STEPHANIE I PAZIENZA
Physician/surgeon


Address: 81 White Plains Road, Norwich, CT 06360

STEPHANIE I PAZIENZA (Credential# 547028) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is July 1, 2013. The license expiration date date is June 30, 2014. The license status is INACTIVE.

Business Overview

STEPHANIE I PAZIENZA is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.028195. The credential type is physician/surgeon. The effective date is July 1, 2013. The expiration date is June 30, 2014. The business address is 81 White Plains Road, Norwich, CT 06360. The current status is inactive.

Basic Information

Licensee Name STEPHANIE I PAZIENZA
Credential ID 547028
Credential Number 1.028195
Credential Type Physician/Surgeon
Business Address 81 White Plains Road
Norwich
CT 06360
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 1987-06-19
Effective Date 2013-07-01
Expiration Date 2014-06-30
Refresh Date 2014-04-15

Other licenses

ID Credential Code Credential Type Issue Term Status
155451 CSP.0015288 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 2003-03-01 - 2004-02-28 INACTIVE

Office Location

Street Address 81 White Plains Road
City Norwich
State CT
Zip Code 06360

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Caylee Elizabeth Liebig 10 Bozrah Drive, Norwich, CT 06360 Registered Nurse 2020-07-01 ~ 2021-06-30
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Competitor

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City Norwich
Zip Code 06360
License Type Physician/Surgeon
License Type + County Physician/Surgeon + Norwich

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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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