STACY A PHILLIPS (Credential# 971173) 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.
STACY A PHILLIPS is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0049143. 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 111 E Weatogue St, Simsbury, CT 06070. The current status is active.
| Licensee Name | STACY A PHILLIPS |
| Credential ID | 971173 |
| Credential Number | CSP.0049143 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
111 E Weatogue St Simsbury CT 06070 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2010-10-20 |
| Effective Date | 2019-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2019-01-22 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 579388 | 10.075385 | Registered Nurse | 2005-04-13 | 2019-10-01 - 2020-09-30 | ACTIVE |
| 953900 | 12.004501 | Advanced Practice Registered Nurse | 2010-09-27 | 2019-10-01 - 2020-09-30 | ACTIVE |
| 971360 | CSP.0049158 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2010-10-22 | 2010-10-22 - 2011-02-28 | INACTIVE |
| 313183 | PTN.0005049 | PHARMACY TECHNICIAN | 2003-08-05 - 2004-03-31 | INACTIVE |
| Street Address | 111 E Weatogue St |
| City | Simsbury |
| State | CT |
| Zip Code | 06070 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Henry Withers | 571 Hopmeadow St, Simsbury, CT 06070 | Landscape Architect | 2020-08-01 ~ 2021-07-31 |
| Nancy W Flanagan | 9 Carver Circle, Simsbury, CT 06070 | Real Estate Salesperson | 2020-06-23 ~ 2021-05-31 |
| Catharina A Bates | 12 East View Dr., Simsbury, CT 06070 | Real Estate Salesperson | 2020-06-25 ~ 2021-05-31 |
| Faith E Preato | 25 Squadron Line Rd, Simsbury, CT 06070 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Diane Bragoni | 542 Hopmeadow Street, #128, Simsbury, CT 06070 | Architect | 2020-08-01 ~ 2021-07-31 |
| Virginia S Durst · Banks | 20 Woodcliff Drive, Simsbury, CT 06070 | Registered Nurse | 2020-05-01 ~ 2021-04-30 |
| Caitlin M Cornier | 18 Saxton Brook Drive, Simsbury, CT 06070 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Nancy L Alleva · Maule | 1079 Hopmeadow St, Simsbury, CT 06070 | Respiratory Care Practitioner | 2020-09-01 ~ 2021-08-31 |
| Stephen R Birghenti · Simsbury Inn | 397 Hopmeadow St, Simsbury, CT 06070 | Hotel Liquor (50000 Or More Population) | 2019-08-14 ~ 2020-12-13 |
| Deborah L Poniatowski · Blase | 35 Munnisunk Dr, Simsbury, CT 06070 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Find all Licenses in zip 06070 | |||
| City | Simsbury |
| Zip Code | 06070 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + Simsbury |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Suut Gokturk | 40 Stacy Ct, Cheshire, CT 06410-3825 | Controlled Substance Registration for Practitioner | 2020-05-15 ~ 2021-02-28 |
| Stacy M Smalley Lnm | 3 Maple St, Irvington, NY 10533-2109 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
| Gurpreet K Sandhoo Do | 40 Stacy Ct, Cheshire, CT 06410-3825 | Controlled Substance Registration for Practitioner | 1997-03-01 ~ 1998-02-28 |
| Stacy M Pouliot | 60 Vernon St, Hamden, CT 06518 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Stacy T Unsworth | 950 Yale Ave, Wallingford, CT 06492 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Maurielle L Stacy | 410 Kings Hwy, Carnegie, PA 15106-1017 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Stacy R Nerenstone | 85 Retreat Ave, Hartford, CT 06106 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Stacy Robertson Dvm | 51 Danbury Rd, Wilton, CT 06897-4405 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Stacy M Marsh | 498 Wylie School Rd, Voluntown, CT 06384 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Stacy E Christensen | 16 Nutmeg Circle, Wethersfield, CT 06109 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Please comment or provide details below to improve the information on STACY A PHILLIPS.
| 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).