SIMHA E RAVVEN (Credential# 2001677) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is January 23, 2020. The license expiration date date is February 28, 2021. The license status is ACTIVE.
SIMHA E RAVVEN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0073057. The credential type is controlled substance registration for practitioner. The effective date is January 23, 2020. The expiration date is February 28, 2021. The business address is 131 Wardon Rd, Putney, VT 05346-8738. The current status is active.
| Licensee Name | SIMHA E RAVVEN |
| Credential ID | 2001677 |
| Credential Number | CSP.0073057 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
131 Wardon Rd Putney VT 05346-8738 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2020-01-23 |
| Effective Date | 2020-01-23 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2020-01-24 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1162053 | CSP.0054661 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2013-05-23 | 2020-01-15 - 2021-02-28 | ACTIVE |
| 1158809 | 1.051920 | Physician/Surgeon | 2013-05-23 | 2020-02-01 - 2021-01-31 | ACTIVE |
| Street Address | 131 WARDON RD |
| City | PUTNEY |
| State | VT |
| Zip Code | 05346-8738 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Patricia A Killigrew | 199 Holland Hill Road, Putney, VT 05346 | Notary Public Appointment | 2011-11-28 ~ 2016-11-30 |
| Gemma Pentland | 199 Holland Hill, Putney, VT 05346 | Registered Nurse | 2019-02-01 ~ 2020-01-31 |
| Dwight Miller & Son Orchards | Rd2 Box 835, Putney, VT 05346 | Apple Juice & Cider Manufacturer | 1997-10-22 ~ 1998-06-30 |
| Marianne C Buswell | 152 E. West Road, Putney, VT 05346 | Registered Nurse | 2016-04-01 ~ 2017-03-31 |
| Elisa D Lafayette | 199 Lane Brook Road, Putney, VT 05346 | Controlled Substance Registration for Practitioner | 2014-07-07 ~ 2015-02-28 |
| Phyllis A Green | Rr-1 Box 677, Putney, VT 05346 | Licensed Practical Nurse | 1995-02-27 ~ 1996-02-29 |
| Cindy R Camp | 285 Wardon Rd, Putney, VT 05346 | Registered Nurse | 2007-06-07 ~ 2008-07-31 |
| Annmarie Gorham | 245 West Hill Rd, Putney, VT 05346 | Registered Nurse | 2007-04-18 ~ 2008-04-30 |
| R-louise L Papowitz | 203 West Minster Road, Putney, VT 05346 | Registered Nurse | 2008-02-13 ~ 2009-03-31 |
| Ann W Richards | 353 Park Laughton Road, East Dummerston, VT 05346 | Registered Nurse | 2005-03-31 ~ 2006-05-31 |
| Find all Licenses in zip 05346 | |||
| City | PUTNEY |
| Zip Code | 05346 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + PUTNEY |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Steven Kassels Md · Community Substance Abuse Center | Comm. Physicians PC/125 North Elm Street, Westfield, MA 01085 | Controlled Substance Registration for Practitioner | 2018-06-15 ~ 2019-02-28 |
| Shu-i Lin | CT | Controlled Substance Registration for Practitioner | 2017-06-12 ~ 2019-02-28 |
| Arundati Rao | CT | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Min Jin Kim | 639 4th Ave Apt 5c, Brooklyn, NY 11232-1048 | Controlled Substance Registration for Practitioner | 2012-05-10 ~ 2013-02-28 |
| Huu Duc D Luu | 630 Mix Ave Apt 6p, Hamden, CT 06514-2320 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
| Hae J Kim Pa | New Haven, CT 06511 | Controlled Substance Registration for Practitioner | 2008-03-31 ~ 2009-02-28 |
| Qi Che Md | Bridgeport, CT 06610 | Controlled Substance Registration for Practitioner | 2006-03-01 ~ 2007-02-28 |
| Erin K Fee | CT | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Ira L Cantner II | 97 Elm St, Old Saybrook, CT 06475 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| William A Gay | 34 Ten Rod Rd, Voluntown, CT 06384-1726 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Please comment or provide details below to improve the information on SIMHA E RAVVEN.
| 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).