STACEY A SULLIVAN
Physician/surgeon


Address: 83 Deer Park Rd, Weatogue, CT 06089

STACEY A SULLIVAN (Credential# 562614) 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.

Business Overview

STACEY A SULLIVAN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.045032. The credential type is physician/surgeon. The effective date is December 1, 2019. The expiration date is November 30, 2020. The business address is 83 Deer Park Rd, Weatogue, CT 06089. The current status is active.

Basic Information

Licensee Name STACEY A SULLIVAN
Credential ID 562614
Credential Number 1.045032
Credential Type Physician/Surgeon
Business Address 83 Deer Park Rd
Weatogue
CT 06089
Business Type INDIVIDUAL
Status ACTIVE - CURRENT
Active 1
Issue Date 2007-01-16
Effective Date 2019-12-01
Expiration Date 2020-11-30
Refresh Date 2019-11-14

Other locations

Licensee Name Office Address Credential Effective / Expiration
Stacey A Sullivan 47 Spice Hill Dr, Wallingford, CT 06492 Real Estate Salesperson 2013-06-01 ~ 2014-05-31

Office Location

Street Address 83 Deer Park Rd
City Weatogue
State CT
Zip Code 06089

Licenses in the same zip code

Licensee Name Office Address Credential Effective / Expiration
Amanda Ogrin 24 Alan Drive, Weatogue, CT 06089 Professional Counselor Associate ~
Joseph A Galiette 283 Hopmeadow St, Weatogue, CT 06089 Hairdresser/cosmetician 2020-07-01 ~ 2022-06-30
Xia Gao 145 Cooper Ave Unit16, Weatogue, CT 06089 Combination Nail Technician, Esthetician Or Eyelash Technici ~
Gary J Guimond 63 Hilltop Dr, Weatogue, CT 06089 Landscape Architect 2020-08-01 ~ 2021-07-31
Elizabeth J Langevin 21 Sand Hill Rd, Weatogue, CT 06089 Licensed Clinical Social Worker 2020-08-01 ~ 2021-07-31
Samuel D. Buonocore 7 Caryn Ln, Weatogue, CT 06089 Physician/surgeon 2020-07-01 ~ 2021-06-30
Trent Tao She 3 Cooper Avenue, Weatogue, CT 06089 Physician/surgeon 2020-06-01 ~ 2021-05-31
Hiu Lui Yeung 84 Simsbury Manor Dr, Weatogue, CT 06089 Nail Technician 2020-06-23 ~ 2022-03-31
Xiangyu Dong 20 Hopmeadow St Unit 426, Weatogue, CT 06089 Combination Nail Technician, Esthetician Or Eyelash Technici ~
Arielle H Marlette 81 Cooper Avenue, Simsbury, CT 06089 Advanced Practice Registered Nurse 2020-07-01 ~ 2021-06-30
Find all Licenses in zip 06089

Competitor

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City Weatogue
Zip Code 06089
License Type Physician/Surgeon
License Type + County Physician/Surgeon + Weatogue

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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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