STACEY R DALLAS (Credential# 1034364) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is July 30, 2019. The license expiration date date is February 28, 2021. The license status is ACTIVE.
STACEY R DALLAS is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0051439. The credential type is controlled substance registration for practitioner. The effective date is July 30, 2019. The expiration date is February 28, 2021. The business address is 60 Nonnewaug Road, Bethlehem, CT 06751. The current status is active.
| Licensee Name | STACEY R DALLAS |
| Credential ID | 1034364 |
| Credential Number | CSP.0051439 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
60 Nonnewaug Road Bethlehem CT 06751 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2011-09-21 |
| Effective Date | 2019-07-30 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2019-07-31 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 772812 | 47.003138 | Veterinarian | 2005-10-19 | 2020-02-01 - 2021-01-31 | ACTIVE |
| Street Address | 60 Nonnewaug Road |
| City | Bethlehem |
| State | CT |
| Zip Code | 06751 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Paul J Manning | 60 Nonnewaug Road, Bethlehem, CT 06751 | Notary Public Appointment | 2002-01-28 ~ 2007-01-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Lisa M Perugini | 48 Main St S, Bethlehem, CT 06751 | Notary Public Appointment | 2020-04-01 ~ 2025-03-31 |
| Pamela A Dvariskis | 116 Town Line Rd, Bethlehem, CT 06751 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| A Lucille Matarese | Abbey of Regina Laudis, Bethlehem, CT 06751 | Notary Public Appointment | 2020-06-01 ~ 2025-05-31 |
| Marsha Hutchinson | 273 Flanders Road, Bethlehem, CT 06751 | Notary Public Appointment | 2020-04-01 ~ 2025-03-31 |
| Lissa Lovetree | 11 Carmel Hill Rd. North, Bethlehem, CT 06751 | Embalmer | 2020-09-01 ~ 2021-08-31 |
| Terry B Welsh | 46 Crane Lane, Bethlehem, CT 06751 | Licensed Clinical Social Worker | 2020-07-01 ~ 2021-06-30 |
| Rita Albert | 57 Green Hill Rd, Bethlehem, CT 06751 | Esthetician | 2020-06-11 ~ 2022-02-28 |
| Kathryn Ann Eren | 60 Carmel Hill Rd N, Bethlehem, CT 06751 | Notary Public Appointment | 2020-06-12 ~ 2025-06-30 |
| Gail Mccleary | 153 Hard Hill Road North, Bethlehem, CT 06751 | Speech and Language Pathologist | 2020-08-01 ~ 2021-07-31 |
| Jake T Hamak | 53 Lakes Road, Bethlehem, CT 06751 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| Find all Licenses in zip 06751 | |||
| City | Bethlehem |
| Zip Code | 06751 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + Bethlehem |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Stacey A Carron Dvm | 691 Mix Ave Apt A1, Hamden, CT 06514-2207 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Stacey B Weldon Md | 26 Tremont St, Cos Cob, CT 06807-2422 | Controlled Substance Registration for Practitioner | 2009-03-01 ~ 2011-02-28 |
| Stacey A Kasperzak | 495 South Rd, Somers, CT 06071-2210 | Controlled Substance Registration for Practitioner | 2019-03-06 ~ 2021-02-28 |
| Stacey Stein Md | 252 Old Oaks Rd, Fairfield, CT 06825-1932 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Stacey M Langsam Do | 538 Litchfield St Ste G02, Torrington, CT 06790-6669 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Stacey L Spear Pa | 39 S Benson Rd, Fairfield, CT 06824-6213 | Controlled Substance Registration for Practitioner | 2003-03-01 ~ 2004-02-28 |
| Stacey S Cummings | 282 Washington St, Hartford, CT 06106 | Controlled Substance Registration for Practitioner | 2009-03-01 ~ 2011-02-28 |
| William G Chang | 27 Stacey Ln, Madison, CT 06443 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Stacey Lombardo | 7 Lawrence Ave, Danbury, CT 06810-5180 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Katharine B. Connolly | 1 Crestview Dr, Dallas, PA 18612-9155 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
Please comment or provide details below to improve the information on STACEY R DALLAS.
| 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).