RANDALL P GRAFF MD (Credential# 507222) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2015. The license expiration date date is February 28, 2017. The license status is INACTIVE.
RANDALL P GRAFF MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0043742. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2015. The expiration date is February 28, 2017. The business address is 187 Kenwood Est, Griswold, CT 06351-8923. The current status is inactive.
| Licensee Name | RANDALL P GRAFF MD |
| Credential ID | 507222 |
| Credential Number | CSP.0043742 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
187 Kenwood Est Griswold CT 06351-8923 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE |
| Issue Date | 2008-07-03 |
| Effective Date | 2015-03-01 |
| Expiration Date | 2017-02-28 |
| Refresh Date | 2018-01-29 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 564223 | 1.046641 | Physician/Surgeon | 2008-06-12 | 2015-02-01 - 2016-01-31 | INACTIVE |
| Street Address | 187 KENWOOD EST |
| City | GRISWOLD |
| State | CT |
| Zip Code | 06351-8923 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Stephene L Odom-bordelon | 146 Geer Rd, Jewett City, CT 06351-8923 | Registered Nurse | 2019-08-01 ~ 2020-07-31 |
| Kids Philippines Inc | 169 Kenwood Est, Jewett City, CT 06351-8923 | Public Charity | 2016-11-29 ~ 2017-11-30 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Katherine L Stockwell | 471 Voluntown Road, Griswold, CT 06351 | Physical Therapist Assistant | 2020-08-01 ~ 2021-07-31 |
| Sandra L Conger | 494 Roode Rd, Griswold, CT 06351 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Mary E Malin | 11 Pequot Trail, Griswold, CT 06351 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| Sara E Griffin | 30 Bishop Crossing Rd., Griswold, CT 06351 | Radiographer | 2020-07-01 ~ 2021-06-30 |
| Lisbon Mobil #85 | 107 River Rd, Lisbon, CT 06351 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Victoria M Arico | 57 Rimek Road, Lisbon, CT 06351 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Ricky Robillard | 127 Griswold Dr., Jewett City, CT 06351 | Sub-surface Sewage Installer | 2020-08-01 ~ 2021-07-31 |
| Martha Ann Williams | 20 Stetson Rd, Griswold, CT 06351 | Notary Public Appointment | 2020-06-19 ~ 2025-06-30 |
| Sara R. Loarca | 68 Bergendahl Drive, Griswold, CT 06351 | Dental Hygienist | 2020-08-01 ~ 2021-07-31 |
| Jeanette Dascomb | 204 North Main Street, Jewett City, CT 06351 | Medication Administration Certification | ~ |
| Find all Licenses in zip 06351 | |||
| City | GRISWOLD |
| Zip Code | 06351 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + GRISWOLD |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Louis G Graff Iv | 130 Oakridge, Unionville, CT 06085-1480 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Heather Forouhar-graff | 21 Mountain Farms Rd, West Hartford, CT 06117-1838 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Randall L Murphy | 321 Dogburn La, Orange, CT 06477 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Raghav Aggarwal | 52 Randall Ave Apt 11, Stamford, CT 06905-4236 | Controlled Substance Registration for Practitioner | 2020-06-24 ~ 2021-02-28 |
| Stephen W Randall Dmd | 308 Main St, Bristol, CT 06010 | Controlled Substance Registration for Practitioner | 1997-03-01 ~ 1998-02-28 |
| Randall J Rushin Dds | 20-30 Beaver Rd Ste 102, Wethersfield, CT 06109-2242 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Randall L Owen | 7 Montoya Dr, Branford, CT 06405-2533 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Randall D Harris | 127-4 Joshuatown Rd, Lyme, CT 06371-3139 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Randall Zuckerman Md | 2800 Main St, Bridgeport, CT 06606-4201 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Randall R Long Md | Univ of Mass Med Ctr, Worcester, MA 01655 | Controlled Substance Registration for Practitioner | 2008-03-01 ~ 2009-02-28 |
Please comment or provide details below to improve the information on RANDALL P GRAFF MD.
| 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).