STACEY C MICHAEL DMD (Credential# 409481) 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.
STACEY C MICHAEL DMD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0037743. 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 Michael Dental of Clinton, LLC, Clilnton, CT 06413. The current status is active.
Licensee Name | STACEY C MICHAEL DMD |
Credential ID | 409481 |
Credential Number | CSP.0037743 |
Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
Business Address |
Michael Dental of Clinton, LLC Clilnton CT 06413 |
Business Type | INDIVIDUAL |
Status | ACTIVE - CURRENT |
Active | 1 |
Issue Date | 2005-07-05 |
Effective Date | 2019-03-01 |
Expiration Date | 2021-02-28 |
Refresh Date | 2019-01-14 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
703824 | 2.009372 | Dentist | 2004-10-01 | 2019-11-01 - 2020-10-31 | ACTIVE |
Street Address | MICHAEL DENTAL OF CLINTON, LLC |
City | CLILNTON |
State | CT |
Zip Code | 06413 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Michael Anthony Macdonald | 147 Shore Road, Clinton, CT 06413 | Architect | 2020-08-01 ~ 2021-07-31 |
Scott W Santiago | 5 Hurd Bridge Road, Clinton, CT 06413 | Real Estate Salesperson | ~ |
Kristopher W Brooks | 93 West Main Street, Clinton, CT 06413 | Distribution System Operator - Class II | 2020-04-01 ~ 2023-03-31 |
James F Schetzel | 25 B River Rd, Clinton, CT 06413 | Hairdresser/cosmetician | 2020-09-01 ~ 2022-08-31 |
Amanda Michelle Saren | 7 Grant Place, Clinton, CT 06413 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-20 ~ 2021-12-31 |
Rebecca C Kadel | 118 Long Hill Road, Clinton, CT 06413 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
Tamara A Potselueva | 10 Hemlock Hill Road, Clinton, CT 06413 | Registered Nurse | 2020-04-01 ~ 2021-03-31 |
Lindt Chocolate Shop #397 · Lindt & Sprungli (usa) Inc | 20-a Killingworth Tpke Space 230, Clinton, CT 06413 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
Dana D Striby | 26 Park Drive, Clinton, CT 06413 | Notary Public Appointment | 2020-09-01 ~ 2025-08-31 |
Dunkin Donuts | 172 Clinton Rd, Killingworth, CT 06413 | Bakery | 2020-07-01 ~ 2021-06-30 |
Find all Licenses in zip 06413 |
City | CLILNTON |
Zip Code | 06413 |
License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + CLILNTON |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Stacey A Carron Dvm | 691 Mix Ave Apt A1, Hamden, CT 06514-2207 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
Stacey B Weldon Md | 26 Tremont St, Cos Cob, CT 06807-2422 | Controlled Substance Registration for Practitioner | 2009-03-01 ~ 2011-02-28 |
Stacey S Cummings | 282 Washington St, Hartford, CT 06106 | Controlled Substance Registration for Practitioner | 2009-03-01 ~ 2011-02-28 |
Stacey Lombardo | 7 Lawrence Ave, Danbury, CT 06810-5180 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
William G Chang | 27 Stacey Ln, Madison, CT 06443 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Stacey L Spear Pa | 39 S Benson Rd, Fairfield, CT 06824-6213 | Controlled Substance Registration for Practitioner | 2003-03-01 ~ 2004-02-28 |
Stacey M Langsam Do | 538 Litchfield St Ste G02, Torrington, CT 06790-6669 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Stacey A Kasperzak | 495 South Rd, Somers, CT 06071-2210 | Controlled Substance Registration for Practitioner | 2019-03-06 ~ 2021-02-28 |
Stacey Stein Md | 252 Old Oaks Rd, Fairfield, CT 06825-1932 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Stacey T Eccher Dvm | 418 Peck Lane, Chesire, CT 06410 | Controlled Substance Registration for Practitioner | 2002-03-01 ~ 2003-02-28 |
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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).