STEPHANIE PELTZ (Credential# 1417185) 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.
STEPHANIE PELTZ is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0065182. 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 218 Main St Unit 102, Nyack, NY 10960-8406. The current status is inactive.
| Licensee Name | STEPHANIE PELTZ |
| Credential ID | 1417185 |
| Credential Number | CSP.0065182 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
218 Main St Unit 102 Nyack NY 10960-8406 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LACK OF ACTIVE MEDICAL LICENSE |
| Issue Date | 2017-07-06 |
| Effective Date | 2019-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2020-04-20 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1320608 | CSP.0061756 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2016-03-14 | 2019-03-01 - 2021-02-28 | INACTIVE |
| 1279340 | 23.003545 | Physician Assistant | 2016-03-02 | 2016-03-02 - 2017-01-31 | INACTIVE |
| Street Address | 218 MAIN ST UNIT 102 |
| City | NYACK |
| State | NY |
| Zip Code | 10960-8406 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Kier B Levesque | 49 Third Ave, Nyack, NY 10960 | Architect | 2020-08-01 ~ 2021-07-31 |
| Shivani B. Patel Do | 8 Riverton Drive, Nyack, NY 10960 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Ann Mary Desloges | 39 Essex Green Lane, Peabody, MA 10960 | Registered Nurse | 2019-01-01 ~ 2019-12-31 |
| Siobhan Ann Masterson | 20 North Broadway, Nyack, NY 10960 | Licensed Clinical Social Worker | ~ |
| Eric Francis Hammermeister | 215 N Highland Ave, Nyack, NY 10960 | Emergency Medical Technician | ~ |
| Ricky M. Miano | 38c Gail Dr., Nyack, NY 10960 | Backflow Prevention Device Tester | 2017-12-31 ~ 2020-12-31 |
| Susan Ellen Morer | 4 Rockland Place, Nyack, NY 10960 | Licensed Clinical Social Worker | 2020-03-01 ~ 2021-02-28 |
| Luke A Daur | 107 S Broadway, Nyack, NY 10960 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
| Dominick R Pilla | 2 Lavetta, Nyack, NY 10960 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
| Carl Ian Graham | 118 First Ave, Nyack, NY 10960 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
| Find all Licenses in zip 10960 | |||
| City | NYACK |
| Zip Code | 10960 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + NYACK |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Stephanie Zhu | 100 Evergreen Dr, Stratford, CT 06614-4431 | Controlled Substance Registration for Practitioner | 2020-05-29 ~ 2021-02-28 |
| Stephanie M Chu Do | 99 Woodland St, Hartford, CT 06105 | Controlled Substance Registration for Practitioner | 2008-03-20 ~ 2009-02-28 |
| Stephanie T Borey Od | P. O. Box 6, Ledyard, CT 06339 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Stephanie Kramer | 13 Timmins Rd, Bow, NH 03304-4208 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Stephanie M Yang | 771 Mix Ave # D, Hamden, CT 06514 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Stephanie Rowe Do | 887 Bridgeport Ave., Selton, CT 06484 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Stephanie L Riggio Pa-c | 1 Lillian Ter, Darien, CT 06820-5205 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
| Stephanie S Fisher | 973 Buck Rd, Madrid, NY 13660-3144 | Controlled Substance Registration for Practitioner | 2014-06-24 ~ 2015-02-28 |
| Stephanie Goldpin | 190 W Broad St # G-401, Stamford, CT 06902-3633 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Stephanie Mock | 180 Willow St Apt 2, New Haven, CT 06511-2572 | Controlled Substance Registration for Practitioner | 2020-04-27 ~ 2021-02-28 |
Please comment or provide details below to improve the information on STEPHANIE PELTZ.
| 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).