STEPHANIE D SMITH (Credential# 1190739) is licensed (Psychologist) with Connecticut Department of Consumer Protection. The license effective date is June 1, 2017. The license expiration date date is May 31, 2018. The license status is INACTIVE.
STEPHANIE D SMITH is licensed with the Department of Consumer Protection of Connecticut. The credential number is #8.003380. The credential type is psychologist. The effective date is June 1, 2017. The expiration date is May 31, 2018. The business address is 11 Brookline Dr, Hattiesburg, MS 39402-7939. The current status is inactive.
Licensee Name | STEPHANIE D SMITH |
Credential ID | 1190739 |
Credential Number | 8.003380 |
Credential Type | Psychologist |
Business Address |
11 Brookline Dr Hattiesburg MS 39402-7939 |
Business Type | INDIVIDUAL |
Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
Issue Date | 2014-05-30 |
Effective Date | 2017-06-01 |
Expiration Date | 2018-05-31 |
Refresh Date | 2018-09-03 |
Street Address | 11 BROOKLINE DR |
City | HATTIESBURG |
State | MS |
Zip Code | 39402-7939 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Clayton Ware | 6631 Highway 98 Apt 4, Hattiesburg, MS 39402 | Registered Nurse - Temporary | 2019-11-20 ~ 2020-03-19 |
Carla J Henry · Wolfe & Mehlman Real Estate | 41 Acadian Circle, Hattiesburg, MS 39402 | Real Estate Salesperson | 2005-06-01 ~ 2006-05-31 |
Marianne Chencharick | 7284 Hwy 98 W, Hattiesburg, MS 39402 | Registered Nurse | 1999-03-25 ~ 2000-05-31 |
Beverly J Bough | 12a Suggs Road, Hattiesburg, MS 39402 | Registered Nurse | 2000-10-25 ~ 2001-10-31 |
Alesia D Jones | 2306 Sunset Drive, Hattiesburg, MS 39402 | Registered Nurse | 2003-07-29 ~ 2004-08-31 |
William J Hernandez | 411 S. 35th Avenue, Hattiesburg, MS 39402 | Registered Nurse | 2007-05-09 ~ 2007-11-30 |
Janis K Nobles | 853 Richburg Rd#12, Hattiesburg, MS 39402 | Registered Nurse | 2001-08-20 ~ 2002-08-31 |
Fredrika Y Ealy | 2749 Oak Grove Rd. #197, Hattiesburg, MS 39402 | Licensed Practical Nurse | 2000-06-20 ~ 2001-05-31 |
Heather A Rifkin | 100 Wild Meadows, Hattiesburg, MS 39402 | Pharmacist | 2005-02-01 ~ 2006-01-31 |
Magnolia Medical Supply Inc | 163 Turtle Creek Dr, Hattiesburg, MS 39402-1284 | Wholesaler of Drugs, Cosmetics & Medical Devices | 2018-04-26 ~ 2019-06-30 |
Find all Licenses in zip 39402 |
City | HATTIESBURG |
Zip Code | 39402 |
License Type | Psychologist |
License Type + County | Psychologist + HATTIESBURG |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Stephanie B Rosenblum | 25 Sniffen Rd, Westport, CT 06880-1222 | Psychologist | 2019-09-01 ~ 2020-08-31 |
Stephanie J Schacher | 123 Saxonwood Rd, Fairfield, CT 06825-2362 | Psychologist | 2019-11-01 ~ 2020-10-31 |
Stephanie Leigh Doudounis | 65 Glenbrook Rd, Stamford, CT 06902 | Psychologist | ~ |
Stephanie M Kilpatrick | 575 Central Ave, New Haven, CT 06515-2124 | Psychologist | 2020-05-01 ~ 2021-04-30 |
Stephanie P Warren | 5 Tower Hill Rd, Killingworth, CT 06419-1403 | Psychologist | ~ |
Stephanie Milan | 406 Babbidge Rd., Storrs, CT 06269 | Psychologist | 2020-05-01 ~ 2021-04-30 |
Stephanie A Kuhn | 49 Cedar Ln, Ridgefield, CT 06877-5302 | Psychologist | 2020-05-01 ~ 2021-04-30 |
Stephanie S Leite | 12 Merrywood, Simsbury, CT 06070-2613 | Psychologist | 2019-09-01 ~ 2020-08-31 |
Stephanie R Szczech | 506 Plymouth Colony, Branford, CT 06405-4756 | Psychologist | ~ |
Stephanie A Lynam | 4 Karlak St, Seymour, CT 06483-2618 | Psychologist | 2019-12-01 ~ 2020-11-30 |
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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).