RANDOLPH C KINKADE OD
Optometrist


Address: 63 West St # A2, Litchfield, CT 06759-3502

RANDOLPH C KINKADE OD (Credential# 762609) is licensed (Optometrist) with Connecticut Department of Consumer Protection. The license effective date is December 1, 2018. The license expiration date date is November 30, 2019. The license status is INACTIVE.

Business Overview

RANDOLPH C KINKADE OD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #3.000935. The credential type is optometrist. The effective date is December 1, 2018. The expiration date is November 30, 2019. The business address is 63 West St # A2, Litchfield, CT 06759-3502. The current status is inactive.

Basic Information

Licensee Name RANDOLPH C KINKADE OD
Credential ID 762609
Credential Number 3.000935
Credential Type Optometrist
Business Address 63 West St # A2
Litchfield
CT 06759-3502
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 1981-09-09
Effective Date 2018-12-01
Expiration Date 2019-11-30
Refresh Date 2020-03-04

Other licenses

ID Credential Code Credential Type Issue Term Status
181612 CSP.0025481 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 2013-03-01 - 2015-02-28 INACTIVE
1027859 37-TRNG Hearing Instrument Specialist-Training Permit 2011-10-07 2011-10-07 - 2012-10-07 INACTIVE
1047686 37 Hearing Instrument Specialist - EXPIRED APPLICATION

Office Location

Street Address 63 WEST ST # A2
City LITCHFIELD
State CT
Zip Code 06759-3502

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Competitor

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City LITCHFIELD
Zip Code 06759
License Type Optometrist
License Type + County Optometrist + LITCHFIELD

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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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