JEFFREY RANTA
Controlled Substance Registration for Practitioner


Address: 37 Flying Cloud Rd, Stamford, CT 06902

JEFFREY RANTA (Credential# 153869) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is February 6, 2020. The license expiration date date is February 28, 2021. The license status is ACTIVE.

Business Overview

JEFFREY RANTA is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0014909. The credential type is controlled substance registration for practitioner. The effective date is February 6, 2020. The expiration date is February 28, 2021. The business address is 37 Flying Cloud Rd, Stamford, CT 06902. The current status is active.

Basic Information

Licensee Name JEFFREY RANTA
Credential ID 153869
Credential Number CSP.0014909
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 37 Flying Cloud Rd
Stamford
CT 06902
Business Type INDIVIDUAL
Status ACTIVE - CURRENT
Active 1
Issue Date 1999-03-01
Effective Date 2020-02-06
Expiration Date 2021-02-28
Refresh Date 2020-02-10

Other licenses

ID Credential Code Credential Type Issue Term Status
545552 1.025617 Physician/Surgeon 1984-06-22 2020-02-01 - 2021-01-31 ACTIVE

Office Location

Street Address 37 Flying Cloud Rd
City Stamford
State CT
Zip Code 06902

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Andrea Bynoe 34 Melrose Pl, Stamford, CT 06902 Notary Public Appointment 1994-04-06 ~ 1999-04-30
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Competitor

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City Stamford
Zip Code 06902
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + Stamford

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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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