STACEY LAUREN JUNE (Credential# 1652156) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is July 1, 2020. The license expiration date date is June 30, 2021. The license status is ACTIVE.
STACEY LAUREN JUNE is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.064026-DO. The credential type is physician/surgeon. The effective date is July 1, 2020. The expiration date is June 30, 2021. The business address is 107 Newtown Rd Ste 2c, Danbury, CT 06810-4151. The current status is active.
Licensee Name | STACEY LAUREN JUNE |
Credential ID | 1652156 |
Credential Number | 1.064026-DO |
Credential Type | Physician/Surgeon |
Credential SubCategory | DO |
Business Address |
107 Newtown Rd Ste 2c Danbury CT 06810-4151 |
Business Type | INDIVIDUAL |
Status | ACTIVE - CURRENT |
Active | 1 |
Issue Date | 2019-07-26 |
Effective Date | 2020-07-01 |
Expiration Date | 2021-06-30 |
Refresh Date | 2020-06-13 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
1679810 | CSP.0072101 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2019-07-29 | 2019-07-29 - 2021-02-28 | ACTIVE |
Street Address | 107 NEWTOWN RD STE 2C |
City | DANBURY |
State | CT |
Zip Code | 06810-4151 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Jeffrey B Monroe | 107 Newtown Rd Ste 2a, Danbury, CT 06810-4151 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Anthony Camillo | 107 Newtown Rd Ste 1a, Danbury, CT 06810-4151 | Dental Anesthesia/conscious Sedation Permit | 2020-06-01 ~ 2021-05-31 |
Claire M Bailey Md · Center for Pediatric Medicine | 107 Newtown Rd Ste 1d, Danbury, CT 06810-4151 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
Yogen A Dave | 107 Newtown Rd Ste 1b, Danbury, CT 06810-4151 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Jay Klarsfeld | 107 Newtown Rd Ste 2a, Danbury, CT 06810-4151 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
James S Batti Md | 107 Newtown Rd Ste 2a, Danbury, CT 06810-4151 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Anthony F Fama | 107 Newtown Rd Ste 2a, Danbury, CT 06810-4151 | Physician/surgeon | 2016-07-01 ~ 2017-06-30 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Eastern College Athletic Conference Inc | Matrix Corp Ctr 39 Old Ridgebury Rd, Danbury, CT 06810 | Public Charity | 2019-06-01 ~ 2020-05-31 |
Subway #36533 | 67 Newtown Rd, Danbury, CT 06810 | Bakery | 2020-07-01 ~ 2021-06-30 |
Natali Salome Teran | 27 Balmforth Ave 2, Danbury, CT 06810 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-27 ~ 2022-06-30 |
Kristin Danielle Mehta | 33 Country View Road, Danbury, CT 06810 | Advanced Practice Registered Nurse | 2020-07-01 ~ 2021-06-30 |
Zhane Gabrielle Cardenas | 40 Westville Avenue Apt 1, Danbury, CT 06810 | Nail Technician | 2020-06-27 ~ 2021-09-30 |
Zhane E Willikinson | 30 Germantown Road Suite 117, Danbury, CT 06810 | Nail Technician | 2020-06-27 ~ 2022-03-31 |
Michelle Dahlgren | 8 Stable Drive, Danbury, CT 06810 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
Asheree P Griffin | 14 New Town Road, Danbury, CT 06810 | Real Estate Salesperson | ~ |
Tania Isabel Salazar | 20 Highland Avenue, Danbury, CT 06810 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-26 ~ 2022-05-31 |
Gregory C Banks | Gregory Banks Counseling, LLC, Danbury, CT 06810 | Professional Counselor | 2020-08-01 ~ 2021-07-31 |
Find all Licenses in zip 06810 |
City | DANBURY |
Zip Code | 06810 |
License Type | Physician/Surgeon |
License Type + County | Physician/Surgeon + DANBURY |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Grace S Lee | 27 Stacey Ln, Madison, CT 06443-2465 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
June F Donnelly | Box 1355, Virginia Beach, VA 23451 | Physician/surgeon | 1995-05-11 ~ 1996-06-30 |
June C Murphy Do | Yale University, New Haven, CT 06520-8063 | Physician/surgeon | 2001-05-11 ~ 2002-06-30 |
June D Hillelson | 4712 Eastern Ave Se, Kentwood, MI 49508 | Physician/surgeon | 2003-08-29 ~ 2004-10-31 |
Katherine June Coyner | 6 Champlains Dr, Farmington, CT 06032 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
Stacey M Donegan Md | 14 Woodland Rd, New City, NY 10956-2626 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
Stacey D. Maslow | 761 Worcester Rd., Framingham, MA 01701 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
Stacey M Vitiello | 225 Nob Hill Dr., Elmford, NY 10523 | Physician/surgeon | 1999-06-18 ~ 2000-06-30 |
June Zhongbo Ye | 6968 Angus Drive, Vancouver B C, V6P 5J5 | Physician/surgeon | 2005-05-23 ~ 2006-06-30 |
June G Hanly | 46 Philo Curtis Rd, Sandy Hook, CT 06482 | Physician/surgeon | 1992-06-25 ~ 1993-06-30 |
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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).