STEPHANIE W SUN
Controlled Substance Registration for Practitioner


Address: 10 N Main St Apt 307, Beacon Falls, CT 06403-1139

STEPHANIE W SUN (Credential# 1231493) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2017. The license expiration date date is February 28, 2019. The license status is LAPSED.

Business Overview

STEPHANIE W SUN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0057644. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2017. The expiration date is February 28, 2019. The business address is 10 N Main St Apt 307, Beacon Falls, CT 06403-1139. The current status is lapsed.

Basic Information

Licensee Name STEPHANIE W SUN
Credential ID 1231493
Credential Number CSP.0057644
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 10 N Main St Apt 307
Beacon Falls
CT 06403-1139
Business Type INDIVIDUAL
Status LAPSED
Active 1
Issue Date 2014-06-27
Effective Date 2017-03-01
Expiration Date 2019-02-28
Refresh Date 2019-03-06

Other licenses

ID Credential Code Credential Type Issue Term Status
1400459 1.056319 Physician/Surgeon 2017-03-31 2017-11-01 - 2018-10-31 INACTIVE

Office Location

Street Address 10 N MAIN ST APT 307
City BEACON FALLS
State CT
Zip Code 06403-1139

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Competitor

Search similar business entities

City BEACON FALLS
Zip Code 06403
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + BEACON FALLS

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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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