RANDY JOHNSON PA (Credential# 495960) 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.
RANDY JOHNSON PA is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0043155. 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 2200 Whitney Avenue, Hamden, CT 06518. The current status is active.
| Licensee Name | RANDY JOHNSON PA |
| Credential ID | 495960 |
| Credential Number | CSP.0043155 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
2200 Whitney Avenue Hamden CT 06518 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2008-03-07 |
| Effective Date | 2019-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2019-01-31 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 743827 | 23.002078 | Physician Assistant | 2008-02-26 | 2019-10-01 - 2020-09-30 | ACTIVE |
| Street Address | 2200 Whitney Avenue |
| City | Hamden |
| State | CT |
| Zip Code | 06518 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Francis W Chan Md | 2200 Whitney Avenue, Hamden, CT 06518 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Mark B Taylor Md | 2200 Whitney Avenue, Hamden, CT 06518 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Steve Angelo | 2200 Whitney Avenue, Hamden, CT 06518 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Renu Bazaz-kapoor | 2200 Whitney Avenue, Hamden, CT 06518 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Taneisha R Grant | 2200 Whitney Avenue, Hamden, CT 06518 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Paul Feuerstadt Md | 2200 Whitney Avenue, Hamden, CT 06518 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Renuka Umashanker Md | 2200 Whitney Avenue, Hamden, CT 06518 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Rebecca J Grillo Pa | 2200 Whitney Avenue, Hamden, CT 06518-3602 | Physician Assistant | 2020-05-01 ~ 2021-04-30 |
| Tara Nicole Carlesco | 2200 Whitney Avenue, Hamden, CT 06518 | Physician Assistant | 2020-03-01 ~ 2021-02-28 |
| Renu Boatright | 2200 Whitney Avenue, Hamden, CT 06518 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Find all Licenses in the same address | |||
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Barbara Esposito Aprn | 209 Todd St, Hamden, CT 06518 | Advanced Practice Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Sorrentos Brick Oven Pizzeria | 244 Skiff St, Hamden, CT 06518 | Bakery | 2020-07-01 ~ 2021-06-30 |
| Jenna Bump | 61 Cannon St, Hamden, CT 06518 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Jennifer E Pohl | 70 Norwood Avenue, Hamden, CT 06518 | Speech and Language Pathologist | 2020-07-01 ~ 2021-06-30 |
| Nicole O Miller-tyson | 648 Evergreen Ave, Hamden, CT 06518 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Nancy D Anderson | 399 Hillfield Road, Hamden, CT 06518 | Speech and Language Pathologist | 2020-08-01 ~ 2021-07-31 |
| Flowers From The Farm | 1035 Shepard Avenue, Hamden, CT 06518 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Lynda Burke | 68 Linden Avenue, Hamden, CT 06518 | Notary Public Appointment | 2011-12-08 ~ 2016-12-31 |
| Kelly Lynn Huppert | 1334 Town Walk Dr, Hamden, CT 06518 | Master's Level Social Worker | ~ |
| Robert L Engengro | 365 Forest Street, Hamden, CT 06518 | Real Estate Salesperson | 2020-06-23 ~ 2021-05-31 |
| Find all Licenses in zip 06518 | |||
| City | Hamden |
| Zip Code | 06518 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + Hamden |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Randy D Gordon Dds | 21 Adams Rd, Weatogue, CT 06089 | Controlled Substance Registration for Practitioner | 2000-02-29 ~ 2001-02-28 |
| Randy L Schulman Od | 444 Westport Ave, Norwalk, CT 06851-4481 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Randy R Shaver Aprn | 312 N.e. Golfview Cir, Stuart, FL 34996-1637 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Randy L Olson | 8502 Driftwood Hl, San Antonio, TX 78255-2244 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
| Randy H Lichtman Dds | 921 Boston Turnpike, Bolton, CT 06043 | Controlled Substance Registration for Practitioner | 2009-03-20 ~ 2011-02-28 |
| Kaitlin A Balestriere | 11 Randy Road, Milford, CT 06461 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Randy J Greenberg | 150 South Turnpike Rd, Wallingford, CT 06492 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Randy S Rich Md | 84 Hawthorne Avenue, Hamden, CT 06517 | Controlled Substance Registration for Practitioner | 2001-03-01 ~ 2002-02-28 |
| Randy Stein Md | 210 Westchester Ave, White Plains, NY 10604 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
| Randy D Berke Md | 52 Blue Ridge Drive, Weatogue, CT 06089 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Please comment or provide details below to improve the information on RANDY JOHNSON PA.
| 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).