STEPHEN KLAUTKY MD
Controlled Substance Registration for Practitioner


Address: 5 Oriole Circle, Shrewsbury, MA 01545

STEPHEN KLAUTKY MD (Credential# 381340) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2006. The license expiration date date is February 28, 2007. The license status is INACTIVE.

Business Overview

STEPHEN KLAUTKY MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0036340. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2006. The expiration date is February 28, 2007. The business address is 5 Oriole Circle, Shrewsbury, MA 01545. The current status is inactive.

Basic Information

Licensee Name STEPHEN KLAUTKY MD
Credential ID 381340
Credential Number CSP.0036340
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 5 Oriole Circle
Shrewsbury
MA 01545
Business Type INDIVIDUAL
Status INACTIVE
Issue Date 2004-08-31
Effective Date 2006-03-01
Expiration Date 2007-02-28
Refresh Date 2009-01-26

Other licenses

ID Credential Code Credential Type Issue Term Status
560218 1.042636 Physician/Surgeon 2004-07-08 2005-10-11 - 2006-09-30 INACTIVE

Office Location

Street Address 5 ORIOLE CIRCLE
City SHREWSBURY
State MA
Zip Code 01545

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Competitor

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City SHREWSBURY
Zip Code 01545
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + SHREWSBURY

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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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