KRISTIN M STAWIARSKI (Credential# 1489328) is licensed (Resident Physician) with Connecticut Department of Consumer Protection. The license effective date is July 1, 2018. The license expiration date date is June 30, 2021. The license status is ACTIVE.
KRISTIN M STAWIARSKI is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.058546-RES. The credential type is resident physician. The effective date is July 1, 2018. The expiration date is June 30, 2021. The business address is 328 Campbell Ave, West Haven, CT 06516-5330. The current status is active.
Licensee Name | KRISTIN M STAWIARSKI |
Credential ID | 1489328 |
Credential Number | 1.058546-RES |
Credential Type | Resident Physician |
Credential SubCategory | RES |
Business Address |
328 Campbell Ave West Haven CT 06516-5330 |
Business Type | INDIVIDUAL |
Status | ACTIVE - CURRENT |
Active | 1 |
Issue Date | 2017-07-01 |
Effective Date | 2018-07-01 |
Expiration Date | 2021-06-30 |
Refresh Date | 2018-03-20 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
1329372 | CSP.0061987 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2016-01-21 | 2019-03-01 - 2021-02-28 | ACTIVE |
Street Address | 328 CAMPBELL AVE |
City | WEST HAVEN |
State | CT |
Zip Code | 06516-5330 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Antonio Costantino | 328 Campbell Ave, West Haven, CT 06516-5330 | Resident Physician | 2019-07-01 ~ 2022-06-30 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Anthony J Taggert | 340 Campbell Ave, West Haven, CT 06516-5330 | Real Estate Broker | 2020-04-01 ~ 2021-03-31 |
Bruce Martel | 362 Campbell Ave, W Haven, CT 06516-5330 | Flat Glass Unlimited Contractor | 2009-09-16 ~ 2010-08-31 |
Archie R Griffith Sr | 362 Campbell Ave, West Haven, CT 06516-5330 | Flat Glass Unlimited Contractor | ~ |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Nancy Cabrera Salinas | 649 Third Ave., West Haven, CT 06516 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-27 ~ 2021-07-31 |
Lauralee L Gaglio | 27 Peppermill Drive, West Haven, CT 06516 | Hairdresser/cosmetician | 2020-07-01 ~ 2022-06-30 |
Evelyn Ruiz Conant | 309 Terrace Ave, Unit 42, West Haven, CT 06516 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
Junqin Wang | 15 Central Ave West Haven, West Haven, CT 06516 | Nail Technician | ~ |
Mehmet Sofuoglu Md | Va Conn Healthcare System, West Haven, CT 06516 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
Monica M Skakacz | 19 Cowpen Rd, West Haven, CT 06516 | Registered Nurse | 2020-05-01 ~ 2021-04-30 |
Lourdes Maribel Guzman | 26 York Street, West Haven, CT 06516 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
Mcdonald's · Tay Mac Dba | 1129 Campbell Ave, West Haven, CT 06516 | Bakery | 2020-07-01 ~ 2021-06-30 |
Dyaija Soriano | 29 Ridge Court East, West Haven, CT 06516 | Esthetician | 2020-06-26 ~ 2022-05-31 |
Katherine M Grable | 13 Perry Merrill Drive, West Haven, CT 06516 | Licensed Practical Nurse | 2020-07-01 ~ 2021-06-30 |
Find all Licenses in zip 06516 |
City | WEST HAVEN |
Zip Code | 06516 |
License Type | Resident Physician |
License Type + County | Resident Physician + WEST HAVEN |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Kristin A Carr | 20 York St, New Haven, CT 06510 | Resident Physician | 2018-07-01 ~ 2021-06-30 |
Kristin M Torre | 8 W Ridge Rd, New Fairfield, CT 06812-4902 | Resident Physician | 2020-07-01 ~ 2023-06-30 |
Kristin T Hsieh | 5 Perryridge Road, Greenwich, CT 06830 | Resident Physician | 2020-06-22 ~ 2021-06-28 |
Kristin M Stendahl | 20 York Street, New Haven, CT 06510 | Resident Physician | 2020-07-01 ~ 2021-06-30 |
Kristin Elizabeth Reese | 20 York St Rm 226, New Haven, CT 06510-3220 | Resident Physician | 2020-07-01 ~ 2021-06-30 |
Kristin Mccoy | 101 Washington Blvd Unit 517, Stamford, CT 06902-6851 | Resident Physician | 2015-07-01 ~ 2020-07-01 |
Lisa Kristin O'donovan | 20 York Street, New Haven, CT 06510 | Resident Physician | 2020-07-01 ~ 2021-06-30 |
Phyllis C Stawiarski | 356 South Street, Hartford, CT 06114 | Notary Public Appointment | 1994-11-01 ~ 1999-10-31 |
Richard S Stawiarski | 567 Old Post Road, Tolland, CT 06084 | Notary Public Appointment | 1999-05-01 ~ 2004-04-30 |
Kristin Elias | 166 E 61st St Apt 11f, New York, NY 10065-8522 | Physician/surgeon | ~ |
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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).