STACI R ALLEN DDS
Controlled Substance Registration for Practitioner


Address: 298 Broad Street, Meriden, CT 06450

STACI R ALLEN DDS (Credential# 1323179) 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.

Business Overview

STACI R ALLEN DDS is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0061814. 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 298 Broad Street, Meriden, CT 06450. The current status is active.

Basic Information

Licensee Name STACI R ALLEN DDS
Credential ID 1323179
Credential Number CSP.0061814
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 298 Broad Street
Meriden
CT 06450
Business Type INDIVIDUAL
Status ACTIVE - CURRENT
Active 1
Issue Date 2015-12-02
Effective Date 2019-03-01
Expiration Date 2021-02-28
Refresh Date 2019-02-19

Other licenses

ID Credential Code Credential Type Issue Term Status
1316772 2.011526 Dentist 2015-11-30 2019-12-01 - 2020-11-30 ACTIVE
1084834 CSP.0053259 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 2012-08-10 2013-03-01 - 2015-02-28 INACTIVE

Office Location

Street Address 298 Broad Street
City Meriden
State CT
Zip Code 06450

Licenses in the same location

Licensee Name Office Address Credential Effective / Expiration
Farzad T Parsi 298 Broad Street, Meriden, CT 06450 Dentist 2000-01-10 ~ 2001-01-31

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Competitor

Search similar business entities

City Meriden
Zip Code 06450
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + Meriden

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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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