NICOLE C RABIDOU MD (Credential# 398840) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2009. The license expiration date date is February 28, 2011. The license status is INACTIVE.
NICOLE C RABIDOU MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0037150. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2009. The expiration date is February 28, 2011. The business address is 3120 A Radiere Loop, West Point, NY 10996. The current status is inactive.
Licensee Name | NICOLE C RABIDOU MD |
Credential ID | 398840 |
Credential Number | CSP.0037150 |
Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
Business Address |
3120 A Radiere Loop West Point NY 10996 |
Business Type | INDIVIDUAL |
Status | INACTIVE |
Issue Date | 2005-03-17 |
Effective Date | 2009-03-01 |
Expiration Date | 2011-02-28 |
Refresh Date | 2013-03-07 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
558024 | 1.040441 | Physician/Surgeon | 2002-05-16 | 2010-02-01 - 2011-01-31 | INACTIVE |
377068 | CSP.0035485 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2004-08-06 | - | EXPIRED APPLICATION |
Street Address | 3120 A RADIERE LOOP |
City | WEST POINT |
State | NY |
Zip Code | 10996 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Robert Douglas Forsten | Keller Army Community Hospital, West Point, NY 10996 | Controlled Substance Registration for Practitioner | 2020-03-27 ~ 2021-02-28 |
Sonrie Pickens | 181a Barry Rd, West Point, NY 10996 | Physical Therapist | 2018-08-01 ~ 2019-07-31 |
Association of The Graduates of The United States Military Academy | 698 Mills Road, West Point, NY 10996 | Public Charity-exempt From Financial Requirements | ~ |
Christina R Morales | 316-e, West Point, NY 10996 | Registered Nurse | 2000-08-14 ~ 2001-10-31 |
Teresa J Elwood | 165c Lee Rd, West Point, NY 10996 | Registered Nurse | ~ 1998-09-30 |
Beth R Phillips | 252 B Lee Road, West Point, NY 10996 | Registered Nurse | 2001-10-22 ~ 2002-12-31 |
Jason C Lynch | 578 Benedict Rd Apt B, West Point, NY 10996-1289 | Engineer-in-training | 1994-07-12 ~ 2004-07-12 |
Army West Point Athletic Association Inc | 639 Howard Rd, West Point, NY 10996-1510 | Public Charity-exempt From Financial Requirements | 2018-06-05 ~ |
Valerie L Morgan | 40 Wilson Rd Apt G, West Point, NY 10996-1914 | Speech and Language Pathologist | 2019-10-01 ~ 2020-09-30 |
Adriana M Korpela | 45 Wilson Rd Apt C, West Point, NY 10996-1951 | Genetic Counselor | 2020-04-01 ~ 2021-03-31 |
Find all Licenses in zip 10996 |
City | WEST POINT |
Zip Code | 10996 |
License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + WEST POINT |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Nicole P Roy | 140 Ziegler Rd, Hampton, CT 06247-2022 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Nicole J Jarrett | 265 College St Apt 8f, New Haven, CT 06510-2480 | Controlled Substance Registration for Practitioner | 2010-12-08 ~ 2013-02-28 |
Nicole A Kennedy | 739 Carrington Rd, Bethany, CT 06524-3183 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Nicole Y Belair | 28 Walas Rd, Moosup, CT 06354-1206 | Controlled Substance Registration for Practitioner | 2019-09-09 ~ 2021-02-28 |
Nicole B Fernandez | 25 Peterborough St Apt 14, Boston, MA 02215-4410 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Nicole M Maletta | 13 Hemlock Ct, Durham, CT 06422-1405 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Nicole Duchesneau | 58 Hnath Rd, Ashford, CT 06278-2324 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
Nicole M Loo | 100 York St Unit 5-0, New Haven, CT 06511-5620 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
C Nicole Gorman | 323 Riverside Ave, Westport, CT 06880-4810 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Nicole S Kraese | 5 Delta Ave, Danbury, CT 06810-7501 | Controlled Substance Registration for Practitioner | 2019-08-19 ~ 2021-02-28 |
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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).