ELYSE G STOCK MD
Controlled Substance Registration for Practitioner


Address: 61 Old Quarry Road, Woodbridge, CT 06525

ELYSE G STOCK MD (Credential# 220145) 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.

Business Overview

ELYSE G STOCK MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0028862. 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 61 Old Quarry Road, Woodbridge, CT 06525. The current status is active.

Basic Information

Licensee Name ELYSE G STOCK MD
Credential ID 220145
Credential Number CSP.0028862
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 61 Old Quarry Road
Woodbridge
CT 06525
Business Type INDIVIDUAL
Status ACTIVE - CURRENT
Active 1
Issue Date 1999-10-07
Effective Date 2019-03-01
Expiration Date 2021-02-28
Refresh Date 2019-01-28

Other licenses

ID Credential Code Credential Type Issue Term Status
555736 1.038146 Physician/Surgeon 1999-09-20 2020-02-01 - 2021-01-31 ACTIVE

Office Location

Street Address 61 OLD QUARRY ROAD
City WOODBRIDGE
State CT
Zip Code 06525

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Steven M Schnittman Md 61 Old Quarry Road, Woodbridge, CT 06525 Physician/surgeon 2020-05-01 ~ 2021-04-30

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Patricia A Kenyon · Leskow 8 Maple Terrace, Woodbridge, CT 06525 Registered Nurse 2020-09-01 ~ 2021-08-31
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Competitor

Search similar business entities

City WOODBRIDGE
Zip Code 06525
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + WOODBRIDGE

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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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