STACEY A CARRON DVM
Controlled Substance Registration for Practitioner


Address: 691 Mix Ave Apt A1, Hamden, CT 06514-2207

STACEY A CARRON DVM (Credential# 1253087) 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

STACEY A CARRON DVM is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0058953. 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 691 Mix Ave Apt A1, Hamden, CT 06514-2207. The current status is lapsed.

Basic Information

Licensee Name STACEY A CARRON DVM
Credential ID 1253087
Credential Number CSP.0058953
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 691 Mix Ave Apt A1
Hamden
CT 06514-2207
Business Type INDIVIDUAL
Status LAPSED
Active 1
Issue Date 2014-11-01
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
773031 47.003357 Veterinarian 2008-06-17 2016-12-01 - 2017-11-30 INACTIVE
507447 CSP.0043753 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 2008-07-03 2009-03-01 - 2011-02-28 INACTIVE

Office Location

Street Address 691 MIX AVE APT A1
City HAMDEN
State CT
Zip Code 06514-2207

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Danielle R Musella 691 Mix Ave, Hamden, CT 06514-2207 Athletic Trainer 2011-01-01 ~ 2011-12-31

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Competitor

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City HAMDEN
Zip Code 06514
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + HAMDEN

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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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