STEPHANIE ANN SANFORD
Controlled Substance Registration for Practitioner


Address: 22 Laurel St, Niantic, CT 06357-2622

STEPHANIE ANN SANFORD (Credential# 1307505) 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 ANN SANFORD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0061384. 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 22 Laurel St, Niantic, CT 06357-2622. The current status is lapsed.

Basic Information

Licensee Name STEPHANIE ANN SANFORD
Credential ID 1307505
Credential Number CSP.0061384
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 22 Laurel St
Niantic
CT 06357-2622
Business Type INDIVIDUAL
Status LAPSED
Active 1
Issue Date 2015-08-28
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
1256962 10.126617 Registered Nurse 2015-06-01 2017-07-01 - 2018-06-30 INACTIVE
1282414 12.006146 Advanced Practice Registered Nurse 2015-06-30 2017-07-01 - 2018-06-30 INACTIVE
1273854 10.125480-TEMP Registered Nurse - Temporary 2015-03-23 2015-03-23 - 2015-07-20 INACTIVE

Office Location

Street Address 22 LAUREL ST
City NIANTIC
State CT
Zip Code 06357-2622

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Competitor

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City NIANTIC
Zip Code 06357
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + NIANTIC

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Nicholas Iovanna Dds 15 Sanford Lane, Stamford, CT 06905 Controlled Substance Registration for Practitioner 1996-11-01 ~ 1998-02-28
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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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