RAPHAEL (Credential# 1156727) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2019. The license expiration date date is February 28, 2021. The license status is ACTIVE.
RACHEL RAPHAEL is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0054465. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2019. The expiration date is February 28, 2021. The business address is 3 Northwestern Dr, Bloomfield, CT 06002-3465. The current status is active.
| Licensee Name | RACHEL RAPHAEL |
| Credential ID | 1156727 |
| Credential Number | CSP.0054465 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
3 Northwestern Dr Bloomfield CT 06002-3465 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2013-04-03 |
| Effective Date | 2019-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2019-02-26 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1146588 | 1.051683 | Physician/Surgeon | 2013-03-06 | 2019-01-01 - 2019-12-31 | INACTIVE |
| 476453 | CSP.0041853 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2007-07-16 | 2011-12-06 - 2013-02-28 | INACTIVE |
| Street Address | 3 NORTHWESTERN DR |
| City | BLOOMFIELD |
| State | CT |
| Zip Code | 06002-3465 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Steven L Meltzer Dmd | 3 Northwestern Dr, Bloomfield, CT 06002 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Stephen H Mason Dmd | 3 Northwestern Dr, Bloomfield, CT 06002 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Jeffrey R Morris Dmd | 3 Northwestern Dr, Bloomfield, CT 06002 | Dentist | 2018-10-01 ~ 2019-09-30 |
| Rodolfo G Bulaong Md | 3 Northwestern Dr, Bloomfield, CT 06002 | Physician/surgeon | 2002-03-04 ~ 2003-04-30 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Paula L Raines | 92 Daniel Blvd, Bloomfield, CT 06002 | Licensed Practical Nurse | 2020-07-01 ~ 2021-06-30 |
| Kesone Taletia Telfer | 36 Walsh Street, Bloomfield, CT 06002 | Advanced Practice Registered Nurse | ~ |
| Joan Zito Upton | 106 Duncaster Road, Bloomfield, CT 06002 | Dental Hygienist | 2020-08-01 ~ 2021-07-31 |
| Sheri M Sparks | Primary Eye Care Center, Bloomfield, CT 06002 | Optometrist | 2020-09-01 ~ 2021-08-31 |
| Kaman Aerospace Corporation | Old Windsor Road, Bloomfield, CT 06002 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Healing Meals Foundation Corporation | Po Box 7223, Bloomfield, CT 06002 | Public Charity | 2020-12-01 ~ 2021-11-30 |
| Taylor A West | 5 Tiffany Ln, Bloomfield, CT 06002 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Emma J Ranel | 53 Burr Road, Bloomfield, CT 06002 | Licensed Practical Nurse | 2020-07-01 ~ 2021-06-30 |
| Dorothy W Field | 177 Oliver Way, Bloomfield, CT 06002 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Carol J Mortensen | 6 Maple Edge Dr, Bloomfield, CT 06002 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Find all Licenses in zip 06002 | |||
| City | BLOOMFIELD |
| Zip Code | 06002 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + BLOOMFIELD |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Hospital of St Raphael's | 1450 Chapel St, New Haven, CT 06511 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
| Raphael J Capasso | 282 N Elm St, Wallingford, CT 06492-3232 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Runhua Hou | Hospital of St.raphael, New Haven, CT 06511 | Controlled Substance Registration for Practitioner | 2006-03-01 ~ 2007-02-28 |
| Anh Q Dang | Hospital of St.raphael, New Haven, CT 06511 | Controlled Substance Registration for Practitioner | 2005-03-01 ~ 2006-02-28 |
| Peter Ojo | Hospital of St.raphael, New Haven, CT 06511 | Controlled Substance Registration for Practitioner | 2007-03-01 ~ 2008-02-29 |
| Hoang Lai | Hospital of St.raphael, New Haven, CT 06511 | Controlled Substance Registration for Practitioner | 2005-03-01 ~ 2006-02-28 |
| W B Kratzert | Hospital of St.raphael, New Haven, CT 06511 | Controlled Substance Registration for Practitioner | 2005-03-01 ~ 2006-02-28 |
| Raphael J Knauf | 90 S Main St, Middletown, CT 06457-3649 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Osler C Toy | Hospital of St.raphael, New Haven, CT 06511 | Controlled Substance Registration for Practitioner | 2006-03-01 ~ 2007-02-28 |
| Susan Rancis Pa | 5 Raphael Way, Westport, CT 06880 | Controlled Substance Registration for Practitioner | 1997-03-01 ~ 1998-02-28 |
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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).