STEFANIE PARKS (Credential# 1625854) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is June 1, 2020. The license expiration date date is May 31, 2021. The license status is ACTIVE.
STEFANIE PARKS is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.063005. The credential type is physician/surgeon. The effective date is June 1, 2020. The expiration date is May 31, 2021. The business address is 23 Jeremy Dr, East Lyme, CT 06333. The current status is active.
Licensee Name | STEFANIE PARKS |
Credential ID | 1625854 |
Credential Number | 1.063005 |
Credential Type | Physician/Surgeon |
Business Address |
23 Jeremy Dr East Lyme CT 06333 |
Business Type | INDIVIDUAL |
Status | ACTIVE - CURRENT |
Active | 1 |
Issue Date | 2019-05-14 |
Effective Date | 2020-06-01 |
Expiration Date | 2021-05-31 |
Refresh Date | 2020-03-25 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
1657297 | CSP.0070972 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2019-05-15 | 2019-05-15 - 2021-02-28 | ACTIVE |
Street Address | 23 Jeremy Dr |
City | East Lyme |
State | CT |
Zip Code | 06333 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Brittany Pearson | 6201 Maple Tree Lane, East Lyme, CT 06333 | Behavior Analyst | ~ |
Aura M Serdici | 7 Ferro Dr, East Lyme, CT 06333 | Esthetician | ~ |
Lawrence J Darling Jr · Darling Carpentry | 61 Mostowy Rd, East Lyme, CT 06333 | Home Improvement Contractor | 2020-06-19 ~ 2020-11-30 |
Sandeep B Varma | 30 Plum Hill Road, East Lyme, CT 06333 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
Peter J Famiglietti Md | 339 Flanders Road, East Lyme, CT 06333 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
Beth A Stoddard | 8 Greentree Drive, East Lyme, CT 06333 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
Scott's Yankee Farmer | 291 N Bride Brook Rd, East Lyme, CT 06333 | Apple Juice & Cider Manufacturer | 2020-07-01 ~ 2021-06-30 |
Katherine E Whalen | 339 Flanders Rd Ste 109, East Lyme, CT 06333 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
May L Diep | 88 Arbor Crossing, East Lyme, CT 06333 | Nail Technician | ~ |
Cash True Value | 300 Flanders Rd, East Lyme, CT 06333 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
Find all Licenses in zip 06333 |
City | East Lyme |
Zip Code | 06333 |
License Type | Physician/Surgeon |
License Type + County | Physician/Surgeon + East Lyme |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Stefanie B Zalasin | 351 Whippoorwill Rd, Chappaqua, NY 10514-2312 | Physician/surgeon | 2020-02-01 ~ 2021-01-31 |
Stefanie Z Roth | 7 Alden Ave, New Haven, CT 06515 | Physician/surgeon | 2001-01-16 ~ 2002-03-31 |
Becky J Parks | 232 N Kingshighway, St Louis, MO 63108 | Physician/surgeon | 1993-10-25 ~ 1994-09-30 |
Stefanie L Durstin Md | 780 Litchfield Street, Torrington, CT 06790 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
Stefanie K Greene | 10400 Conn Ave, Kensington, MD 20895 | Physician/surgeon | 1992-06-25 ~ 1993-05-31 |
Christopher Bruce Parks | 23 Jeremy Drive, East Lyme, CT 06333 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
Asha Zakiya Robinson-parks | 5500 Maryland Way, Brentwood, TN 37027 | Physician/surgeon | 2019-10-28 ~ 2020-10-31 |
Thomas Parks · Parks Painting | 2490 Black Rock Tpke #166, Fairfield, CT 06432-2400 | Home Improvement Contractor | 1998-04-27 ~ 1998-11-30 |
Frederick E Parks Jr · Parks Landscaping | Po Box 608, Ridgefield, CT 06877 | Home Improvement Contractor | 1995-12-01 ~ 1996-11-30 |
William E Parks · W E Parks | Po Box 583, Marion, CT 06444 | Home Improvement Contractor | 2004-05-05 ~ 2004-11-30 |
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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).