DAVID KING STEPHENS (Credential# 550744) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is June 17, 2020. The license expiration date date is May 31, 2021. The license status is ACTIVE.
DAVID KING STEPHENS is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.033145. The credential type is physician/surgeon. The effective date is June 17, 2020. The expiration date is May 31, 2021. The business address is 15 York St, Lci 716e, New Haven, CT 06511. The current status is active.
| Licensee Name | DAVID KING STEPHENS |
| Credential ID | 550744 |
| Credential Number | 1.033145 |
| Credential Type | Physician/Surgeon |
| Business Address |
15 York St, Lci 716e New Haven CT 06511 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 1993-07-16 |
| Effective Date | 2020-06-17 |
| Expiration Date | 2021-05-31 |
| Refresh Date | 2020-06-24 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 2057668 | CSP.0074592 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2020-06-22 | 2020-06-22 - 2021-02-28 | APPROVED |
| Street Address | 15 YORK ST, LCI 716E |
| City | NEW HAVEN |
| State | CT |
| Zip Code | 06511 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Montessori School On Edgewood Inc. | 230 Edgewood Avenue, New Haven, CT 06511 | Public Charity | 2019-06-01 ~ 2020-05-31 |
| Therese Parks · Visel Drug Store | 264 Munson St, New Haven, CT 06511 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Dazjia Monet Green | 115 Edgewood Ave Apt 64, New Haven, CT 06511 | Registered Nurse | 2020-06-27 ~ 2021-05-31 |
| Carol Yam | 343 Humphrey St, New Haven, CT 06511 | Registered Nurse | ~ |
| Marwan S Haddad | 38 Lincoln Street, New Haven, CT 06511 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Mary Lou Gaeta Md | 558 Chapel Street, New Haven, CT 06511 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Cary M Tucker | 64 Bishop St, New Haven, CT 06511 | Architect | 2020-08-01 ~ 2021-07-31 |
| Frank J Pannenborg | 505 Ellsworth Ave, New Haven, CT 06511 | Architect | 2020-08-01 ~ 2021-07-31 |
| Crystal E Gooding | 26 Woodland Street, New Haven, CT 06511 | Notary Public Appointment | 2020-07-01 ~ 2025-06-30 |
| Kieran Jones | 260 Crown St Unit 1f, New Haven, CT 06511 | Registered Nurse | ~ |
| Find all Licenses in zip 06511 | |||
| City | NEW HAVEN |
| Zip Code | 06511 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + NEW HAVEN |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| David C Deitz | 26 King Philip Road, Sharon, MA 02067 | Physician/surgeon | 2014-11-01 ~ 2015-10-31 |
| David M Del Vecchio | 3008 King Richard Way, Chesapeake, VA 23321-4571 | Physician/surgeon | 2012-05-01 ~ 2013-04-30 |
| Daniel Joshua Stephens | 20 Swarthmore Rd, Scarsdale, NY 10583 | Physician/surgeon | ~ |
| Ralph R Stephens Jr | 530 Pembroke Ave, Norfolk, VA 23507 | Physician/surgeon | 1995-12-22 ~ 1996-12-31 |
| James Stephens Md | 42 Irving Ave, Providence, RI 02906 | Physician/surgeon | 2003-04-15 ~ 2004-01-31 |
| Polly L Stephens | 113 Middlebury Road, Watertown, CT 06795 | Physician/surgeon | 1998-03-23 ~ 1999-05-31 |
| Evelyn Stephens | 12 Old Hill Farms Rd, Westport, CT 06880-3034 | Physician/surgeon | 2020-06-18 ~ 2020-12-31 |
| Martha Stephens Md | 11 Cambridge Court East, Old Saybrook, CT 06475 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
| Natalie G Stephens | 832 Hopewell Road, South Glastonbury, CT 06073 | Physician/surgeon | 1996-05-23 ~ 1997-06-30 |
| Lora A Stephens Do | 20 North Cove Road, Old Saybrook, CT 06475 | Physician/surgeon | 2016-08-01 ~ 2017-07-31 |
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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).