GARY E STACK (Credential# 549514) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is December 1, 2019. The license expiration date date is November 30, 2020. The license status is ACTIVE.
GARY E STACK is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.031831. The credential type is physician/surgeon. The effective date is December 1, 2019. The expiration date is November 30, 2020. The business address is 145 Brick Kiln Pl, Cheshire, CT 06410. The current status is active.
| Licensee Name | GARY E STACK |
| Credential ID | 549514 |
| Credential Number | 1.031831 |
| Credential Type | Physician/Surgeon |
| Business Address |
145 Brick Kiln Pl Cheshire CT 06410 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 1991-08-09 |
| Effective Date | 2019-12-01 |
| Expiration Date | 2020-11-30 |
| Refresh Date | 2019-11-13 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 163184 | CSP.0022915 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 1997-03-01 - 1998-02-28 | INACTIVE |
| Street Address | 145 BRICK KILN PL |
| City | CHESHIRE |
| State | CT |
| Zip Code | 06410 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Maria N Stack | 145 Brick Kiln Pl, Cheshire, CT 06410 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Mr B's · Bimonte's Pizza Castle | 155 Highland Ave, Cheshire, CT 06410 | Bakery | 2020-07-01 ~ 2021-06-30 |
| Traci L Bonassar | 452 Castle Glenn, Cheshire, CT 06410 | Notary Public Appointment | 2020-10-01 ~ 2025-09-30 |
| Faith H Morico · Hennessey | 177 Wallingford Rd, Cheshire, CT 06410 | Licensed Practical Nurse | 2020-07-01 ~ 2021-06-30 |
| Renee D Kane | 40 Willow St, Cheshire, CT 06410 | Advanced Practice Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Kara Capuano | 20 Renee Court, Cheshire, CT 06410 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Eugenia A Marquez | 22 Currier Way, Cheshire, CT 06410 | Radiographer | 2020-07-01 ~ 2021-06-30 |
| Mahnaz M Emamian | 471 West Main St, Cheshire, CT 06410 | Esthetician | ~ |
| Margarita A. Norris | 302 Highland Avenue, Cheshire, CT 06410 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Wendell D Wallace Juedes | 545 Country Club Rd, Cheshire, CT 06410 | Podiatrist | 2020-04-01 ~ 2021-03-31 |
| Hyunjung An | 55 Moneta Ln., Cheshire, CT 06410 | Acupuncturist | ~ |
| Find all Licenses in zip 06410 | |||
| City | CHESHIRE |
| Zip Code | 06410 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + CHESHIRE |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Rand J. Stack | 1 Theall Rd, Rye, NY 10580-1404 | Physician/surgeon | 2019-12-01 ~ 2020-11-30 |
| Stack | 28 Preston Lane, Taconic, CT 06079 | Asbestos Abatement Supervisor | 2006-04-24 ~ 2007-03-31 |
| Marilyn J Stack · Stack | 104 Ann St, Winsted, CT 06098 | Licensed Practical Nurse | 2020-06-01 ~ 2021-05-31 |
| Gary T Yacono | 96 Ct-37, New Fairfield, CT 06812 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Gary A Dee | 294 Morehouse Rd, Easton, CT 06612-2145 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Gary Leeds | 16 Elizabeth Ln, Riverside, CT 06878-1302 | Physician/surgeon | ~ |
| Thomas P Stack · Stack Construction Co | 28 Preston Lane, Taconic, CT 06079 | Home Improvement Contractor | 2019-12-01 ~ 2020-11-30 |
| Ben Gary Harvey | 42-52 Union St, Flushing, NY 11355 | Physician/surgeon | 1981-01-01 ~ 1993-05-31 |
| Gary Mazer | 1345 Rxr Plz, Uniondale, NY 11556-1301 | Physician/surgeon | 2019-11-01 ~ 2020-10-31 |
| Gary W Kravetz | 83 Vernon Rd., Bolton, CT 06043 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
Please comment or provide details below to improve the information on GARY E STACK.
| 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).