ANDREW D STACK OD
Optometrist


Address: 2165 Dixwelll Ave, Hamden, CT 06514

ANDREW D STACK OD (Credential# 762918) is licensed (Optometrist) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2020. The license expiration date date is February 28, 2021. The license status is ACTIVE.

Business Overview

ANDREW D STACK OD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #3.002289. The credential type is optometrist. The effective date is March 1, 2020. The expiration date is February 28, 2021. The business address is 2165 Dixwelll Ave, Hamden, CT 06514. The current status is active.

Basic Information

Licensee Name ANDREW D STACK OD
Credential ID 762918
Credential Number 3.002289
Credential Type Optometrist
Business Address 2165 Dixwelll Ave
Hamden
CT 06514
Business Type INDIVIDUAL
Status ACTIVE - CURRENT
Active 1
Issue Date 1991-03-05
Effective Date 2020-03-01
Expiration Date 2021-02-28
Refresh Date 2020-02-05

Other licenses

ID Credential Code Credential Type Issue Term Status
1334725 CSP.0062147 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 2016-02-23 2019-03-01 - 2021-02-28 ACTIVE
451871 CSP.0040714 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 2006-11-02 2013-03-01 - 2015-02-28 INACTIVE

Office Location

Street Address 2165 Dixwelll ave
City Hamden
State CT
Zip Code 06514

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Competitor

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City Hamden
Zip Code 06514
License Type Optometrist
License Type + County Optometrist + Hamden

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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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