CALEB MANESS STALLS (Credential# 1490532) 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.
CALEB MANESS STALLS is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0067432. 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 7400 San Pedro Dr Ne Apt 1061, Albuquerque, NM 87109-4691. The current status is active.
Licensee Name | CALEB MANESS STALLS |
Credential ID | 1490532 |
Credential Number | CSP.0067432 |
Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
Business Address |
7400 San Pedro Dr Ne Apt 1061 Albuquerque NM 87109-4691 |
Business Type | INDIVIDUAL |
Status | ACTIVE - CURRENT |
Active | 1 |
Issue Date | 2018-06-01 |
Effective Date | 2019-03-01 |
Expiration Date | 2021-02-28 |
Refresh Date | 2019-01-28 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
1519703 | 1.061214-RES | Resident Physician | 2018-07-01 | 2018-07-01 - 2020-06-30 | ACTIVE |
Street Address | 7400 SAN PEDRO DR NE APT 1061 |
City | ALBUQUERQUE |
State | NM |
Zip Code | 87109-4691 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
American Indian Science and Engineering Society | 4263 Montgomery Blvd Ne, Albuquerque, NM 87109 | Public Charity | 2019-12-01 ~ 2020-11-30 |
John Basil Grapsas | 6030 Katson Ne, Albuquerque, NM 87109 | Professional Engineer | 2001-07-17 ~ 2002-01-31 |
Lynn Wanderer-potter | 5340 San Mateo Ne, Albuquerque, NM 87109 | Physician Assistant | 1981-01-01 ~ 1994-07-31 |
Constance A Martin | 7524 Northridge St, Albuquerque, NM 87109 | Registered Nurse | 1995-03-20 ~ 1996-03-31 |
Maureen D Quinn | 8915 Liberty Dr Ne, Albuquerque, NM 87109 | Registered Nurse | 1995-02-14 ~ 1995-12-31 |
Jeffrey J Supple | 7000 Louisiana Blvd, Albuquerque, NM 87109 | Dentist | 1981-01-01 ~ 1993-08-31 |
Sandra B Rausch | 7625 Arroyd Del 050, Albuquerque, NM 87109 | Registered Nurse | 2000-10-02 ~ 2001-09-30 |
Jeffrey H Karp | 5404 Montgomery Blvd Ne, Albuquerque, NM 87109 | Dentist | 1998-12-04 ~ 2000-01-31 |
Darlyn B Josef · Decampo | 7501 Montgomery Blvd. Ne, Albuquerque, NM 87109 | Registered Nurse | 2003-01-30 ~ 2004-01-31 |
National Specialty Services Inc | 5801 Midway Park Boulevard Ne, Albuquerque, NM 87109 | Wholesaler of Drugs, Cosmetics & Medical Devices | 1997-08-26 ~ 1998-06-30 |
Find all Licenses in zip 87109 |
City | ALBUQUERQUE |
Zip Code | 87109 |
License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + ALBUQUERQUE |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Caleb B Kallen Md | 333 Cedar St, New Haven, CT 06520-8063 | Controlled Substance Registration for Practitioner | 2005-03-01 ~ 2006-02-28 |
Amelia Watkins | 1 Caleb Ct, Guilford, CT 06437-2298 | Controlled Substance Registration for Practitioner | 2020-05-13 ~ 2021-02-28 |
John F Schmidt | 3 Caleb Ct, Guilford, CT 06437-2298 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Caleb Ho | 400 Blake Street Apt 5213, New Haven, CT 06515-4431 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
Caleb Ross Davis | 65 Eastview St, Hartford, CT 06114 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
E Benjamin Gardner | 43 Caleb Dyer Ln, Enfield, NH 03748-3551 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
Caleb Moore Md | 644 West Putnam; Suite 203, Greenwich, CT 06830 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Caleb D Wasser | 43 Sheep Hill Drive, West Hartford, CT 06117 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Caleb 36 LLC | 138 Bobby Lane, Manchester, CT 06040 | Home Improvement Contractor | 2019-12-01 ~ 2020-11-30 |
Caleb Hodgkins · Caleb's Landscaping | 60 Woodfield Crossing, Glastonbury, CT 06033-1416 | Home Improvement Contractor | 2015-12-01 ~ 2016-11-30 |
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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).