JOHN STAMBAUGH
Controlled Substance Registration for Practitioner


Address: 9 Ashby St, Mystic, CT 06355-2423

JOHN STAMBAUGH (Credential# 1248221) 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 INACTIVE.

Business Overview

JOHN STAMBAUGH is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0058810. 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 9 Ashby St, Mystic, CT 06355-2423. The current status is inactive.

Basic Information

Licensee Name JOHN STAMBAUGH
Credential ID 1248221
Credential Number CSP.0058810
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 9 Ashby St
Mystic
CT 06355-2423
Business Type INDIVIDUAL
Status INACTIVE - LACK OF ACTIVE MEDICAL LICENSE
Issue Date 2014-10-02
Effective Date 2019-03-01
Expiration Date 2021-02-28
Refresh Date 2020-04-24

Other licenses

ID Credential Code Credential Type Issue Term Status
995218 47.003633 Veterinarian 2011-08-01 2018-09-01 - 2019-08-31 INACTIVE

Office Location

Street Address 9 ASHBY ST
City MYSTIC
State CT
Zip Code 06355-2423

Licenses in the same location

Licensee Name Office Address Credential Effective / Expiration
Jane S Morello 9 Ashby St, Mystic, CT 06355-2423 Veterinarian 2018-07-01 ~ 2019-06-30

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Courtney Jane Littlewood 244 High Meadow Ln, Mystic, CT 06355 Master's Level Social Worker 2020-07-01 ~ 2021-06-30
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Competitor

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City MYSTIC
Zip Code 06355
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + MYSTIC

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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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