JAIME N STEWART PA-C
Controlled Substance Registration for Practitioner


Address: 900 Mix Ave Apt 13, Hamden, CT 06514-5106

JAIME N STEWART PA-C (Credential# 527919) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 23, 2009. The license expiration date date is February 28, 2011. The license status is INACTIVE.

Business Overview

JAIME N STEWART PA-C is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0045264. The credential type is controlled substance registration for practitioner. The effective date is March 23, 2009. The expiration date is February 28, 2011. The business address is 900 Mix Ave Apt 13, Hamden, CT 06514-5106. The current status is inactive.

Basic Information

Licensee Name JAIME N STEWART PA-C
Credential ID 527919
Credential Number CSP.0045264
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 900 Mix Ave Apt 13
Hamden
CT 06514-5106
Business Type INDIVIDUAL
Status INACTIVE
Issue Date 2009-03-23
Effective Date 2009-03-23
Expiration Date 2011-02-28
Refresh Date 2013-03-07

Other licenses

ID Credential Code Credential Type Issue Term Status
743994 23.002245 Physician Assistant 2009-03-05 2009-09-01 - 2010-08-31 INACTIVE

Office Location

Street Address 900 MIX AVE APT 13
City HAMDEN
State CT
Zip Code 06514-5106

Licenses in the same location

Licensee Name Office Address Credential Effective / Expiration
Katherine Km Stavropoulos 900 Mix Ave Apt 13, Hamden, CT 06514-5106 Psychologist-post Doctoral Training Permit 2015-01-20 ~ 2016-01-20
Awad El-ashry 900 Mix Ave Apt 13, Hamden, CT 06514-5106 Controlled Substance Registration for Practitioner 2011-04-11 ~ 2013-02-28

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Competitor

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City HAMDEN
Zip Code 06514
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + HAMDEN

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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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