HENRY STOLL PA
Controlled Substance Registration for Practitioner


Address: 629 Willow St, Mamaroneck, NY 10543

HENRY STOLL PA (Credential# 167176) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2003. The license expiration date date is February 28, 2004. The license status is INACTIVE.

Business Overview

HENRY STOLL PA is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0024221. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2003. The expiration date is February 28, 2004. The business address is 629 Willow St, Mamaroneck, NY 10543. The current status is inactive.

Basic Information

Licensee Name HENRY STOLL PA
Credential ID 167176
Credential Number CSP.0024221
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 629 Willow St
Mamaroneck
NY 10543
Business Type INDIVIDUAL
Status INACTIVE
Effective Date 2003-03-01
Expiration Date 2004-02-28
Refresh Date 2009-01-26

Office Location

Street Address 629 WILLOW ST
City MAMARONECK
State NY
Zip Code 10543

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Gregg Cameron Deangelis 451 E Boston Post Rd 2nd Flr, Mamaroneck, NY 10543 Architect 2018-08-01 ~ 2019-07-31
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Competitor

Search similar business entities

City MAMARONECK
Zip Code 10543
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + MAMARONECK

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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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