REHAB M STANTON (Credential# 1081184) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2015. The license expiration date date is February 28, 2017. The license status is INACTIVE.
REHAB M STANTON is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0052981. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2015. The expiration date is February 28, 2017. The business address is 80 Seymour St, Hartford, CT 06102. The current status is inactive.
| Licensee Name | REHAB M STANTON |
| Credential ID | 1081184 |
| Credential Number | CSP.0052981 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
80 Seymour St Hartford CT 06102 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE |
| Issue Date | 2012-07-23 |
| Effective Date | 2015-03-01 |
| Expiration Date | 2017-02-28 |
| Refresh Date | 2018-01-29 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1269806 | 1.053954 | Physician/Surgeon | 2015-03-31 | 2015-12-01 - 2016-11-30 | INACTIVE |
| Street Address | 80 Seymour St |
| City | Hartford |
| State | CT |
| Zip Code | 06102 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Pragya Kalla | 80 Seymour St, Hartford, CT 06102-8000 | Resident Physician | 2019-07-01 ~ 2023-06-30 |
| Luis Ruisanchez-gonzalez | 80 Seymour St, Hartford, CT 06102-5037 | Resident Physician | 2019-07-01 ~ 2023-06-30 |
| Nicole G Baarck | 80 Seymour St, Hartford, CT 06102-8000 | Resident Physician | 2019-07-01 ~ 2023-06-30 |
| Ignatius Ang | 80 Seymour St, Hartford, CT 06102-8000 | Resident Physician | 2019-07-01 ~ 2023-06-30 |
| Matteen Hakim | 80 Seymour St, Hartford, CT 06102-5037 | Resident Physician | 2019-07-01 ~ 2023-06-30 |
| Padma Priya Kondur Puttagunta | 80 Seymour St, Hartford, CT 06102-5037 | Resident Physician | 2019-07-01 ~ 2023-06-30 |
| Krishna Patel | 80 Seymour St, Hartford, CT 06102-5037 | Resident Physician | 2019-07-01 ~ 2023-06-30 |
| Michael Ghassemlou | 80 Seymour St, Hartford, CT 06102-8000 | Resident Physician | 2019-07-01 ~ 2023-06-30 |
| Ashley Sanchez Ramos | 80 Seymour St, Hartford, CT 06102-5037 | Resident Physician | 2019-07-01 ~ 2023-06-30 |
| Madeline Jacobs | 80 Seymour St, Hartford, CT 06102-8000 | Resident Physician | 2019-07-01 ~ 2023-06-30 |
| Find all Licenses in the same address | |||
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Sivabalaji Kaliamurthy | 80 Seymour Street, Hartford, CT 06102 | Resident Physician | 2020-07-01 ~ 2021-06-30 |
| Erica S Hammer | 85 Jefferson Ave Ste 625, Hartford, CT 06102 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Joseph A Digiuseppe | Dept of Pathology, Hartford, CT 06102 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
| Joseph V Portereiko Do | Hartford Hospital : Department of Surgery, Hartford, CT 06102 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Vasanthy Thevarajah | Hardfort Hospital, Hartford, CT 06102 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Elaine Manson | 135 Dapex, Hartford, CT 06102 | Medication Administration Certification | ~ |
| Valridine Durrant | 2718 Main St, Hartford, CT 06102 | Medication Administration Certification | 2020-03-08 ~ 2022-03-07 |
| Jennifer Susan Thran | 80 Seymore St, Hartford, CT 06102 | Registered Nurse | ~ |
| Monique M Vaughan | 401 Granby Street, Hartford, CT 06102 | Real Estate Salesperson | ~ |
| Bruce M Kaplan Md | Hartford Hospital Gray Cancer Center, Hartford, CT 06102 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
| Find all Licenses in zip 06102 | |||
| City | Hartford |
| Zip Code | 06102 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + Hartford |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| William M De Mayo Md | Crichton Ctr for Advanced Rehab, Wallingford, CT 06492 | Controlled Substance Registration for Practitioner | 1996-06-02 ~ 1997-02-28 |
| Siobhan G O'connor Md · Rehab Ctr of Fairfield | 226 Mill Hill Ave, Bridgeport, CT 06610 | Controlled Substance Registration for Practitioner | 1997-03-01 ~ 1998-02-28 |
| Alan Wolf Md | Cedar Lane Rehab Center, Waterbury, CT 06705 | Controlled Substance Registration for Practitioner | 1994-04-19 ~ 1996-05-01 |
| Catherine Bontke Md · Rehab Hospital of Ct | 1110 Prospect Ave, Hartford, CT 06105 | Controlled Substance Registration for Practitioner | 1998-03-01 ~ 1999-02-28 |
| Kevan C Stanton | 106 Front St, New Haven, CT 06513-3927 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
| Stanton Honig Md | 330 Orchard St Ste 164, New Haven, CT 06511-4429 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Julie A Zito | 53 Stanton Ln, Pawcatuck, CT 06379-1404 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Brielle Nicole Stanton | 297 George St Apt 2d, New Haven, CT 06511-6621 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Devin D Stanton | 124 Buck Hill Rd, Canterbury, CT 06331-1201 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Patricia Stanton Aprn | 18 Quincy Trl, Berlin, CT 06037-3765 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
Please comment or provide details below to improve the information on REHAB M STANTON.
| 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).