STEPHEN D PACKER (Credential# 1489117) is licensed (Resident Physician) with Connecticut Department of Consumer Protection. The license effective date is June 22, 2017. The license expiration date date is June 30, 2023. The license status is ACTIVE.
STEPHEN D PACKER is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.058415-RES. The credential type is resident physician. The effective date is June 22, 2017. The expiration date is June 30, 2023. The business address is 224 Elmwood Ave, Maplewood, NJ 07040-1907. The current status is active.
| Licensee Name | STEPHEN D PACKER |
| Credential ID | 1489117 |
| Credential Number | 1.058415-RES |
| Credential Type | Resident Physician |
| Credential SubCategory | RES |
| Business Address |
224 Elmwood Ave Maplewood NJ 07040-1907 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2017-06-22 |
| Effective Date | 2017-06-22 |
| Expiration Date | 2023-06-30 |
| Refresh Date | 2018-02-02 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1430355 | CSP.0065833 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2017-06-13 | 2017-06-13 - 2019-02-28 | LAPSED |
| Street Address | 224 ELMWOOD AVE |
| City | MAPLEWOOD |
| State | NJ |
| Zip Code | 07040-1907 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Michael Fonte | 173 Indiana St, Maplewood, NJ 07040 | Architect | 2020-08-01 ~ 2021-07-31 |
| John W James IIi | 96 Jefferson Ave, Maplewood, NJ 07040 | Architect | 2020-08-01 ~ 2021-07-31 |
| Gerald H Genet Inc | 111 Dunnell Rd, Maplewood, NJ 07040 | Real Estate Broker | 2019-04-01 ~ 2020-03-31 |
| Erika Veronica Colbert | 37 Jacoby Street, Maplewood, NJ 07040 | Registered Nurse | 2020-04-01 ~ 2021-03-31 |
| Catherine C Blodgett | 4 Crowell Place, Maplewood, NJ 07040 | Registered Nurse | 2019-09-01 ~ 2020-08-31 |
| Nanci Buscemi | 90 Oakland Road, Maplewood, NJ 07040 | Professional Engineer | 2017-02-01 ~ 2018-01-31 |
| Tri State Leaf Filter LLC | 40 Dunnell Rd, Maplewood, NJ 07040 | Home Improvement Contractor | 2003-12-01 ~ 2004-11-30 |
| Food of Our Own Design · Quickel Inc | 1988 Springfield, Maplewood, NJ 07040 | Bakery | 2007-07-01 ~ 2008-06-30 |
| Bethany A Joseph | 7 Wellesley Road, Maplewood, NJ 07040 | Master's Level Social Worker | 2017-05-01 ~ 2018-04-30 |
| John Hassler | 5 Girard Pl., Maplewood, NJ 07040 | Crane Operator | 1998-03-14 ~ 2000-03-13 |
| Find all Licenses in zip 07040 | |||
| City | MAPLEWOOD |
| Zip Code | 07040 |
| License Type | Resident Physician |
| License Type + County | Resident Physician + MAPLEWOOD |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Howard F Packer · Packer Contracting Co | 17 Great Hill Rd, Newtown, CT 06470 | Home Improvement Contractor | 2019-12-01 ~ 2020-11-30 |
| Stephen Wu | 24 Hospital Ave, Danbury, CT 06810-6099 | Resident Physician | 2020-06-22 ~ 2023-06-30 |
| Stephen L Carter | 175 19th St. #505, Brooklyn, NY 11232 | Resident Physician | 2019-07-01 ~ 2023-06-30 |
| Donald Stephen Wright | 20 York St, New Haven, CT 06510-3220 | Resident Physician | 2020-07-01 ~ 2021-06-30 |
| Stephen P. Wiseman | 939 N High St Unit 310, Columbus, OH 43201-2554 | Resident Physician | 2016-08-01 ~ 2021-06-30 |
| John Stephen Sullivan | 38 Crown St Apt 310, New Haven, CT 06510-3354 | Resident Physician | 2020-07-01 ~ 2021-06-30 |
| Stephen Yishu Wang | 84 Howe St Apt 202, New Haven, CT 06511-4629 | Resident Physician | 2020-06-11 ~ 2021-06-30 |
| Stephen Allsop | 103 Meadow St Apt 1, East Haven, CT 06512-3512 | Resident Physician | 2019-06-11 ~ 2023-06-30 |
| Packer's Inc | 285 Hillfield Rd, Hamden, CT 06518 | Home Improvement Contractor | 2000-12-01 ~ 2001-11-30 |
| Stephen Michael Smith | 2704-500 Shelbourne Street, Toronto M4x 1l1, OC | Resident Physician | 2017-07-01 ~ 2020-06-30 |
Please comment or provide details below to improve the information on STEPHEN D PACKER.
| 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).