STEPHANIE D PROZORA (Credential# 1357688) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is June 1, 2020. The license expiration date date is May 31, 2021. The license status is ACTIVE.
STEPHANIE D PROZORA is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.055442. The credential type is physician/surgeon. The effective date is June 1, 2020. The expiration date is May 31, 2021. The business address is 52 Magnolia Rd, Milford, CT 06461-9126. The current status is active.
| Licensee Name | STEPHANIE D PROZORA |
| Credential ID | 1357688 |
| Credential Number | 1.055442 |
| Credential Type | Physician/Surgeon |
| Business Address |
52 Magnolia Rd Milford CT 06461-9126 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2016-07-08 |
| Effective Date | 2020-06-01 |
| Expiration Date | 2021-05-31 |
| Refresh Date | 2020-04-13 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1168529 | CSP.0054870 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2013-06-12 | 2019-03-01 - 2021-02-28 | ACTIVE |
| 1494013 | 1.060061-RES | Resident Physician | 2016-07-01 | 2016-07-01 - 2020-06-30 | ACTIVE |
| Street Address | 52 MAGNOLIA RD |
| City | MILFORD |
| State | CT |
| Zip Code | 06461-9126 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Yunru Lai | 58 Magnolia Rd, Milford, CT 06461-9126 | Physician Assistant | 2020-03-01 ~ 2021-02-28 |
| Arlene Lara Liboro · Alquitran | 86 Magnolia Rd, Milford, CT 06461-9126 | Registered Nurse | 2020-01-01 ~ 2020-12-31 |
| Valeria A Assalone | 62 Magnolia Rd, Milford, CT 06461-9126 | Registered Nurse | 2020-02-01 ~ 2021-01-31 |
| Dipti S Stash · Shah | 36 Magnolia Rd, Milford, CT 06461-9126 | Registered Nurse | 2019-08-01 ~ 2020-07-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Bleixen Carolina Andrade | 18 Grassy Lane, Milford, CT 06461 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Lesley A Zinsky | 63 Westwood Road, Milford, CT 06461 | Notary Public Appointment | 2020-08-01 ~ 2025-07-31 |
| Melanie A Maguire | 132 Cornfield Rd, Milford, CT 06461 | Advanced Practice Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Audrey J Seigle | 304 Foxwood Lane, Milford, CT 06461 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Ariana M Acquarulo | 663 West Ave #22, Milford, CT 06461 | Physician Assistant | 2020-07-01 ~ 2021-06-30 |
| Ronald D'aurelio | 69 Sassacus Drive, Milford, CT 06461 | Architect | 2020-08-01 ~ 2021-07-31 |
| Kellie Catherine Doris Balfe | 71 Orange Ave, Milford, CT 06461 | Behavior Analyst | 2020-06-01 ~ 2021-05-31 |
| Donna J Iaffaldano · Shamatovich | 45 Yankee Hollow Road, Milford, CT 06461 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Kaitlynn Stevens | 27 Munson Street, Milford, CT 06461 | Registered Nurse | ~ |
| Scott S Lucas | 59 Undine Street, Milford, CT 06461 | Respiratory Care Practitioner | 2020-07-01 ~ 2021-06-30 |
| Find all Licenses in zip 06461 | |||
| City | MILFORD |
| Zip Code | 06461 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + MILFORD |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Stephanie Green Md | 2 Fox Den Way, Woodbridge, CT 06525 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Stephanie V Ng | 168 Linden St, Apt C2, New Haven, CT 06511 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Stephanie A Salas | 450 W 42nd St Apt 38h, New York, NY 10036-8213 | Physician/surgeon | ~ |
| Stephanie L Kwei Md | Boardman 330, New Haven, CT 06520 | Physician/surgeon | 2016-10-01 ~ 2017-09-30 |
| Stephanie Mullany | P.o Box 480, Terra Ceia, FL 34250 | Physician/surgeon | 2008-08-25 ~ 2009-08-31 |
| Stephanie A Christensen | 16 Canborne Way, Madison, CT 06443 | Physician/surgeon | 1994-05-13 ~ 1995-05-31 |
| Stephanie J Saucier | 246 Richard St, Newington, CT 06111 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
| Stephanie J Krusz | 750 Reservoir Ave, Cranston, RI 02910 | Physician/surgeon | 2007-03-29 ~ 2008-05-31 |
| Stephanie H Swope Md | 295 Fox Drive, Boulder, CO 80303 | Physician/surgeon | 2012-10-01 ~ 2013-09-30 |
| Stephanie M Brian Md | 92 Steeplechase Dr, Media, PA 19063-1975 | Physician/surgeon | 2016-05-01 ~ 2017-04-30 |
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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).