BIRGIT RANDAZZO MD
Controlled Substance Registration for Practitioner


Address: 41 Ridgebury Road, Avon, CT 06001

BIRGIT RANDAZZO MD (Credential# 465344) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2013. The license expiration date date is February 28, 2015. The license status is INACTIVE.

Business Overview

BIRGIT RANDAZZO MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0041223. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2013. The expiration date is February 28, 2015. The business address is 41 Ridgebury Road, Avon, CT 06001. The current status is inactive.

Basic Information

Licensee Name BIRGIT RANDAZZO MD
Credential ID 465344
Credential Number CSP.0041223
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 41 Ridgebury Road
Avon
CT 06001
Business Type INDIVIDUAL
Status INACTIVE
Issue Date 2007-03-14
Effective Date 2013-03-01
Expiration Date 2015-02-28
Refresh Date 2016-01-29

Other licenses

ID Credential Code Credential Type Issue Term Status
562442 1.044860 Physician/Surgeon 2006-10-17 2013-10-01 - 2014-09-30 INACTIVE

Office Location

Street Address 41 RIDGEBURY ROAD
City AVON
State CT
Zip Code 06001

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Competitor

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City AVON
Zip Code 06001
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + AVON

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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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