HANNA E STEVENS MD
Physician/surgeon


Address: 230 S. Frontage Rd, New Haven, CT 06519

HANNA E STEVENS MD (Credential# 562460) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is July 1, 2014. The license expiration date date is June 30, 2015. The license status is INACTIVE.

Business Overview

HANNA E STEVENS MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.044878. The credential type is physician/surgeon. The effective date is July 1, 2014. The expiration date is June 30, 2015. The business address is 230 S. Frontage Rd, New Haven, CT 06519. The current status is inactive.

Basic Information

Licensee Name HANNA E STEVENS MD
Credential ID 562460
Credential Number 1.044878
Credential Type Physician/Surgeon
Business Address 230 S. Frontage Rd
New Haven
CT 06519
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 2006-10-31
Effective Date 2014-07-01
Expiration Date 2015-06-30
Refresh Date 2015-10-03

Other licenses

ID Credential Code Credential Type Issue Term Status
380518 CSP.0036002 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 2004-09-21 2013-03-01 - 2015-02-28 INACTIVE

Office Location

Street Address 230 S. Frontage Rd
City New Haven
State CT
Zip Code 06519

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Competitor

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City New Haven
Zip Code 06519
License Type Physician/Surgeon
License Type + County Physician/Surgeon + New Haven

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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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