R ANDREW PACKARD MD (Credential# 340593) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2008. The license expiration date date is February 28, 2009. The license status is INACTIVE.
R ANDREW PACKARD MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0033516. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2008. The expiration date is February 28, 2009. The business address is 785 Ohio Avenue, Suite 1f, Clarksdale, MS 38614. The current status is inactive.
| Licensee Name | R ANDREW PACKARD MD |
| Credential ID | 340593 |
| Credential Number | CSP.0033516 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
785 Ohio Avenue, Suite 1f Clarksdale MS 38614 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE |
| Issue Date | 2005-05-05 |
| Effective Date | 2008-03-01 |
| Expiration Date | 2009-02-28 |
| Refresh Date | 2011-01-12 |
| Street Address | 785 OHIO AVENUE, SUITE 1F |
| City | CLARKSDALE |
| State | MS |
| Zip Code | 38614 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| R Andrew A Packard | 785 Ohio Avenue, Clarksdale, MS 38614 | Physician/surgeon | 2008-04-07 ~ 2009-05-31 |
| Glenda D Rikard | 943 Vincent, Clarksdale, MS 38614 | Registered Nurse | 2003-04-03 ~ 2004-03-31 |
| Werner S Haddon | 864 Ritchie Avenue, Clarsdale, MS 38614 | Physician/surgeon | ~ 1997-05-31 |
| Gafar A Adesoji | 126 Crestline Drive, Clarksdale, MS 38614 | Physician/surgeon | 1999-08-18 ~ 1999-12-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Reynold Radoccia | 921 Main St Box 852, Clarksdale, AZ 86324 | Architect | 1996-08-01 ~ 1997-07-31 |
| City | CLARKSDALE |
| Zip Code | 38614 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + CLARKSDALE |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Jon Packard Hedgecock | 700 Bloomfield Ave Apt 222, Bloomfield, CT 06002 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Andrew Kornstein Md PC | 539 Danbury Rd, Wilton, CT 06897-2216 | Controlled Substance Registration for Practitioner | 2015-11-12 ~ 2017-02-28 |
| Andrew D Stiles | 201 Ann St Apt 305, Hartford, CT 06103-2000 | Controlled Substance Registration for Practitioner | 2015-07-27 ~ 2017-02-28 |
| Richard L Yap Md | 151 Andrew Ave Apt 85, Naugatuck, CT 06770 | Controlled Substance Registration for Practitioner | 2003-03-01 ~ 2004-02-28 |
| Andrew Oh | 205 Church St Apt 2j, New Haven, CT 06510-1895 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Andrew Cha | 24 Hospital Ave, Danbury, CT 06810-6077 | Controlled Substance Registration for Practitioner | 2013-03-07 ~ 2015-02-28 |
| Andrew E Kim Md | 2 Foxhall Rd, Newtown, PA 18940-2930 | Controlled Substance Registration for Practitioner | 2015-06-15 ~ 2017-02-28 |
| Andrew D Pearle | 390 Forest Ave, Rye, NY 10580-3613 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Andrew B Kirk Pa | 31 River Rd, Cos Cob, CT 06807-2152 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
| Andrew J Yoon | 318 Elm St Apt A4, New Haven, CT 06511-4772 | Controlled Substance Registration for Practitioner | 2008-09-30 ~ 2009-02-28 |
Please comment or provide details below to improve the information on R ANDREW PACKARD MD.
| 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).