CHARLES E RAFTERY MD
Controlled Substance Registration for Practitioner


Address: Connecticut Spine and Disc Institute, Middlebury, CT 06762

CHARLES E RAFTERY MD (Credential# 341074) 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.

Business Overview

CHARLES E RAFTERY MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0033662. 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 Connecticut Spine and Disc Institute, Middlebury, CT 06762. The current status is active.

Basic Information

Licensee Name CHARLES E RAFTERY MD
Credential ID 341074
Credential Number CSP.0033662
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address Connecticut Spine and Disc Institute
Middlebury
CT 06762
Business Type INDIVIDUAL
Status ACTIVE - CURRENT
Active 1
Issue Date 2003-06-16
Effective Date 2019-03-01
Expiration Date 2021-02-28
Refresh Date 2019-01-15

Other licenses

ID Credential Code Credential Type Issue Term Status
558955 1.041372 Physician/Surgeon 2003-04-17 2020-02-01 - 2021-01-31 ACTIVE

Office Location

Street Address CONNECTICUT SPINE AND DISC INSTITUTE
City MIDDLEBURY
State CT
Zip Code 06762

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Laurie V Massetti 60 Yale Avenue, Middlebury, CT 06762 Registered Nurse 2020-07-01 ~ 2021-06-30
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Giuseppe Tripodi 687 Straits Tpk, Middlebury, CT 06762 Physician/surgeon 2020-08-01 ~ 2021-07-31
Elise L Callahan 77 Christian Rd, Middlebury, CT 06762 Registered Nurse 2020-08-01 ~ 2021-07-31
Michelle King 91 Kissewaug Rd, Middlebury, CT 06762 Registered Nurse 2020-07-01 ~ 2021-06-30
Michael F Simms IIi 80 Burr Hall Road, Middlebury, CT 06762 Physician/surgeon 2020-07-01 ~ 2021-06-30
Kelly M Barbaris 62 Yale Avenue, Middlebury, CT 06762 Physical Therapist 2020-07-01 ~ 2021-06-30
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Competitor

Search similar business entities

City MIDDLEBURY
Zip Code 06762
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + MIDDLEBURY

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Charles Forster Dpm 50 Longmeadow Dr, Meriden, CT 06450 Controlled Substance Registration for Practitioner 2002-03-01 ~ 2003-02-28
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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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