STACEY STEIN MD (Credential# 950030) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2019. The license expiration date date is February 28, 2021. The license status is ACTIVE.
STACEY STEIN MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0048630. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2019. The expiration date is February 28, 2021. The business address is 252 Old Oaks Rd, Fairfield, CT 06825-1932. The current status is active.
| Licensee Name | STACEY STEIN MD |
| Credential ID | 950030 |
| Credential Number | CSP.0048630 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
252 Old Oaks Rd Fairfield CT 06825-1932 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2010-09-07 |
| Effective Date | 2019-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2019-02-15 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 937615 | 1.049046 | Physician/Surgeon | 2010-07-23 | 2020-01-01 - 2020-12-31 | ACTIVE |
| Street Address | 252 OLD OAKS RD |
| City | FAIRFIELD |
| State | CT |
| Zip Code | 06825-1932 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Juliette F Spelman Md | 254 Old Oaks Rd, Fairfield, CT 06825-1932 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Alexander M Testani | 77 Winoca Rd, Fairfield, CT 06825 | Emergency Medical Technician | 2020-06-26 ~ 2022-03-31 |
| Salome Cleopatra Nail | 2399 Black Rock Turnpike, Fairfield, CT 06825 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Angela M Carmona | 198 Castle Ave, Fairfield, CT 06825 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| Maria D Coutinho | 131 Roseville Street, Fairfield, CT 06825 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| Jie Che | 1519 Black Rock Tpke, Fairfield, CT 06825 | Esthetician | ~ |
| Eva I Chiamulera | 86 Brookfield Avenue, Fairfield, CT 06825 | Landscape Architect | 2020-08-01 ~ 2021-07-31 |
| Suzanne P Taluy | 558 Villa Ave, Fairfield, CT 06825 | Licensed Clinical Social Worker | 2020-07-01 ~ 2021-06-30 |
| Benjamin Allan Gott | 262 Euclid Avenue, Fairfield, CT 06825 | Notary Public Appointment | 2020-06-01 ~ 2025-05-31 |
| Charles J Applebaum | 841 Stratfield Rd, Fairfield, CT 06825 | Dentist | 2020-07-01 ~ 2021-06-30 |
| Jeri Kriskey | 1179 Merritt Street, Fairfield, CT 06825 | Marital and Family Therapist Associate | 2020-06-24 ~ 2022-06-24 |
| Find all Licenses in zip 06825 | |||
| City | FAIRFIELD |
| Zip Code | 06825 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + FAIRFIELD |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Ira J Stein | 497 Main St, Ansonia, CT 06401 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Philip Stein | 337 Alden Ave Apt 7, New Haven, CT 06515-2134 | Controlled Substance Registration for Practitioner | 2008-06-05 ~ 2009-02-28 |
| Jessica R Stein | Wcmg, Norwalk, CT 06851 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Sigmund C Stein Md | 13 Eldane St, New London, CT 06320 | Controlled Substance Registration for Practitioner | 2005-03-01 ~ 2006-02-28 |
| Stephen A Stein Md | 1 Anderson Ave, Milford, CT 06460-8234 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Peter P Stein Md | 19 Foster St, New Haven, CT 06511 | Controlled Substance Registration for Practitioner | 1993-03-02 ~ 1995-02-01 |
| Robert D Stein | 85 Church St, Middletown, CT 06457-3647 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Joyce D Stein | 3714 1st Ave, La Crescenta, CA 91214-2430 | Controlled Substance Registration for Practitioner | 2013-06-17 ~ 2015-02-28 |
| Louis H Stein | 652 Prospect Street, New Haven, CT 06511 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
| Stephen Stein | 1 April Drive, Westport, CT 06880 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
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| 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).