MAXIMILIAN STAHL
Physician/surgeon


Address: 275 Winchester Avenue, New Haven, CT 06511

MAXIMILIAN STAHL (Credential# 1403669) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2018. The license expiration date date is February 28, 2019. The license status is INACTIVE.

Business Overview

MAXIMILIAN STAHL is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.056265. The credential type is physician/surgeon. The effective date is March 1, 2018. The expiration date is February 28, 2019. The business address is 275 Winchester Avenue, New Haven, CT 06511. The current status is inactive.

Basic Information

Licensee Name MAXIMILIAN STAHL
Credential ID 1403669
Credential Number 1.056265
Credential Type Physician/Surgeon
Business Address 275 Winchester Avenue
New Haven
CT 06511
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 2017-03-13
Effective Date 2018-03-01
Expiration Date 2019-02-28
Refresh Date 2019-06-03

Other licenses

ID Credential Code Credential Type Issue Term Status
1229811 CSP.0057451 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 2014-06-23 2017-03-01 - 2019-02-28 LAPSED

Office Location

Street Address 275 Winchester Avenue
City New Haven
State CT
Zip Code 06511

Licenses in the same location

Licensee Name Office Address Credential Effective / Expiration
Ayana Smith 275 Winchester Avenue, New Haven, CT 06511 Medication Administration Certification 2019-05-02 ~ 2021-05-02
Brittany Lewis 275 Winchester Avenue, New Haven, CT 06511 Medication Administration Certification 2019-04-08 ~ 2021-04-07
Sarah C Hull 275 Winchester Avenue, New Haven, CT 06511 Controlled Substance Registration for Practitioner 2019-03-01 ~ 2021-02-28
Bionka Turner 275 Winchester Avenue, New Haven, CT 06511 Medication Administration Certification 2018-10-04 ~ 2020-10-03

Licenses in the same zip code

Licensee Name Office Address Credential Effective / Expiration
Montessori School On Edgewood Inc. 230 Edgewood Avenue, New Haven, CT 06511 Public Charity 2019-06-01 ~ 2020-05-31
Therese Parks · Visel Drug Store 264 Munson St, New Haven, CT 06511 Registered Nurse 2020-07-01 ~ 2021-06-30
Dazjia Monet Green 115 Edgewood Ave Apt 64, New Haven, CT 06511 Registered Nurse 2020-06-27 ~ 2021-05-31
Carol Yam 343 Humphrey St, New Haven, CT 06511 Registered Nurse ~
Marwan S Haddad 38 Lincoln Street, New Haven, CT 06511 Physician/surgeon 2020-07-01 ~ 2021-06-30
Mary Lou Gaeta Md 558 Chapel Street, New Haven, CT 06511 Physician/surgeon 2020-07-01 ~ 2021-06-30
Cary M Tucker 64 Bishop St, New Haven, CT 06511 Architect 2020-08-01 ~ 2021-07-31
Frank J Pannenborg 505 Ellsworth Ave, New Haven, CT 06511 Architect 2020-08-01 ~ 2021-07-31
Crystal E Gooding 26 Woodland Street, New Haven, CT 06511 Notary Public Appointment 2020-07-01 ~ 2025-06-30
Kieran Jones 260 Crown St Unit 1f, New Haven, CT 06511 Registered Nurse ~
Find all Licenses in zip 06511

Competitor

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City New Haven
Zip Code 06511
License Type Physician/Surgeon
License Type + County Physician/Surgeon + New Haven

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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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