STEPHANIE MOCK (Credential# 2039133) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is April 27, 2020. The license expiration date date is February 28, 2021. The license status is ACTIVE.
STEPHANIE MOCK is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0073793. The credential type is controlled substance registration for practitioner. The effective date is April 27, 2020. The expiration date is February 28, 2021. The business address is 180 Willow St Apt 2, New Haven, CT 06511-2572. The current status is active.
| Licensee Name | STEPHANIE MOCK |
| Credential ID | 2039133 |
| Credential Number | CSP.0073793 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
180 Willow St Apt 2 New Haven CT 06511-2572 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2020-04-27 |
| Effective Date | 2020-04-27 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2020-04-29 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 2034541 | 23.004801 | Physician Assistant | 2020-04-24 | 2020-04-24 - 2021-02-28 | ACTIVE |
| Street Address | 180 WILLOW ST APT 2 |
| City | NEW HAVEN |
| State | CT |
| Zip Code | 06511-2572 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Suzanne Fields | 178 Willow St, New Haven, CT 06511-2572 | Real Estate Salesperson | 2012-06-01 ~ 2013-05-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Montessori School On Edgewood Inc. | 230 Edgewood Avenue, New Haven, CT 06511 | Public Charity | 2019-06-01 ~ 2020-05-31 |
| Therese Parks · Visel Drug Store | 264 Munson St, New Haven, CT 06511 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Dazjia Monet Green | 115 Edgewood Ave Apt 64, New Haven, CT 06511 | Registered Nurse | 2020-06-27 ~ 2021-05-31 |
| Carol Yam | 343 Humphrey St, New Haven, CT 06511 | Registered Nurse | ~ |
| Marwan S Haddad | 38 Lincoln Street, New Haven, CT 06511 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Mary Lou Gaeta Md | 558 Chapel Street, New Haven, CT 06511 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Cary M Tucker | 64 Bishop St, New Haven, CT 06511 | Architect | 2020-08-01 ~ 2021-07-31 |
| Frank J Pannenborg | 505 Ellsworth Ave, New Haven, CT 06511 | Architect | 2020-08-01 ~ 2021-07-31 |
| Crystal E Gooding | 26 Woodland Street, New Haven, CT 06511 | Notary Public Appointment | 2020-07-01 ~ 2025-06-30 |
| Kieran Jones | 260 Crown St Unit 1f, New Haven, CT 06511 | Registered Nurse | ~ |
| Find all Licenses in zip 06511 | |||
| City | NEW HAVEN |
| Zip Code | 06511 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + NEW HAVEN |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Stephanie Kramer | 13 Timmins Rd, Bow, NH 03304-4208 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Stephanie M Chu Do | 99 Woodland St, Hartford, CT 06105 | Controlled Substance Registration for Practitioner | 2008-03-20 ~ 2009-02-28 |
| Stephanie T Borey Od | P. O. Box 6, Ledyard, CT 06339 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Stephanie Zhu | 100 Evergreen Dr, Stratford, CT 06614-4431 | Controlled Substance Registration for Practitioner | 2020-05-29 ~ 2021-02-28 |
| Stephanie M Yang | 771 Mix Ave # D, Hamden, CT 06514 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Stephanie Berlinski | 74 Goebel Rd, Hamden, CT 06514-1515 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Stephanie G Klein Md | 2 Crest Ave, Larchmont, NY 10538-1311 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Stephanie L Esposito | 9 Kew Gardens, Farmington, CT 06525 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Stephanie A Maguire | 31 Regen Rd, Danbury, CT 06811-4027 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Stephanie A Urillo | 360-15 No Main St, Southington, CT 06489-2503 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Please comment or provide details below to improve the information on STEPHANIE MOCK.
| 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).