RICHARD K GAINES MD (Credential# 533272) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is June 17, 2019. The license expiration date date is February 28, 2021. The license status is ACTIVE.
RICHARD K GAINES MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0045539. The credential type is controlled substance registration for practitioner. The effective date is June 17, 2019. The expiration date is February 28, 2021. The business address is 3389 Sheridan St, Hollywood, FL 33021. The current status is active.
Licensee Name | RICHARD K GAINES MD |
Credential ID | 533272 |
Credential Number | CSP.0045539 |
Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
Business Address |
3389 Sheridan St Hollywood FL 33021 |
Business Type | INDIVIDUAL |
Status | ACTIVE - CURRENT |
Active | 1 |
Issue Date | 2009-06-08 |
Effective Date | 2019-06-17 |
Expiration Date | 2021-02-28 |
Refresh Date | 2019-06-17 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
559129 | 1.041546 | Physician/Surgeon | 2003-06-09 | 2020-02-01 - 2021-01-31 | ACTIVE |
340764 | CSP.0033745 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2005-04-25 - 2006-02-28 | INACTIVE |
Street Address | 3389 Sheridan st |
City | Hollywood |
State | FL |
Zip Code | 33021 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Sebesta Inc | 200 S Park Road, Suite 350, Hollywood, FL 33021 | Professional Engineering Corporation | 2020-06-13 ~ 2021-06-12 |
Leo Skrzypek | 3215 Wilson St, Hollywood, FL 33021 | Pharmacist | 2018-02-01 ~ 2020-01-31 |
William A Hudson IIi | 4106 No. Circle Dr., Hollywood, FL 33021 | Embalmer | 2019-12-01 ~ 2020-11-30 |
Yao Lu | 4703 Greenway Drive, Hollywood, FL 33021 | Optometrist | 2019-09-27 ~ 2020-09-30 |
Mehmet Guzelbeyoglu | 4409 Monroe Street, Hollywood, FL 33021 | Physician/surgeon | 2019-10-01 ~ 2020-09-30 |
Stephanie Lindor | 5815 Siena Lane, Hollywood, FL 33021 | Registered Nurse | 2017-10-02 ~ 2018-10-31 |
Richard L Proulx | 5406 Garfield St, Hollywood, FL 33021 | Registered Nurse | 2017-07-01 ~ 2018-06-30 |
Denise E Kruszynski | 3501 Johnson Street, Hollywood, FL 33021 | Registered Nurse | 2016-01-05 ~ 2016-05-31 |
Daniel I Bober | 3595 Sheridan Street, Hollywood, FL 33021 | Physician/surgeon | 2013-05-01 ~ 2014-04-30 |
Richard M Shlafer | 4418 Grant Street, Hollywood, FL 33021 | Certified Public Accountant License | 1971-01-01 ~ 1971-12-31 |
Find all Licenses in zip 33021 |
City | Hollywood |
Zip Code | 33021 |
License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + Hollywood |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Tyeese L Gaines | 555 West Side Ave, Jersey City, NJ 07304-1617 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Elizabeth Gaines-cardone | 35 Phillips Lane, Darien, CT 06820 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Richard Zhu | 20 York St Tmp 209, New Haven, CT 06510-3220 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Richard S Lee | 196 Crown St Apt 402, New Haven, CT 06510 | Controlled Substance Registration for Practitioner | 2004-10-25 ~ 2005-02-28 |
Richard A Segool | 115 Elm St, Enfield, CT 06082 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Richard M Goldman | Po Box 518, Fairfield, CT 06824-0518 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Richard Young Pa | Belmont, VT 05730 | Controlled Substance Registration for Practitioner | 2003-03-01 ~ 2004-02-28 |
Richard L Yap Md | 151 Andrew Ave Apt 85, Naugatuck, CT 06770 | Controlled Substance Registration for Practitioner | 2003-03-01 ~ 2004-02-28 |
Richard S Gottfried M.d. | 1 Theall Rd, Rye, NY 10580 | Controlled Substance Registration for Practitioner | 2009-03-01 ~ 2011-02-28 |
Richard N Smith | Po Box 388, Middlebury, CT 06762 | Controlled Substance Registration for Practitioner | 2016-06-16 ~ 2019-02-28 |
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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).