JEREMIAH STITHAM (Credential# 1293388) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2019. The license expiration date date is February 28, 2021. The license status is ACTIVE.
JEREMIAH STITHAM is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0060578. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2019. The expiration date is February 28, 2021. The business address is 585 Park Rd Unit 10-2, Waterbury, CT 06708-2354. The current status is active.
| Licensee Name | JEREMIAH STITHAM |
| Credential ID | 1293388 |
| Credential Number | CSP.0060578 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
585 Park Rd Unit 10-2 Waterbury CT 06708-2354 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2015-06-10 |
| Effective Date | 2019-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2019-02-26 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1496780 | 1.061353 | Physician/Surgeon | 2018-06-14 | 2019-05-01 - 2020-04-30 | ACTIVE |
| 1493793 | 1.060039-RES | Resident Physician | 2015-06-15 | 2015-06-15 - 2018-06-30 | INACTIVE |
| Street Address | 585 PARK RD UNIT 10-2 |
| City | WATERBURY |
| State | CT |
| Zip Code | 06708-2354 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| The Perfect Place LLC | 585 Park Rd Unit 9-12, Waterbury, CT 06708-2354 | Vending Machine Operator | 2020-06-26 ~ 2021-06-30 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Lee Ann M Soden · Schmacher | 925 Oronoke Rd, Waterbury, CT 06708 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Sega Ready Mix | 310 Chase River Rd, Waterbury, CT 06708 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Mary F Chinn | 24 Taft Pointe Unit 47, Waterbury, CT 06708 | Notary Public Appointment | 2005-09-01 ~ 2010-08-31 |
| Joseph Silva | 65 Dixie Ave., Waterbury, CT 06708 | Medication Administration Certification | 2020-06-03 ~ 2022-06-02 |
| Mandy M Desjarlais | 171 Herschel Ave, Waterbury, CT 06708 | Licensed Practical Nurse | 2020-07-01 ~ 2021-06-30 |
| Francisco J Colon Rodriguez LLC | 55 Eastern Ave Apt42, Waterbury, CT 06708 | Home Improvement Contractor | 2020-06-24 ~ 2020-11-30 |
| Morgan Sunyoung Heo | 1249 West Main Street, Waterbury, CT 06708 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Peter Mmangisa Chonga | 119 Taft Pt, Waterbury, CT 06708 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Xuemei Li | 28 Cronin Dr, Waterbury, CT 06708 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Tasheaka R Jones | 151 Park Terr, Waterbury, CT 06708 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Find all Licenses in zip 06708 | |||
| City | WATERBURY |
| Zip Code | 06708 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + WATERBURY |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Jeremiah H Yim | 164-15 29th Avenue, Flushing, NY 11358 | Controlled Substance Registration for Practitioner | 2019-02-28 ~ 2021-02-28 |
| Jeremiah J Keefe | 3 Ward St, Norwalk, CT 06851-2714 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Jeremiah T Shea Dpm | 302 Captians Walk, New London, CT 06320 | Controlled Substance Registration for Practitioner | 1997-03-01 ~ 1998-02-28 |
| Jeremiah T Martin | Hospital of St Raphael, New Haven, CT 06511 | Controlled Substance Registration for Practitioner | 2009-03-01 ~ 2011-02-28 |
| Jeremiah N O'dwyer Dds | 15 Middle Tpke W, Manchester, CT 06040-4045 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Raul A Arguello | 46 Jeremiah Rd, Sandy Hook, CT 06482-1407 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Jeremiah James Lewis Md | Stamford Health Medical Group, New Canaan, CT 06840 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Jeremiah Marron · Darien Police Department | 25 Hecker Ave, Darien, CT 06820-5308 | Controlled Substance Laboratory | 2020-02-01 ~ 2021-01-31 |
| Steven Kassels Md · Community Substance Abuse Center | Comm. Physicians PC/125 North Elm Street, Westfield, MA 01085 | Controlled Substance Registration for Practitioner | 2018-06-15 ~ 2019-02-28 |
| Shu-i Lin | CT | Controlled Substance Registration for Practitioner | 2017-06-12 ~ 2019-02-28 |
Please comment or provide details below to improve the information on JEREMIAH STITHAM.
| 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).