STEPHEN G VAN OOTEGHEM
Controlled Substance Registration for Practitioner


Address: 116 Foster St, New Haven, CT 06511-2655

STEPHEN G VAN OOTEGHEM (Credential# 1076472) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2015. The license expiration date date is February 28, 2017. The license status is INACTIVE.

Business Overview

STEPHEN G VAN OOTEGHEM is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0052628. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2015. The expiration date is February 28, 2017. The business address is 116 Foster St, New Haven, CT 06511-2655. The current status is inactive.

Basic Information

Licensee Name STEPHEN G VAN OOTEGHEM
Credential ID 1076472
Credential Number CSP.0052628
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 116 Foster St
New Haven
CT 06511-2655
Business Type INDIVIDUAL
Status INACTIVE
Issue Date 2012-07-12
Effective Date 2015-03-01
Expiration Date 2017-02-28
Refresh Date 2018-01-29

Office Location

Street Address 116 FOSTER ST
City NEW HAVEN
State CT
Zip Code 06511-2655

Licenses in the same location

Licensee Name Office Address Credential Effective / Expiration
Sheila Miriam Antony 116 Foster St, New Haven, CT 06511-2655 Controlled Substance Registration for Practitioner 2015-03-01 ~ 2017-02-28

Licenses in the same zip code

Licensee Name Office Address Credential Effective / Expiration
Jared W Crouse 120 Foster St, New Haven, CT 06511-2655 Emergency Medical Technician 2012-12-10 ~ 2015-04-01

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Marwan S Haddad 38 Lincoln Street, New Haven, CT 06511 Physician/surgeon 2020-07-01 ~ 2021-06-30
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Cary M Tucker 64 Bishop St, New Haven, CT 06511 Architect 2020-08-01 ~ 2021-07-31
Frank J Pannenborg 505 Ellsworth Ave, New Haven, CT 06511 Architect 2020-08-01 ~ 2021-07-31
Crystal E Gooding 26 Woodland Street, New Haven, CT 06511 Notary Public Appointment 2020-07-01 ~ 2025-06-30
Kieran Jones 260 Crown St Unit 1f, New Haven, CT 06511 Registered Nurse ~
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Competitor

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City NEW HAVEN
Zip Code 06511
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + NEW HAVEN

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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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