CRAIG A STASULIS (Credential# 884425) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is June 1, 2020. The license expiration date date is May 31, 2021. The license status is ACTIVE.
CRAIG A STASULIS is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.048060. The credential type is physician/surgeon. The effective date is June 1, 2020. The expiration date is May 31, 2021. The business address is 435 Willard Ave Unit D, Newington, CT 06111-2318. The current status is active.
| Licensee Name | CRAIG A STASULIS |
| Credential ID | 884425 |
| Credential Number | 1.048060 |
| Credential Type | Physician/Surgeon |
| Business Address |
435 Willard Ave Unit D Newington CT 06111-2318 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2009-08-13 |
| Effective Date | 2020-06-01 |
| Expiration Date | 2021-05-31 |
| Refresh Date | 2020-03-04 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 704400 | 2.009948 | Dentist | 2008-09-30 | 2020-06-01 - 2021-05-31 | ACTIVE |
| 441108 | CSP.0039307 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2006-06-19 | 2019-03-01 - 2021-02-28 | ACTIVE |
| 883949 | 22.008449 | Dental Anesthesia/Conscious Sedation Permit | 2009-08-18 | 2019-09-01 - 2020-08-31 | ACTIVE |
| Street Address | 435 WILLARD AVE UNIT D |
| City | NEWINGTON |
| State | CT |
| Zip Code | 06111-2318 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Mitchel Strand Od | 485 Willard Ave, Newington, CT 06111-2318 | Optometrist | 2020-06-01 ~ 2021-05-31 |
| Family Homecare Assistance LLC | 445a Willard Ave, Newington, CT 06111-2318 | Homemaker Companion Agency | 2019-11-01 ~ 2020-10-31 |
| Maria Y Romaniak-kumik Dds | 485 Willard Ave Bldg 3, Newington, CT 06111-2318 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Willard Avenue Dialysis | 445 Willard Ave Bldg 2, Newington, CT 06111-2318 | Hemodialysis | 2019-01-01 ~ 2020-12-31 |
| Karina J Vergara | 435 Willard Ave, Newington, CT 06111-2318 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Anastasya Anisimova | 114 Fox Run Court, Newington, CT 06111 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Karen S Cleaveland | 52 Amidon Ave, Newington, CT 06111 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Leeann R Johnson | 17 Cinnamon Rd, Newington, CT 06111 | Notary Public Appointment | 2020-09-01 ~ 2025-08-31 |
| Isma Mian | 65 Cortland Way, Newington, CT 06111 | Physician/surgeon | ~ |
| Danielle Rocha | 1582 Willard Ave, Newington, CT 06111 | Notary Public Appointment | 2020-06-26 ~ 2025-06-30 |
| Munson's Chocolates | 3157 Berlin Tpke, Newington, CT 06111 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Shandea Edwards | 21 Hartford Ave #14, Newington, CT 06111 | Medication Administration Certification | ~ |
| Hengchao Xiong | 47 Adam Dr, Newington, CT 06111 | Nail Technician | ~ |
| Tuyen Le Phan | 71 Lantern Hill, Newington, CT 06111 | Nail Technician | ~ |
| Smita Parth Dave | 192 Brookside Rd, Newington, CT 06111 | Esthetician | ~ |
| Find all Licenses in zip 06111 | |||
| City | NEWINGTON |
| Zip Code | 06111 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + NEWINGTON |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Craig Woda | 131 Hillside Ave, Providence, RI 02906 | Physician/surgeon | ~ |
| Craig Jon Moskowitz | 110 E 40th St Rm 407, New York, NY 10016-1801 | Physician/surgeon | ~ |
| Craig A Mcpherson | 614 Douglas Dr, Orange, CT 06477 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
| Craig A Hawkins | 844 7th Avenue Sw, Rochester, MN 55902 | Physician/surgeon | 1994-02-25 ~ 1995-01-31 |
| Craig C Price | 12 Karcher St, Sayreville, NJ 08872-1003 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Craig M Shannon | 47 Kingwood Dr, Poughkeepsie, NY 12601 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Craig Sauer | 103 N Main St, Branford, CT 06405-3066 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
| Craig K Burgess | 452 Atlantic Ave, Brooklyn, NY 11217 | Physician/surgeon | 1992-05-27 ~ 1993-04-30 |
| Craig D Sweeney Md | 7 Eastwood Rd, Storrs, CT 06268 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Craig H Thame | Glen Ridge, NJ 07028 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
Please comment or provide details below to improve the information on CRAIG A STASULIS.
| 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).