STEPHANIE K FOWLER MD (Credential# 218808) 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.
STEPHANIE K FOWLER MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0028720. 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 110 Weldon Ct, Goshen, CT 06756-1615. The current status is active.
| Licensee Name | STEPHANIE K FOWLER MD |
| Credential ID | 218808 |
| Credential Number | CSP.0028720 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
110 Weldon Ct Goshen CT 06756-1615 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 1999-08-26 |
| Effective Date | 2019-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2019-02-25 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 555642 | 1.038052 | Physician/Surgeon | 1999-08-13 | 2019-12-01 - 2020-11-30 | ACTIVE |
| Street Address | 110 WELDON CT |
| City | GOSHEN |
| State | CT |
| Zip Code | 06756-1615 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Peter C Herbst | 6 Cornwall Drive, Goshen, CT 06756 | Notary Public Appointment | 2020-08-01 ~ 2025-07-31 |
| Janice Caroline Connor | 20 Dresden Court West, Goshen, CT 06756 | Notary Public Appointment | 2016-01-01 ~ 2020-12-31 |
| James Adelbert Johnson | 316 Sharon Tpke, Goshen, CT 06756 | Real Estate Salesperson | 2020-06-23 ~ 2021-05-31 |
| Jesse W Willis | 152 Hageman Shean Road, Goshen, CT 06756 | Crane Operator | ~ |
| William G Colby | 4 Brynmoor Court, Goshen, CT 06756 | Sub-surface Sewage Installer | 2020-06-01 ~ 2021-05-31 |
| Heidi L Rosko | 160 Sharon Turnpike, Goshen, CT 06756 | Licensed Practical Nurse | 2020-08-01 ~ 2021-07-31 |
| Lynn Marie Steinmayer | 302 Sharon Turnpike, Goshen, CT 06756 | Master's Level Social Worker - Temporary Permit | 2020-04-08 ~ 2020-05-31 |
| Jeffrey R Durkin | 295 N Goshen Rd, Goshen, CT 06756 | Youth Camp Director | 2020-06-17 ~ |
| Michele A Esandrio | 38 Pie Hill Rd., Goshen, CT 06756 | Esthetician | ~ |
| Janet Howe | 48 Brynmoor Ct, Goshen, CT 06756 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Find all Licenses in zip 06756 | |||
| City | GOSHEN |
| Zip Code | 06756 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + GOSHEN |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Scott Fowler Md | 153 Belltown Rd, Stamford, CT 06905-3312 | Controlled Substance Registration for Practitioner | 2009-03-01 ~ 2011-02-28 |
| Carol J Annino | 173 Fowler Ave, Middletown, CT 06457-3649 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
| Jessica Fowler | 95 Brown Ave Apt 3r, Holyoke, MA 01040-3528 | Controlled Substance Registration for Practitioner | 2020-05-29 ~ 2021-02-28 |
| Jose M Esquilin | 96 Fowler St Unit 2-r, New Haven, CT 06515 | Controlled Substance Registration for Practitioner | 2008-03-07 ~ 2009-02-28 |
| Daniel Hartman | 26 Fowler Rd, North Stonington, CT 06359 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Mara V Vijups | 302 Fowler Avenue, Middletown, CT 06457 | Controlled Substance Registration for Practitioner | 1995-11-14 ~ 1997-02-28 |
| Brittany Fowler | 5 Perryridge Road, Greenwich, CT 06830 | Controlled Substance Registration for Practitioner | 2019-06-25 ~ 2021-02-28 |
| Roland B Fowler Dvm | Mattatuck Animal Hospital, Waterbury, CT 06708 | Controlled Substance Registration for Practitioner | 2001-03-01 ~ 2002-02-28 |
| Melinda J Fowler Lnm | 10330 Swift Stream Pl Apt 209, Columbia, MD 21044-4874 | Controlled Substance Registration for Practitioner | 2009-04-17 ~ 2011-02-28 |
| Stephanie T Borey Od | P. O. Box 6, Ledyard, CT 06339 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
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| 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).