STEPHANIE A EDWARDS (Credential# 1233762) 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.
STEPHANIE A EDWARDS is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0058042. 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 109 Cedar Rd Apt A2, Katonah, NY 10536-3423. The current status is active.
| Licensee Name | STEPHANIE A EDWARDS |
| Credential ID | 1233762 |
| Credential Number | CSP.0058042 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
109 Cedar Rd Apt A2 Katonah NY 10536-3423 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2014-07-10 |
| Effective Date | 2019-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2019-02-26 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1228734 | 23.003134 | Physician Assistant | 2014-07-08 | 2019-10-01 - 2020-09-30 | ACTIVE |
| Street Address | 109 CEDAR RD APT A2 |
| City | KATONAH |
| State | NY |
| Zip Code | 10536-3423 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| George Uy Md | Four Winds Hospital, Katonah, NY 10536 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Tatiane V Boyd | 69 Maple Avenue, Katonah, NY 10536 | Licensed Practical Nurse | 2020-07-01 ~ 2021-06-30 |
| Kathleen A Scott- Vicari | 12 Primrose Drive, Katonah, NY 10536 | Registered Nurse | 2020-06-01 ~ 2021-05-31 |
| Patrick M Croke | 20 Woodsbridge Road, Katonah, NY 10536 | Architect | 2020-08-01 ~ 2021-07-31 |
| Nelson J Salazar | 66 Edgewood Rd, Katonah, NY 10536 | Real Estate Salesperson | 2019-10-27 ~ 2020-05-31 |
| Zenobia Kellock | 6 Lois Place, Katonah, NY 10536 | Real Estate Salesperson | 2017-06-01 ~ 2018-05-31 |
| Joseph R Kiefer | 16 South Road, Katonah, NY 10536 | Physical Therapist | 2020-05-01 ~ 2021-04-30 |
| Christina M Izzo | 6 Kniffen Rd, Katonah, NY 10536 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| Laurence B Sandler | 7 Comanche Court, Katonah, NY 10536 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Christopher J Repp | 65 Harris Rd, Katonah, NY 10536 | Emergency Medical Technician | 2020-10-01 ~ 2022-09-30 |
| Find all Licenses in zip 10536 | |||
| City | KATONAH |
| Zip Code | 10536 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + KATONAH |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| J D Edwards Dds | 3 Robbins Dr, Wethersfield, CT 06109 | Controlled Substance Registration for Practitioner | 1993-07-16 ~ 1995-08-01 |
| Rachel Ng | 198 Edwards St Apt 4, New Haven, CT 06511-3702 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| David A Essig | 77 Edwards St Apt 2r, New Haven, CT 06511-3942 | Controlled Substance Registration for Practitioner | 2010-12-17 ~ 2013-02-28 |
| David L Edwards | 20 Bridle Rd, New Milford, CT 06776-5022 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Heather S Dobbin Pa | 198 Edwards St Apt 6, New Haven, CT 06511-3702 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
| Melissa D Carroll Dvm | 78 Edwards St # 2, New Haven, CT 06511-3914 | Controlled Substance Registration for Practitioner | 2009-03-01 ~ 2011-02-28 |
| Glynne L M Edwards | 267 Grant St, Bridgeport, CT 06610-2805 | Controlled Substance Registration for Practitioner | 2010-08-09 ~ 2011-02-28 |
| Christian R Edwards | 56 Franklin St, Waterbury, CT 06706-1253 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Gail M O'brien | 181 Edwards St, New Haven, CT 06511-3734 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| David Hohuan | 186 Edwards St Apt 2f, New Haven, CT 06511-3780 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
Please comment or provide details below to improve the information on STEPHANIE A EDWARDS.
| 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).