ROBERT R SPRAGUE MD (Credential# 564933) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is August 1, 2012. The license expiration date date is July 31, 2013. The license status is INACTIVE.
ROBERT R SPRAGUE MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.047351. The credential type is physician/surgeon. The effective date is August 1, 2012. The expiration date is July 31, 2013. The business address is 103 Blue Heron Dr, Wexford, PA 15090-2511. The current status is inactive.
| Licensee Name | ROBERT R SPRAGUE MD |
| Credential ID | 564933 |
| Credential Number | 1.047351 |
| Credential Type | Physician/Surgeon |
| Business Address |
103 Blue Heron Dr Wexford PA 15090-2511 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 2009-02-10 |
| Effective Date | 2012-08-01 |
| Expiration Date | 2013-07-31 |
| Refresh Date | 2013-11-06 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 376609 | CSP.0035410 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2004-08-12 | 2011-03-21 - 2013-02-28 | INACTIVE |
| Street Address | 103 BLUE HERON DR |
| City | WEXFORD |
| State | PA |
| Zip Code | 15090-2511 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Coeptis Pharmaceuticals Inc · Coeptis Pharmaceuticals, Inc | 105 Bradford Rd Ste# 420, Wexford, PA 15090 | Wholesaler of Drugs, Cosmetics & Medical Devices | 2020-07-01 ~ 2021-06-30 |
| Ronald D Martin | 240 Emmett Rd, Wexford, PA 15090 | Pharmacist | 2020-02-01 ~ 2022-01-31 |
| Angela D Nikitas | 423 Fairmont Drive, Wexford, PA 15090 | Pharmacist | 2020-02-01 ~ 2022-01-31 |
| Annette Jeanne English | 135 Blue Heron Drive, Wexford, PA 15090 | Pharmacist | 2020-02-01 ~ 2022-01-31 |
| Trang Mai | 318 Marshall Heights Dr, Wexford, PA 15090 | Pharmacist | 2020-02-01 ~ 2022-01-31 |
| Vasudha Kale | 10596 Forest Hill Dr, Wexford, PA 15090 | Physician/surgeon | 2019-12-01 ~ 2020-11-30 |
| Jeremy A Kriner | 100 Greenwood Drive, Wexford, PA 15090 | Advanced Practice Registered Nurse | 2019-11-01 ~ 2020-10-31 |
| Corey Pacek | 7500 Brooktree Rd., Wexford, PA 15090 | Physician/surgeon | 2019-07-01 ~ 2020-06-30 |
| William E. Saar | 7500 Brooktree Road, Wexford, PA 15090 | Physician/surgeon | 2019-07-01 ~ 2020-06-30 |
| Trenton M Gause | Tri Rivers Consulting, Wexford, PA 15090 | Physician/surgeon | 2019-05-01 ~ 2020-04-30 |
| Find all Licenses in zip 15090 | |||
| City | WEXFORD |
| Zip Code | 15090 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + WEXFORD |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Robert C Sprague Jr · Sprague Builders | 43 Old Post Rd 3, Millerton, NY 12546-5159 | Home Improvement Contractor | 2019-12-09 ~ 2020-11-30 |
| Kevin J Sprague | 55 Robin Hill Rd, Newtown, CT 06470 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Bruce L Sprague | P.o. Box 7928, Hilton Head Island, SC 29938 | Physician/surgeon | 2003-08-21 ~ 2004-08-31 |
| Sprague Rod & Gun Club | 90 Bushnell Hollow Rd, Baltic, CT 06330-1438 | Club Liquor | 2020-04-12 ~ 2021-08-11 |
| Brent Robert Jacobson | Envision Physician Services, Dallas, TX 75240 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
| Sprague Rod & Gun Club Inc | 90 Bushnell Hollow Road, Baltic, CT 06360 | Public Charity | 2019-03-22 ~ 2020-09-30 |
| Robert M Sprague Jr | 61 Conner Dr, Middletown, CT 06457 | Certified Residential Real Estate Appraiser | 2020-05-01 ~ 2021-04-30 |
| Robert B Uricchoi | 12 Sprague Street, Hartford, CT 06100 | Notary Public Appointment | 1970-04-13 ~ 1975-03-31 |
| Robert J Gionfriddo | CT | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Robert Sussman | 167 Purchase St, Rye, NY 10580 | Physician/surgeon | 2001-04-16 ~ 2002-05-31 |
Please comment or provide details below to improve the information on ROBERT R SPRAGUE 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).