STACEY H GOLUB DVM
Controlled Substance Registration for Practitioner


Address: 172 Hog Hill Road, East Hampton, CT 06424

STACEY H GOLUB DVM (Credential# 198344) 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.

Business Overview

STACEY H GOLUB DVM is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0027019. 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 172 Hog Hill Road, East Hampton, CT 06424. The current status is active.

Basic Information

Licensee Name STACEY H GOLUB DVM
Credential ID 198344
Credential Number CSP.0027019
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 172 Hog Hill Road
East Hampton
CT 06424
Business Type INDIVIDUAL
Status ACTIVE - CURRENT
Active 1
Issue Date 1999-03-18
Effective Date 2019-03-01
Expiration Date 2021-02-28
Refresh Date 2019-02-04

Other licenses

ID Credential Code Credential Type Issue Term Status
772284 47.002609 Veterinarian 1998-06-19 2019-10-01 - 2020-09-30 ACTIVE

Office Location

Street Address 172 HOG HILL ROAD
City EAST HAMPTON
State CT
Zip Code 06424

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Robert P Zipoli · Zip's Home Improvement 38 Town Farm Rd, East Hampton, CT 06424 Home Improvement Contractor 2020-06-27 ~ 2020-11-30
Timothy R Cirillo 7 Bevin Blvd., East Hampton, CT 06424 Sub-surface Sewage Cleaner 2020-07-01 ~ 2021-06-30
Quentin D Walton 15 Sherry Dr, East Hampton, CT 06424 Public Weigher 2020-07-01 ~ 2021-06-30
Stephanie M. Miller 11 Browning Drive, East Hampton, CT 06424 Emergency Medical Technician 2020-07-01 ~ 2022-06-30
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Robert A Sehl 72 Childs Road, East Hampton, CT 06424 Water Treatment Plant Operator - Class II 2020-04-01 ~ 2023-03-31
Debra Ann Licht Mayer 28 North Cone Road, East Hampton, CT 06424 Registered Nurse ~
Patrick U Hammond 66 Charles Mary Dr, East Hampton, CT 06424 Backflow Prevention Device Tester 2020-04-01 ~ 2023-03-31
Kayla Commesso 7 Sherry Dr, East Hampton, CT 06424 Medication Administration Certification 2020-06-22 ~ 2022-06-22
Lauren R Mechanic 11 South Ridge, East Hampton, CT 06424 Barber 2020-09-01 ~ 2022-08-31
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Competitor

Search similar business entities

City EAST HAMPTON
Zip Code 06424
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + EAST HAMPTON

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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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