MARK C STANBERRY MD
Controlled Substance Registration for Practitioner


Address: 12 Bittersweet Lane, Ivoryton, CT 06442

MARK C STANBERRY MD (Credential# 146754) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is February 5, 2013. The license expiration date date is February 28, 2013. The license status is INACTIVE.

Business Overview

MARK C STANBERRY MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0000575. The credential type is controlled substance registration for practitioner. The effective date is February 5, 2013. The expiration date is February 28, 2013. The business address is 12 Bittersweet Lane, Ivoryton, CT 06442. The current status is inactive.

Basic Information

Licensee Name MARK C STANBERRY MD
Credential ID 146754
Credential Number CSP.0000575
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 12 Bittersweet Lane
Ivoryton
CT 06442
Business Type INDIVIDUAL
Status INACTIVE
Effective Date 2013-02-05
Expiration Date 2013-02-28
Refresh Date 2013-02-05

Other licenses

ID Credential Code Credential Type Issue Term Status
541816 1.016211 Physician/Surgeon 1973-08-13 2012-01-01 - 2012-12-31 INACTIVE

Office Location

Street Address 12 BITTERSWEET LANE
City IVORYTON
State CT
Zip Code 06442

Licenses in the same zip code

Licensee Name Office Address Credential Effective / Expiration
Cheryl B Dieso 58 Comstock Ave, Ivoryton, CT 06442 Architect 2020-08-01 ~ 2021-07-31
Susan E Wyeth 9 Summit Street, Ivoryton, CT 06442 Architect 2020-08-01 ~ 2021-07-31
Jill P Cartagena 13 Highland Terrace, Ivoryton, CT 06442 Architect 2020-08-01 ~ 2021-07-31
Maria Malla 70 Pond Meadow Rd, Ivoryton, CT 06442 Nail Technician 2020-06-18 ~ 2021-10-31
Michelle M D'amato 17 Highland Terrace, Ivoryton, CT 06442 Real Estate Salesperson ~
Jennifer Tate 26 Blake St, Ivoryton, CT 06442 Architect 2020-08-01 ~ 2021-07-31
Carol L Bowers · Talbot 26 Summit St, Ivoryton, CT 06442 Registered Nurse 2020-08-01 ~ 2021-07-31
Lisa S Murphy-cipolla 18 Windermere Way, Ivoryton, CT 06442 Marital and Family Therapist 2020-04-01 ~ 2021-03-31
Brooke N Greatsinger 19 Blake Street, Ivoryton, CT 06442 Real Estate Salesperson ~
Timothy W Boyle 14 Rosewood Lane, Ivoryton, CT 06442 Architect 2020-08-01 ~ 2021-07-31
Find all Licenses in zip 06442

Competitor

Search similar business entities

City IVORYTON
Zip Code 06442
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + IVORYTON

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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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