IGAL STAW
Controlled Substance Registration for Practitioner


Address: 2000 Post Road #202, Fairfield, CT 06824

IGAL STAW (Credential# 146775) 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

IGAL STAW is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0002213. 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 2000 Post Road #202, Fairfield, CT 06824. The current status is active.

Basic Information

Licensee Name IGAL STAW
Credential ID 146775
Credential Number CSP.0002213
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 2000 Post Road #202
Fairfield
CT 06824
Business Type INDIVIDUAL
Status ACTIVE - CURRENT
Active 1
Issue Date 1999-03-01
Effective Date 2019-03-01
Expiration Date 2021-02-28
Refresh Date 2019-01-03

Other licenses

ID Credential Code Credential Type Issue Term Status
543261 1.020108 Physician/Surgeon 1978-03-31 2020-02-01 - 2021-01-31 ACTIVE

Office Location

Street Address 2000 Post Road #202
City Fairfield
State CT
Zip Code 06824

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Competitor

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City Fairfield
Zip Code 06824
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + Fairfield

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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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