RACHEL W HUMPHREY
Physician/surgeon


Address: 251 Bouvant Dr, Princeton, NJ 08540-1227

RACHEL W HUMPHREY (Credential# 553898) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is September 1, 2014. The license expiration date date is August 31, 2015. The license status is EXPIRED APPLICATION.

Business Overview

RACHEL W HUMPHREY is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.036306. The credential type is physician/surgeon. The effective date is September 1, 2014. The expiration date is August 31, 2015. The business address is 251 Bouvant Dr, Princeton, NJ 08540-1227. The current status is expired application.

Basic Information

Licensee Name RACHEL W HUMPHREY
Credential ID 553898
Credential Number 1.036306
Credential Type Physician/Surgeon
Business Address 251 Bouvant Dr
Princeton
NJ 08540-1227
Business Type INDIVIDUAL
Status EXPIRED APPLICATION
Issue Date 1997-08-15
Effective Date 2014-09-01
Expiration Date 2015-08-31
Refresh Date 2017-08-24

Other licenses

ID Credential Code Credential Type Issue Term Status
188416 CSP.0026238 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 2004-02-29 2013-03-01 - 2015-02-28 INACTIVE

Office Location

Street Address 251 BOUVANT DR
City PRINCETON
State NJ
Zip Code 08540-1227

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City PRINCETON
Zip Code 08540
License Type Physician/Surgeon
License Type + County Physician/Surgeon + PRINCETON

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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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