STEPHANIE A BIRN (Credential# 212061) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2019. The license expiration date date is February 28, 2021. The license status is ACTIVE.
STEPHANIE A BIRN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0028062. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2019. The expiration date is February 28, 2021. The business address is 140 Northrop Rd, Woodbridge, CT 06525-1744. The current status is active.
| Licensee Name | STEPHANIE A BIRN |
| Credential ID | 212061 |
| Credential Number | CSP.0028062 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
140 Northrop Rd Woodbridge CT 06525-1744 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 1999-03-30 |
| Effective Date | 2019-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2019-02-08 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 742588 | 23.000839 | Physician Assistant | 1999-02-12 | 2019-11-01 - 2020-10-31 | ACTIVE |
| Street Address | 140 NORTHROP RD |
| City | WOODBRIDGE |
| State | CT |
| Zip Code | 06525-1744 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Vagan Babajanyan | 136 Northrop Rd, Woodbridge, CT 06525-1744 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
| Aragast Home Improvement & Repair Service LLC | 136 Northrop Rd, Woodbridge, CT 06525-1744 | Home Improvement Contractor | 2019-12-01 ~ 2020-11-30 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Hyue Kyung Choi | 11 Rock Hill Road, Woodbridge, CT 06525 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Jewish Cemetery Association of Greater New Haven | 360 Amity Road, Woodbridge, CT 06525 | Public Charity | 2020-07-01 ~ 2021-06-30 |
| Nancy Bradstreet | 146 Northrop Rd., Woodbridge, CT 06525 | Licensed Clinical Social Worker | 2020-09-01 ~ 2021-08-31 |
| Robert I Tucker | 15 Research Drive, Woodbridge, CT 06525 | Architect | 2020-08-01 ~ 2021-07-31 |
| Amity Brick Oven Pizza Inc · Joseph R Sarno | 142 Amity Rd, New Haven, CT 06525 | Bakery | 2020-07-01 ~ 2021-06-30 |
| Linda A Starace-colabella | 895 Baldwin Rd, Woodbridge, CT 06525 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
| Patricia A Kenyon · Leskow | 8 Maple Terrace, Woodbridge, CT 06525 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Marianne L Dexter | 37 Acorn Hill Rd, Woodbridge, CT 06525 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Debra G Wayne | 94 Maple Vale Drive, Woodbridge, CT 06525 | Psychologist | 2020-09-01 ~ 2021-08-31 |
| Timothy Michael Carney | 1119 Racebrook Road, Woodbridge, CT 06525 | Emergency Medical Technician | 2016-08-19 ~ 2020-03-31 |
| Find all Licenses in zip 06525 | |||
| City | WOODBRIDGE |
| Zip Code | 06525 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + WOODBRIDGE |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Jaclyn K Birn | 121 Richards Dr, Monroe, CT 06468-2321 | 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 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 Kramer | 13 Timmins Rd, Bow, NH 03304-4208 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 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 Mock | 180 Willow St Apt 2, New Haven, CT 06511-2572 | Controlled Substance Registration for Practitioner | 2020-04-27 ~ 2021-02-28 |
| Stephanie A Veillette Pa-c | 44 Cathy Dr, Southington, CT 06489-4401 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Stephanie Rowe Do | 887 Bridgeport Ave., Selton, CT 06484 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Stephanie K Fowler Md | 110 Weldon Ct, Goshen, CT 06756-1615 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Please comment or provide details below to improve the information on STEPHANIE A BIRN.
| 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).