STEFANIE M WOZMAK
Controlled Substance Registration for Practitioner


Address: 122 Morgan St Apt 218b, Stamford, CT 06905-5410

STEFANIE M WOZMAK (Credential# 1338429) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2017. The license expiration date date is February 28, 2019. The license status is LAPSED.

Business Overview

STEFANIE M WOZMAK is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0062234. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2017. The expiration date is February 28, 2019. The business address is 122 Morgan St Apt 218b, Stamford, CT 06905-5410. The current status is lapsed.

Basic Information

Licensee Name STEFANIE M WOZMAK
Credential ID 1338429
Credential Number CSP.0062234
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 122 Morgan St Apt 218b
Stamford
CT 06905-5410
Business Type INDIVIDUAL
Status LAPSED
Active 1
Issue Date 2016-03-11
Effective Date 2017-03-01
Expiration Date 2019-02-28
Refresh Date 2019-03-06

Other licenses

ID Credential Code Credential Type Issue Term Status
1326266 23.003541 Physician Assistant 2016-03-01 2017-07-01 - 2018-06-30 INACTIVE

Office Location

Street Address 122 MORGAN ST APT 218B
City STAMFORD
State CT
Zip Code 06905-5410

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Competitor

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City STAMFORD
Zip Code 06905
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + STAMFORD

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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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