MATTHEW J RAIDER (Credential# 45165) 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.
MATTHEW J RAIDER is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0025154. 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 645 Saybrook Rd, Middletown, CT 06457. The current status is active.
| Licensee Name | MATTHEW J RAIDER |
| Credential ID | 45165 |
| Credential Number | CSP.0025154 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
645 Saybrook Rd Middletown CT 06457 |
| 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 | 2019-03-04 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1606868 | CSP.0069705 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2018-10-11 | 2019-03-01 - 2021-02-28 | ACTIVE |
| 156155 | CSP.0015486 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2000-06-01 | 2019-03-01 - 2021-02-28 | ACTIVE |
| 149983 | CSP.0012517 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 1999-03-01 | 2019-03-01 - 2021-02-28 | ACTIVE |
| 1627366 | CSP.0070133 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2019-01-22 | 2019-01-22 - 2021-02-28 | ACTIVE |
| 544377 | 1.022948 | Physician/Surgeon | 1981-07-10 | 2019-12-01 - 2020-11-30 | ACTIVE |
| 440191 | CSP.0039245 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2006-06-06 | 2015-03-01 - 2017-02-28 | INACTIVE |
| 1258564 | CSP.0059125 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2014-12-12 | 2014-12-12 - 2017-02-28 | INACTIVE |
| 215328 | CSP.0028239 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2001-09-27 - 2002-02-28 | INACTIVE |
| Street Address | 645 SAYBROOK RD |
| City | MIDDLETOWN |
| State | CT |
| Zip Code | 06457 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Bal Middletown LLC · Bal Middletown | 645 Saybrook Rd, Middletown, CT 06457-4746 | Assisted Living Service Agency | 2018-10-01 ~ 2020-09-30 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Elizabeth M Mailhot | 177 Timber Ridge Rd, Middletown, CT 06457 | Dental Hygienist | 2020-08-01 ~ 2021-07-31 |
| Rebecca S Fennessy | 22 Keefe Ln, Middletown, CT 06457 | Licensed Clinical Social Worker | 2020-07-01 ~ 2021-06-30 |
| Eloise M Gagnon | 538 Bow Lane, Middletown, CT 06457 | Hairdresser/cosmetician | 2020-08-01 ~ 2022-07-31 |
| Salvatore Dimauro | 245 Dekoven Dr, Middletown, CT 06457 | Public Weigher | 2020-07-01 ~ 2021-06-30 |
| Frank L Wright | 261 Spencer Dr, Middletown, CT 06457 | Barber | 2020-08-01 ~ 2022-07-31 |
| Gino A Cardella | 50 Sonoma Lane, Middletown, CT 06457 | Real Estate Salesperson | ~ |
| Shannon Lee Mcquillan | 5 Forest Glen Circle, Middletown, CT 06457 | Registered Nurse | 2020-06-26 ~ 2020-09-30 |
| Lori Dimauro · Carta | 244 Chamberlain Hill Road, Middletown, CT 06457 | Hairdresser/cosmetician | 2020-09-01 ~ 2022-08-31 |
| Gail A Corrow | 85 Dora Dr, Middletown, CT 06457 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| Mariter V Perez | 8 Moss Glen, Middletown, CT 06457 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Find all Licenses in zip 06457 | |||
| City | MIDDLETOWN |
| Zip Code | 06457 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + MIDDLETOWN |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Mathew J Raider Md | 1250 Silver Street, Middletown, CT 06457 | Controlled Substance Registration for Practitioner | 1994-03-24 ~ 1996-04-01 |
| Mathew Raider Md | Harbor Hill Conv Home, Middletown, CT 06457 | Controlled Substance Registration for Practitioner | 1998-03-01 ~ 1999-02-28 |
| Matthew B Palmer | CT | Controlled Substance Registration for Practitioner | ~ |
| Matthew Lin | 5 Van Winkle St, Bloomfield, NJ 07003 | Controlled Substance Registration for Practitioner | 2015-06-29 ~ 2017-02-28 |
| Matthew J Finn | 18 W Elm St, New Haven, CT 06515-2129 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Matthew Paonessa | 136 Palmer Ave Ste 111, Mamaroneck, NY 10543-3639 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Matthew M Kim | 838 High Ridge Rd Ste 202, Stamford, CT 06905-1913 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Matthew A Stupple Md | 18 Lashor Rd, Woodstock, NY 12498 | Controlled Substance Registration for Practitioner | 2008-03-01 ~ 2009-02-28 |
| Matthew D Mancini | 57 Barrington Ln, Waterbury, CT 06708-3901 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Matthew A Brown | 5 Perryridge Rd, Greenwich, CT 06830-4608 | Controlled Substance Registration for Practitioner | 2011-03-07 ~ 2013-02-28 |
Please comment or provide details below to improve the information on MATTHEW J RAIDER.
| 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).