STEPHAN SIEBEL
Controlled Substance Registration for Practitioner


Address: 208 Canner St, New Haven, CT 06511-2279

STEPHAN SIEBEL (Credential# 1436399) 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

STEPHAN SIEBEL is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0066222. 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 208 Canner St, New Haven, CT 06511-2279. The current status is active.

Basic Information

Licensee Name STEPHAN SIEBEL
Credential ID 1436399
Credential Number CSP.0066222
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 208 Canner St
New Haven
CT 06511-2279
Business Type INDIVIDUAL
Status ACTIVE - CURRENT
Active 1
Issue Date 2017-07-12
Effective Date 2019-03-01
Expiration Date 2021-02-28
Refresh Date 2019-02-11

Other licenses

ID Credential Code Credential Type Issue Term Status
1419684 1.056574 Physician/Surgeon 2017-06-19 2019-11-01 - 2020-10-31 ACTIVE
1235236 CSP.0058215 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER - INACTIVE

Office Location

Street Address 208 CANNER ST
City NEW HAVEN
State CT
Zip Code 06511-2279

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Competitor

Search similar business entities

City NEW HAVEN
Zip Code 06511
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + 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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