STACEY NATH-VINICK DMD (Credential# 162273) 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.
STACEY NATH-VINICK DMD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0022709. 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 133 Mountain Rd, Suffield, CT 06078-2084. The current status is active.
| Licensee Name | STACEY NATH-VINICK DMD |
| Credential ID | 162273 |
| Credential Number | CSP.0022709 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
133 Mountain Rd Suffield CT 06078-2084 |
| 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 | 2019-01-28 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 702144 | 2.007634 | Dentist | 1990-08-11 | 2019-11-01 - 2020-10-31 | ACTIVE |
| Street Address | 133 MOUNTAIN RD |
| City | SUFFIELD |
| State | CT |
| Zip Code | 06078-2084 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Kathryn M Tkacz | 133 Mountain Rd, Suffield, CT 06078-2084 | Marital and Family Therapist | 2020-06-01 ~ 2021-05-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Jun Jiang | 46 Cedar Crest Ln., Suffield, CT 06078 | Perfusionist | 2020-07-01 ~ 2021-06-30 |
| Lynne M Vallides | 600 Thompsonville Road, Suffield, CT 06078 | Notary Public Appointment | 2020-09-01 ~ 2025-08-31 |
| Francesco M Antelmi | 41 Diane Lane, Suffield, CT 06078 | Licensed Practical Nurse | 2020-09-01 ~ 2021-08-31 |
| Young Ran Won | 875 Overhill Dr., Suffield, CT 06078 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Burl R Sindler | 58 Austin Street, Suffield, CT 06078 | Hearing Instrument Specialist | 2020-08-01 ~ 2022-07-31 |
| Nasser M Saleh | 1257 South Street, Suffield, CT 06078 | Real Estate Salesperson | ~ |
| Praxair Inc | Ucar Street, Suffield, CT 06078 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Babylon LLC | 1221 Harvey Ln, Suffield, CT 06078 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Suffield Hardware | 63 Mountain Rd, Suffield, CT 06078 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Donald R Ledoux | 675 East St. North, Suffield, CT 06078 | Chiropractor | 2020-09-01 ~ 2021-08-31 |
| Find all Licenses in zip 06078 | |||
| City | SUFFIELD |
| Zip Code | 06078 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + SUFFIELD |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Bidisha Nath | 955 Mix Ave Apt 1j, Hamden, CT 06514-5126 | Controlled Substance Registration for Practitioner | 2009-03-01 ~ 2011-02-28 |
| Sameer K Nath | 123 Gillies Rd, Hamden, CT 06517 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Alan G Nath | 133 Mountain Road, Suffield, CT 06078 | Controlled Substance Registration for Practitioner | 2019-12-01 ~ 2021-02-28 |
| Sujai D Nath | 1685 E Ashley Ave, Folly Beach, SC 29439 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Alison Dawn Sheridan Nath | 333 Cedar St, New Haven, CT 06510-3206 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Stacey A Carron Dvm | 691 Mix Ave Apt A1, Hamden, CT 06514-2207 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Stacey B Weldon Md | 26 Tremont St, Cos Cob, CT 06807-2422 | Controlled Substance Registration for Practitioner | 2009-03-01 ~ 2011-02-28 |
| Stacey Lombardo | 7 Lawrence Ave, Danbury, CT 06810-5180 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Stacey M Langsam Do | 538 Litchfield St Ste G02, Torrington, CT 06790-6669 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Stacey Stein Md | 252 Old Oaks Rd, Fairfield, CT 06825-1932 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
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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).