PAMELA J RANDOLPH MD (Credential# 155034) 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.
PAMELA J RANDOLPH MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0016097. 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 249 Danbury Rd, Wilton, CT 06897-4010. The current status is active.
| Licensee Name | PAMELA J RANDOLPH MD |
| Credential ID | 155034 |
| Credential Number | CSP.0016097 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
249 Danbury Rd Wilton CT 06897-4010 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 1999-03-01 |
| Effective Date | 2019-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2019-02-08 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 547413 | 1.028839 | Physician/Surgeon | 1988-02-16 | 2019-10-01 - 2020-09-30 | ACTIVE |
| Street Address | 249 DANBURY RD |
| City | WILTON |
| State | CT |
| Zip Code | 06897-4010 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Alan Radin Md | 249 Danbury Rd, Wilton, CT 06897-4010 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
| Amber Brody | 249 Danbury Rd, Wilton, CT 06897-4010 | Controlled Substance Registration for Practitioner | 2019-07-25 ~ 2021-02-28 |
| Craig D Serin Md | 249 Danbury Rd, Wilton, CT 06897 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Claudia B Gruss | 249 Danbury Rd, Wilton, CT 06897-4075 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Erica R Seebeck | 249 Danbury Rd, Wilton, CT 06897-4010 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Nicole Adara Case | 14 Middlebrook Farm Rd, Wilton, CT 06897 | Emergency Medical Technician | ~ |
| C B Tart | 105 Seeley Road, Wilton, CT 06897 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Matthew P Schmitt | 116 Borglum Rd, Wilton, CT 06897 | Home Improvement Contractor | 2020-06-18 ~ 2020-11-30 |
| Music On The Hill Inc | 48 New Canaan Road, Wilton, CT 06897 | Public Charity | 2020-12-01 ~ 2021-11-30 |
| Neelam Narula | 11 Glen Ridge, Wilton, CT 06897 | Advanced Practice Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Katherine S Lewis | 43 Antler Lane, Wilton, CT 06897 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Steven Phillips | 944 Danbury Rd, Wilton, CT 06897 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
| Sally S Chao Md | 48 Saint Johns Rd, Wilton, CT 06897 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
| Christine M Tenore | 150 St Johns Road, Wilton, CT 06897 | Notary Public Appointment | 2020-10-01 ~ 2025-09-30 |
| Susan Lee | 200 Danbury Road, Apt 5, Wilton, CT 06897 | Hairdresser/cosmetician | 2020-08-01 ~ 2022-07-31 |
| Find all Licenses in zip 06897 | |||
| City | WILTON |
| Zip Code | 06897 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + WILTON |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Joseph T Anquillare Md | 100 Randolph Rd, Middletown, CT 06457-5637 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
| Karin A Provost Do | 27 Randolph St, Wallingford, CT 06492 | Controlled Substance Registration for Practitioner | 2008-03-01 ~ 2009-02-28 |
| Prakash V Huded | 100 Randolph Rd, Middletown, CT 06457-5637 | Controlled Substance Registration for Practitioner | 2019-07-02 ~ 2021-02-28 |
| Randolph B Reinhold | 113 Linden Ave, Branford, CT 06405 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Lora L Abbott Dvm | 730 Randolph Rd, Middletown, CT 06457-5331 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Antoine G Sreih Md | 8 E Randolph St, Chicago, IL 60601 | Controlled Substance Registration for Practitioner | 2011-04-27 ~ 2013-02-28 |
| James E Dipoce Md | 33 Church Rd, Randolph, NJ 07869-2926 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
| Randolph S Thomas | 421 Blake St, New Haven, CT 06515 | Controlled Substance Registration for Practitioner | 2011-03-16 ~ 2013-02-28 |
| Ovleto W Ciccarelli Md | 44 S Main St, Randolph, VT 05060-1381 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
| Gabriele S Chase | 730 Randolph Rd, Middletown, CT 06457-5331 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
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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).