STEVEN G R CONNELL PA
Controlled Substance Registration for Practitioner


Address: Po Box 5828, Bay Shore, NY 11706-0862

STEVEN G R CONNELL PA (Credential# 521004) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2009. The license expiration date date is February 28, 2011. The license status is INACTIVE.

Business Overview

STEVEN G R CONNELL PA is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0044922. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2009. The expiration date is February 28, 2011. The business address is Po Box 5828, Bay Shore, NY 11706-0862. The current status is inactive.

Basic Information

Licensee Name STEVEN G R CONNELL PA
Credential ID 521004
Credential Number CSP.0044922
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address Po Box 5828
Bay Shore
NY 11706-0862
Business Type INDIVIDUAL
Status INACTIVE
Issue Date 2008-12-15
Effective Date 2009-03-01
Expiration Date 2011-02-28
Refresh Date 2013-03-07

Other licenses

ID Credential Code Credential Type Issue Term Status
743942 23.002193 Physician Assistant 2008-10-20 2009-08-05 - 2010-08-31 INACTIVE

Office Location

Street Address PO BOX 5828
City BAY SHORE
State NY
Zip Code 11706-0862

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Competitor

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City BAY SHORE
Zip Code 11706
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + BAY SHORE

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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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