SIOBHAN M STEPHEN (Credential# 528963) 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.
SIOBHAN M STEPHEN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0045324. 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 33 Dale Rd Ste 2, Avon, CT 06001-3612. The current status is active.
| Licensee Name | SIOBHAN M STEPHEN |
| Credential ID | 528963 |
| Credential Number | CSP.0045324 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
33 Dale Rd Ste 2 Avon CT 06001-3612 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2009-04-06 |
| Effective Date | 2019-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2018-12-28 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 883774 | 22.008448 | Dental Anesthesia/Conscious Sedation Permit | 2009-07-29 | 2019-08-01 - 2020-07-31 | ACTIVE |
| 704444 | 2.009992 | Dentist | 2009-01-15 | 2019-07-01 - 2020-06-30 | ACTIVE |
| 565029 | 1.047447 | Physician/Surgeon | 2009-03-12 | 2019-07-01 - 2020-06-30 | ACTIVE |
| Street Address | 33 DALE RD STE 2 |
| City | AVON |
| State | CT |
| Zip Code | 06001-3612 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Julie R Deitch | 5 Bridle Path, Avon, CT 06001 | Dental Hygienist | 2020-07-01 ~ 2021-06-30 |
| Brigitte Nicole Heleniak | 16 Sunset Trail, Avon, CT 06001 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Coffee Trade Inc (the) | 21 West Main St, Avon, CT 06001 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Elizabeth Stockwell | 44 Applewood Lane, Avon, CT 06001 | Real Estate Salesperson | ~ |
| Mollie Velma Lahaie | 14 Red Mountain Lane, Avon, CT 06001 | Registered Nurse | 2020-06-26 ~ 2020-08-31 |
| Meiling Chen | Avon Nail 315 W Main Street, Avon, CT 06001 | Nail Technician | ~ |
| Richard J Kaiser | 72 Westland Road, Avon, CT 06001 | Architect | 2020-08-01 ~ 2021-07-31 |
| Michele L Sweitzer | 12 Bluestone Lane, Avon, CT 06001 | Real Estate Salesperson | 2020-06-25 ~ 2021-05-31 |
| Caroline O Amin | 5 Colby Way, Avon, CT 06001 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
| Christine Burns | 102 New Road, Avon, CT 06001 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Find all Licenses in zip 06001 | |||
| City | AVON |
| Zip Code | 06001 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + AVON |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Siobhan M Dolan Md | 17 Highland Avenue, Rowayton, CT 06853 | Controlled Substance Registration for Practitioner | 2001-03-01 ~ 2002-02-28 |
| Siobhan M. Bach Dvm | 21 Lordvale Blvd, North Grafton, MA 01536-1121 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
| Siobhan C Collins Md | 2928 Main Street, Glastonbury, CT 06033 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Siobhan G O'connor Md · Rehab Ctr of Fairfield | 226 Mill Hill Ave, Bridgeport, CT 06610 | Controlled Substance Registration for Practitioner | 1997-03-01 ~ 1998-02-28 |
| Stephen E Adolfsen | 22 Ark Rd, Branford, CT 06405 | Controlled Substance Registration for Practitioner | 2008-03-01 ~ 2009-02-28 |
| Stephen F Carolan | 1 Theall Rd, Rye, NY 10580 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Stephen V Sharnick | York, PA 17404 | Controlled Substance Registration for Practitioner | 2011-07-17 ~ 2013-02-28 |
| Stephen D Rosenman | Fairfield, CT 06824-1983 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
| Stephen K Wong | New Britain, CT 06053 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Stephen Grevious Md | 7 Park St, Norwalk, CT 06851 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Please comment or provide details below to improve the information on SIOBHAN M STEPHEN.
| 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).