VINCENT J STEPHENS MD
Controlled Substance Registration for Practitioner


Address: 127 Vernon Rd, Bolton, CT 06043

VINCENT J STEPHENS MD (Credential# 147258) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2013. The license expiration date date is February 28, 2015. The license status is INACTIVE.

Business Overview

VINCENT J STEPHENS MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0005903. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2013. The expiration date is February 28, 2015. The business address is 127 Vernon Rd, Bolton, CT 06043. The current status is inactive.

Basic Information

Licensee Name VINCENT J STEPHENS MD
Credential ID 147258
Credential Number CSP.0005903
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 127 Vernon Rd
Bolton
CT 06043
Business Type INDIVIDUAL
Status INACTIVE
Effective Date 2013-03-01
Expiration Date 2015-02-28
Refresh Date 2016-01-29

Other licenses

ID Credential Code Credential Type Issue Term Status
542373 1.017402 Physician/Surgeon 1975-08-01 2012-10-01 - 2013-09-30 INACTIVE

Office Location

Street Address 127 VERNON RD
City BOLTON
State CT
Zip Code 06043

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Competitor

Search similar business entities

City BOLTON
Zip Code 06043
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + BOLTON

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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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