STEPHANIE ELIZABETH KUNTZ (Credential# 1659163) is licensed (Resident Physician) with Connecticut Department of Consumer Protection. The license effective date is July 1, 2019. The license expiration date date is June 30, 2021. The license status is ACTIVE.
STEPHANIE ELIZABETH KUNTZ is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.063471-RES. The credential type is resident physician. The effective date is July 1, 2019. The expiration date is June 30, 2021. The business address is 2 Park Pl, Hartford, CT 06106. The current status is active.
| Licensee Name | STEPHANIE ELIZABETH KUNTZ |
| Credential ID | 1659163 |
| Credential Number | 1.063471-RES |
| Credential Type | Resident Physician |
| Credential SubCategory | RES |
| Business Address |
2 Park Pl Hartford CT 06106 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2019-07-01 |
| Effective Date | 2019-07-01 |
| Expiration Date | 2021-06-30 |
| Refresh Date | 2019-05-21 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1652067 | CSP.0070714 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2019-04-26 | 2019-04-26 - 2021-02-28 | ACTIVE |
| 1623995 | 1.062686-DO | Physician/Surgeon | 2019-04-26 | 2020-02-01 - 2021-01-31 | ACTIVE |
| Street Address | 2 Park Pl |
| City | Hartford |
| State | CT |
| Zip Code | 06106 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Xuan Wang | 2 Park Pl, Hartford, CT 06106-5007 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Trisha Blake | 2 Park Pl, Hartford, CT 06106-5007 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Celso F Bu-leiva | 2 Park Pl, Hartford, CT 06106-5007 | Lead Abatement Worker | 2019-12-01 ~ 2020-11-30 |
| Paola A Sandoval | 2 Park Pl, Hartford, CT 06106-5007 | Pharmacy Intern | 2015-08-20 ~ 2018-09-30 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Connpirg Education Fund Inc | 2074 Park St #210, Hartford, CT 06106 | Public Charity | 2019-06-01 ~ 2020-05-31 |
| Environment Connecticut Research & Policy Center Inc | 2074 Park St, #210, Hartford, CT 06106 | Public Charity | 2019-06-01 ~ 2020-05-31 |
| Douglas Laing Rock Oyster | Statewide, Hartford, CT 06106 | Liquor Brand Label | 2016-08-03 ~ 2019-08-02 |
| Randall S Luther | 146 Wyllys St 1-203, Hartford, CT 06106 | Architect | 2020-08-01 ~ 2021-07-31 |
| Guillermina Gonzalez | 97 Amity St., Hartford, CT 06106 | Hairdresser/cosmetician | 2020-09-01 ~ 2022-08-31 |
| Keyonni Jones | 54 Grafton St, Hartford, CT 06106 | Medication Administration Certification | ~ |
| Amber Nicole Perretta | 125 Zion St 2n, Hartford, CT 06106 | Hairdresser/cosmetician | ~ |
| Jose B. Jiminian · Danny's Market Grocery Store | 33 Park Street, Hartford, CT 06106 | Grocery Beer | 2020-08-01 ~ 2021-07-31 |
| Alice G Nieto | 29 Kelsey Street, Hartford, CT 06106 | Licensed Clinical Social Worker | 2020-07-01 ~ 2021-06-30 |
| Malinda M Rodriguez | 27 Amity Street #3, Hartford, CT 06106 | Notary Public Appointment | ~ |
| Find all Licenses in zip 06106 | |||
| City | Hartford |
| Zip Code | 06106 |
| License Type | Resident Physician |
| License Type + County | Resident Physician + Hartford |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Stephanie Wu | 300 George St Ste 901, New Haven, CT 06511-6662 | Resident Physician | 2020-06-11 ~ 2024-06-30 |
| Stephanie Byun | 20 York St, New Haven, CT 06510 | Resident Physician | 2019-07-01 ~ 2020-06-30 |
| Stephanie Byun | 35 W Park Ave, New Haven, CT 06511-4043 | Resident Physician | 2019-07-09 ~ 2021-06-30 |
| Stephanie Hanchuk | 20 York St, New Haven, CT 06510-3220 | Resident Physician | 2020-07-01 ~ 2021-06-30 |
| Stephanie Cheok | 20 York St, New Haven, CT 06510-3220 | Resident Physician | 2020-07-01 ~ 2021-06-30 |
| Stephanie Robert | 20 York St, New Haven, CT 06510-3220 | Resident Physician | 2020-07-01 ~ 2021-06-30 |
| Stephanie Elise Presser` | 20 York St, New Haven, CT 06510-3220 | Resident Physician | 2020-07-01 ~ 2021-06-30 |
| Stephanie Marie Tatzel | 20 York St., New Haven, CT 06510-3220 | Resident Physician | 2016-12-08 ~ 2020-06-30 |
| Stephanie L Chung | 75 Independence Dr, Basking Ridge, NJ 07920-3809 | Resident Physician | 2017-07-01 ~ 2021-06-30 |
| Alissa Stephanie Chen | 20 York Street, New Haven, CT 06510 | Resident Physician | 2020-07-01 ~ 2021-06-30 |
Please comment or provide details below to improve the information on STEPHANIE ELIZABETH KUNTZ.
| 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).