RAPHAEL D SCHWARTZ (Credential# 539143) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is February 1, 2015. The license expiration date date is January 31, 2016. The license status is INACTIVE.
RAPHAEL D SCHWARTZ is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.008357. The credential type is physician/surgeon. The effective date is February 1, 2015. The expiration date is January 31, 2016. The business address is 10 Shady Lane, Ridgefield, CT 06877. The current status is inactive.
Licensee Name | RAPHAEL D SCHWARTZ |
Credential ID | 539143 |
Credential Number | 1.008357 |
Credential Type | Physician/Surgeon |
Business Address |
10 Shady Lane Ridgefield CT 06877 |
Business Type | INDIVIDUAL |
Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
Issue Date | 1956-10-15 |
Effective Date | 2015-02-01 |
Expiration Date | 2016-01-31 |
Refresh Date | 2016-05-05 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
149228 | CSP.0001451 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2009-03-01 - 2011-02-28 | INACTIVE |
Street Address | 10 Shady Lane |
City | Ridgefield |
State | CT |
Zip Code | 06877 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Kathleen Morrin | 169 Nod Road, Ridgefield, CT 06877 | Radiographer | 2020-09-01 ~ 2021-08-31 |
Elena Yakimova | 8 Lawson Lane, Ridgefield, CT 06877 | Dental Hygienist | 2020-07-01 ~ 2021-06-30 |
Jasmine Gannalo | 35 Clearview Dr, Ridgefield, CT 06877 | Esthetician | 2020-06-26 ~ 2022-06-30 |
Nicole A Van Alstyne | 105 Stonecrest Road, Ridgefield, CT 06877 | Real Estate Salesperson | ~ |
Andrea A Delange · Ledina | 5 Copper Beech Lane, Ridgefield, CT 06877 | Physical Therapist | 2020-09-01 ~ 2021-08-31 |
Mitchell O Hubsher | 77 Chestnut Hill Road, Ridgefield, CT 06877 | Naturopathic Physician | 2020-07-01 ~ 2021-06-30 |
Milillo Farms | 424 R Main St, Ridgefield, CT 06877 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
Marie G Donofrio | 36 Woodlawn Dr, Ridgefield, CT 06877 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
Jennifer M Kinford | 40 Woodland Way, Ridgefield, CT 06877 | Esthetician | ~ |
Lauren Elizabeth Pambianchi | 49 11 Levels Road, Ridgefield, CT 06877 | Registered Nurse | ~ |
Find all Licenses in zip 06877 |
City | Ridgefield |
Zip Code | 06877 |
License Type | Physician/Surgeon |
License Type + County | Physician/Surgeon + Ridgefield |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Raphael M Cooper | 12 Great Oak Ln, Unionville, CT 06085-1544 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
Raphael A Carandang Md | 55 Lake Ave N, Worcester, MA 01655-0002 | Physician/surgeon | 2019-10-01 ~ 2020-09-30 |
Ronan Ali Md | Hospital of St.raphael, New Haven, CT 06511 | Physician/surgeon | 2008-03-04 ~ 2009-04-30 |
Alan H Tralins | St. Raphael Hospital, New Haven, CT 06510 | Physician/surgeon | 1983-07-26 ~ 1984-02-28 |
Stacie Perlman Md | Hospital of St.raphael, New Haven, CT 06511 | Physician/surgeon | 2007-02-23 ~ 2008-04-30 |
Nana A Arthur Md | Hospital of St.raphael, New Haven, CT 06511 | Physician/surgeon | 2007-04-10 ~ 2008-05-31 |
Raphael Zahler | 2630 Canterbury Rd, San Marino, CA 91108 | Physician/surgeon | 1997-05-12 ~ 1998-06-30 |
Raphael T Schein | 101 B Town Green, Wilton, CT 06897 | Physician/surgeon | 1995-01-04 ~ 1996-01-31 |
Raphael S Bloch | 20 Apple Tree Drive, Stamford, CT 06906 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
Jean M Francis | Hospital of Saint Raphael, New Haven, CT 06511 | Physician/surgeon | 2009-03-13 ~ 2010-04-30 |
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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).