STACEY L LONGO (Credential# 564080) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is April 1, 2010. The license expiration date date is March 31, 2011. The license status is INACTIVE.
STACEY L LONGO is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.046498. The credential type is physician/surgeon. The effective date is April 1, 2010. The expiration date is March 31, 2011. The business address is 6 Briarcliff Lane, Holmdel, NJ 07733. The current status is inactive.
| Licensee Name | STACEY L LONGO |
| Credential ID | 564080 |
| Credential Number | 1.046498 |
| Credential Type | Physician/Surgeon |
| Business Address |
6 Briarcliff Lane Holmdel NJ 07733 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 2008-05-08 |
| Effective Date | 2010-04-01 |
| Expiration Date | 2011-03-31 |
| Refresh Date | 2011-07-01 |
| Street Address | 6 Briarcliff Lane |
| City | Holmdel |
| State | NJ |
| Zip Code | 07733 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Brian Tsai | 77 Longstreet Rd, Holmdel, NJ 07733 | Dentist | 2020-06-01 ~ 2021-06-30 |
| Constantinos J Lovoulos Md | 14 Rambling Brook Dr., Holmdel, NJ 07733 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
| Tariq Bashir | 7 White Rock Terrace, Holmdel, NJ 07733 | Professional Engineer | 2019-02-01 ~ 2020-01-31 |
| Djenane Bartholomew | 23 Dora Lane, Holmdel, NJ 07733 | Registered Nurse | 2019-10-01 ~ 2020-09-30 |
| Lisa R Levine-rostowsky | 7 Hickory Hills Ct, Holmdel, NJ 07733 | Occupational Therapist | 2019-08-01 ~ 2021-07-31 |
| Gerri Z. Decicco | 7 Fernwood Ct, Holmdel, NJ 07733 | Certified Public Accountant License | 2018-01-01 ~ 2018-12-31 |
| France M Senoran | 105 Nutmeg Ln, Holmdel, NJ 07733 | Real Estate Salesperson | 2003-06-01 ~ 2004-05-31 |
| Havens & Emerson Inc | 5 Flora Dr, Holmdel, NJ 07733 | Professional Engineer | 1989-03-01 ~ 1990-01-31 |
| Chin L Chung · Seelye Stvnsn Vlue&kncht | 7 Crestwood Ct, Holmdel, NJ 07733 | Professional Engineer | 1993-04-05 ~ 1994-01-31 |
| Jessie C Fu | 5 Eagle Hill Rd, Holmdel, NJ 07733 | Professional Engineer | 1991-01-02 ~ 1992-01-31 |
| Find all Licenses in zip 07733 | |||
| City | Holmdel |
| Zip Code | 07733 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + Holmdel |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Frank K Longo | 42 Reservoir Rd, Goshen, CT 06756-2022 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Edward A Longo | 60 Lyons Run Rd, Glenmoore, PA 19343 | Physician/surgeon | 1996-12-20 ~ 1998-02-28 |
| Vincent J Longo Md | 2 Brinkley Lane, Niantic, CT 06357 | Physician/surgeon | 2007-01-25 ~ 2008-03-31 |
| Grace S Lee | 27 Stacey Ln, Madison, CT 06443-2465 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Stacey D. Maslow | 761 Worcester Rd., Framingham, MA 01701 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Stacey M Donegan Md | 14 Woodland Rd, New City, NY 10956-2626 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
| Stacey M Vitiello | 225 Nob Hill Dr., Elmford, NY 10523 | Physician/surgeon | 1999-06-18 ~ 2000-06-30 |
| Stacey A Milan | 109 Church St Unit 406, New Haven, CT 06510-3023 | Physician/surgeon | 2009-08-07 ~ 2010-08-31 |
| Stacey B Lendener | 81 Fariview Avenue, Tarrytown, NY 10591 | Physician/surgeon | 2013-02-01 ~ 2014-01-31 |
| Stacey A Sullivan | 83 Deer Park Rd, Weatogue, CT 06089 | Physician/surgeon | 2019-12-01 ~ 2020-11-30 |
Please comment or provide details below to improve the information on STACEY L LONGO.
| 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).