BRANDON C STAHL (Credential# 1173714) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2020. The license expiration date date is February 28, 2021. The license status is ACTIVE.
BRANDON C STAHL is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.052324. The credential type is physician/surgeon. The effective date is March 1, 2020. The expiration date is February 28, 2021. The business address is 4 Upper Kensington Dr, East Lyme, CT 06333-1164. The current status is active.
| Licensee Name | BRANDON C STAHL |
| Credential ID | 1173714 |
| Credential Number | 1.052324 |
| Credential Type | Physician/Surgeon |
| Business Address |
4 Upper Kensington Dr East Lyme CT 06333-1164 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2013-08-09 |
| Effective Date | 2020-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2019-12-09 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1185393 | CSP.0056138 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2013-09-18 | 2019-03-01 - 2021-02-28 | ACTIVE |
| Street Address | 4 UPPER KENSINGTON DR |
| City | EAST LYME |
| State | CT |
| Zip Code | 06333-1164 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Tracy A. Hooper | 10 Upper Kensington Dr, East Lyme, CT 06333-1164 | Physical Therapist | 2020-09-01 ~ 2021-08-31 |
| Kim M Bucko | 18 Upper Kensington Dr, East Lyme, CT 06333-1164 | Occupational Therapist | 2019-08-01 ~ 2021-07-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Brittany Pearson | 6201 Maple Tree Lane, East Lyme, CT 06333 | Behavior Analyst | ~ |
| Aura M Serdici | 7 Ferro Dr, East Lyme, CT 06333 | Esthetician | ~ |
| Lawrence J Darling Jr · Darling Carpentry | 61 Mostowy Rd, East Lyme, CT 06333 | Home Improvement Contractor | 2020-06-19 ~ 2020-11-30 |
| Sandeep B Varma | 30 Plum Hill Road, East Lyme, CT 06333 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Peter J Famiglietti Md | 339 Flanders Road, East Lyme, CT 06333 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Beth A Stoddard | 8 Greentree Drive, East Lyme, CT 06333 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Scott's Yankee Farmer | 291 N Bride Brook Rd, East Lyme, CT 06333 | Apple Juice & Cider Manufacturer | 2020-07-01 ~ 2021-06-30 |
| Katherine E Whalen | 339 Flanders Rd Ste 109, East Lyme, CT 06333 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
| May L Diep | 88 Arbor Crossing, East Lyme, CT 06333 | Nail Technician | ~ |
| Cash True Value | 300 Flanders Rd, East Lyme, CT 06333 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Find all Licenses in zip 06333 | |||
| City | EAST LYME |
| Zip Code | 06333 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + EAST LYME |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Richard S Stahl | 41 Dover Ln, Madison, CT 06443-1772 | Physician/surgeon | 2020-01-01 ~ 2020-12-31 |
| Maximilian Stahl | 275 Winchester Avenue, New Haven, CT 06511 | Physician/surgeon | 2018-03-01 ~ 2019-02-28 |
| Norman O Stahl | 450 Endo Blvd, Garden City, NY 11530 | Physician/surgeon | 1997-05-15 ~ 1998-06-30 |
| Allan J Stahl | Heart Instit Nevada, Las Vegas, NV 89109 | Physician/surgeon | 1995-09-28 ~ 1996-10-31 |
| Claire Brandon | 116 W 23rd St Fl 5, New York, NY 10011-2599 | Physician/surgeon | ~ |
| Joseph Annichiarico Do | 139 Brandon Way, Georgetown, SC 29440 | Physician/surgeon | 2019-08-01 ~ 2020-07-31 |
| Brandon Brooks | 21805 136th Ave, Laurelton, NY 11413-2205 | Physician/surgeon | ~ |
| Brandon W. Chan | 126 Marlboro Dr, Mcmurray, PA 15317-3651 | Physician/surgeon | 2014-03-28 ~ 2014-09-30 |
| Matthew P Brennan | 136 Copperridge Dr, Brandon, MS 39042-3700 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Stuart A Goldsmith | 615 Vonderberg Dr, Brandon, FL 33511 | Physician/surgeon | 2009-07-31 ~ 2010-04-30 |
Please comment or provide details below to improve the information on BRANDON C STAHL.
| 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).