STEPHEN R SMITH MD (Credential# 542317) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is July 1, 2020. The license expiration date date is June 30, 2021. The license status is ACTIVE.
STEPHEN R SMITH MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.017278. The credential type is physician/surgeon. The effective date is July 1, 2020. The expiration date is June 30, 2021. The business address is 899 Montauk Ave, New London, CT 06320-4224. The current status is active.
Licensee Name | STEPHEN R SMITH MD |
Credential ID | 542317 |
Credential Number | 1.017278 |
Credential Type | Physician/Surgeon |
Business Address |
899 Montauk Ave New London CT 06320-4224 |
Business Type | INDIVIDUAL |
Status | ACTIVE - CURRENT |
Active | 1 |
Issue Date | 1975-05-30 |
Effective Date | 2020-07-01 |
Expiration Date | 2021-06-30 |
Refresh Date | 2020-04-16 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
491787 | CSP.0042998 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2008-01-08 | 2019-03-01 - 2021-02-28 | ACTIVE |
Street Address | 899 MONTAUK AVE |
City | NEW LONDON |
State | CT |
Zip Code | 06320-4224 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Paul R Bourguignon | Nemg, New London, CT 06320 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
Stephan Nousiopoulos | 27 Alger Place, New London, CT 06320 | Architect | 2020-08-01 ~ 2021-07-31 |
Diana Elisabeth Cabrera-mora | 327 Montauk Avenue, New London, CT 06320 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-27 ~ 2022-03-31 |
Yuhua Han | 18 Anthony Rd Apt H, New London, CT 06320 | Massage Therapist | ~ |
Empire Pizza · Empire Pizza LLC | 150 Broad St, New London, CT 06320 | Bakery | 2020-07-01 ~ 2021-06-30 |
Irene C Besser | 19 Hawthorne Dr, New London, CT 06320 | Licensed Nurse Midwife | 2020-09-01 ~ 2021-08-31 |
Robert F Gardner | 241 Crystal Ave, New London, CT 06320 | Home Improvement Salesperson | 2020-06-26 ~ 2020-11-30 |
Angie Alejandra Botero Castro | 14 Concord Court, Groton, CT 06320 | Master's Level Social Worker | ~ |
Kevin J O'reilly | 20 Parkway South, New London, CT 06320 | Psychologist | 2020-09-01 ~ 2021-08-31 |
Sonny's Market LLC | 324 Jefferson Ave, New London, CT 06320 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
Find all Licenses in zip 06320 |
City | NEW LONDON |
Zip Code | 06320 |
License Type | Physician/Surgeon |
License Type + County | Physician/Surgeon + NEW LONDON |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Stephen T Smith | 310 West St, Hebron, CT 06248 | Home Improvement Contractor | ~ 1995-02-01 |
Stephen Michael Smith | 2704-500 Shelbourne Street, Toronto M4x 1l1, OC | Resident Physician | 2017-07-01 ~ 2020-06-30 |
Stephen T. Moran | 20 E 22nd St, New York, NY 10010-6101 | Physician/surgeon | ~ |
Stephen M Dorros | Po Box, Santa Fe, CA 92067 | Physician/surgeon | 1975-04-02 ~ 1978-05-31 |
Stephen J Horgan | 26 Alton Ct Apt 2, Brookline, MA 02446-6535 | Physician/surgeon | ~ |
Stephen A Moe | Po Box 2236, New Haven, CT 06520 | Physician/surgeon | 1993-01-25 ~ 1994-01-31 |
Stephen Andreoni | 162 Bay Ave, Halesite, NY 11743 | Physician/surgeon | 2016-11-30 ~ 2017-08-31 |
Stephen L Curry | Po Box 491, Litchfield, CT 06759 | Physician/surgeon | 2004-06-18 ~ 2005-08-31 |
J. Stephen Roy | 7a Ludlow Rd, Westport, CT 06880-3043 | Physician/surgeon | 2019-09-01 ~ 2020-08-31 |
Stephen R Barone | 320 E 46th St Apt 16e, New York, NY 10017-3025 | Physician/surgeon | ~ |
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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).