CELINE M STAHL MD
Controlled Substance Registration for Practitioner


Address: 84 Pemberwick Road, Greenwich, CT 06831

CELINE M STAHL MD (Credential# 211363) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2017. The license expiration date date is February 28, 2019. The license status is LAPSED.

Business Overview

CELINE M STAHL MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0028049. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2017. The expiration date is February 28, 2019. The business address is 84 Pemberwick Road, Greenwich, CT 06831. The current status is lapsed.

Basic Information

Licensee Name CELINE M STAHL MD
Credential ID 211363
Credential Number CSP.0028049
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 84 Pemberwick Road
Greenwich
CT 06831
Business Type INDIVIDUAL
Status LAPSED
Active 1
Issue Date 1999-03-18
Effective Date 2017-03-01
Expiration Date 2019-02-28
Refresh Date 2019-03-06

Other licenses

ID Credential Code Credential Type Issue Term Status
548381 1.030326 Physician/Surgeon 1989-09-08 2017-01-01 - 2017-12-31 INACTIVE
158274 CSP.0017942 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 1998-03-01 - 1999-02-28 INACTIVE

Office Location

Street Address 84 PEMBERWICK ROAD
City GREENWICH
State CT
Zip Code 06831

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Competitor

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City GREENWICH
Zip Code 06831
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + GREENWICH

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Dataset Information

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).

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