STEWART O. SANFORD
Controlled Substance Registration for Practitioner


Address: 710 N 24th St, Philadelphia, PA 19130-2514

STEWART O. SANFORD (Credential# 1078062) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2013. The license expiration date date is February 28, 2015. The license status is INACTIVE.

Business Overview

STEWART O. SANFORD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0052731. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2013. The expiration date is February 28, 2015. The business address is 710 N 24th St, Philadelphia, PA 19130-2514. The current status is inactive.

Basic Information

Licensee Name STEWART O. SANFORD
Credential ID 1078062
Credential Number CSP.0052731
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 710 N 24th St
Philadelphia
PA 19130-2514
Business Type INDIVIDUAL
Status INACTIVE
Issue Date 2012-08-14
Effective Date 2013-03-01
Expiration Date 2015-02-28
Refresh Date 2017-05-02

Other licenses

ID Credential Code Credential Type Issue Term Status
1078083 1.051305 Physician/Surgeon 2012-08-13 2013-03-01 - 2014-02-28 INACTIVE
1078081 10 Registered Nurse - EXPIRED APPLICATION

Office Location

Street Address 710 N 24TH ST
City PHILADELPHIA
State PA
Zip Code 19130-2514

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Competitor

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City PHILADELPHIA
Zip Code 19130
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + PHILADELPHIA

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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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