WILLIAM H STEPHAN III
Physician/surgeon


Address: 4080 Delaware Ave., Tonawanda, NY 14150

WILLIAM H STEPHAN III (Credential# 548219) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is June 1, 2013. The license expiration date date is May 31, 2014. The license status is INACTIVE.

Business Overview

WILLIAM H STEPHAN III is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.030086. The credential type is physician/surgeon. The effective date is June 1, 2013. The expiration date is May 31, 2014. The business address is 4080 Delaware Ave., Tonawanda, NY 14150. The current status is inactive.

Basic Information

Licensee Name WILLIAM H STEPHAN III
Credential ID 548219
Credential Number 1.030086
Credential Type Physician/Surgeon
Business Address 4080 Delaware Ave.
Tonawanda
NY 14150
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL; PRIOR DISCIPLINE
Issue Date 1989-07-01
Effective Date 2013-06-01
Expiration Date 2014-05-31
Refresh Date 2014-09-09

Other licenses

ID Credential Code Credential Type Issue Term Status
160282 CSP.0017456 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 2009-03-01 - 2011-02-28 INACTIVE

Office Location

Street Address 4080 DELAWARE AVE.
City TONAWANDA
State NY
Zip Code 14150

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Jessica Lynn Boatrite 500 Colvin Woods Pkwy, Tonawanda, NY 14150 Registered Nurse 2019-11-01 ~ 2020-10-31
Alicia Therese Carpenter 122 Oakview Drive, Tonawanda, NY 14150 Registered Nurse 2019-05-30 ~ 2020-03-31
Suzanne Steck Ellis 500 Colvin Woods Pkwy., Tonawanda, NY 14150 Registered Nurse 2017-01-03 ~ 2018-01-31
Titan Wrecking & Environmental LLC 153 Wales Ave., Tonawanda, NY 14150 Demolition Contractor 2013-01-01 ~ 2013-12-31
Empire Dismantlement Corporation 78 Sawyer Ave., Tonaswanda, NY 14150 Demolition Contractor 2005-01-01 ~ 2005-12-31
Gibraltar Chimney International 92 Cooper Avenue, Tonawanda, NY 14150 Demolition Contractor 2015-04-01 ~ 2016-03-31
Patterson Logistics Services Inc 101 Wales Ave, Tonawanda, NY 14150 Wholesaler of Drugs, Cosmetics & Medical Devices 2016-07-01 ~ 2017-06-30
Charles G Boughton IIi · Deleuw Cather & Assoc 182 Melody La, Tonawanda, NY 14150 Land Surveyor 1991-01-29 ~ 1992-01-31
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Competitor

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City TONAWANDA
Zip Code 14150
License Type Physician/Surgeon
License Type + County Physician/Surgeon + TONAWANDA

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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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