JOHN J STAVOLA MD
Physician/surgeon


Address: 3 Danforth Ln, W Hartford, CT 06110

JOHN J STAVOLA MD (Credential# 539238) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is December 15, 2003. The license expiration date date is February 28, 2005. The license status is INACTIVE.

Business Overview

JOHN J STAVOLA MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.008694. The credential type is physician/surgeon. The effective date is December 15, 2003. The expiration date is February 28, 2005. The business address is 3 Danforth Ln, W Hartford, CT 06110. The current status is inactive.

Basic Information

Licensee Name JOHN J STAVOLA MD
Credential ID 539238
Credential Number 1.008694
Credential Type Physician/Surgeon
Business Address 3 Danforth Ln
W Hartford
CT 06110
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 1957-08-06
Effective Date 2003-12-15
Expiration Date 2005-02-28
Refresh Date 2009-07-11

Other licenses

ID Credential Code Credential Type Issue Term Status
146774 CSP.0000744 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 2004-02-29 - 2005-02-28 INACTIVE

Office Location

Street Address 3 DANFORTH LN
City W HARTFORD
State CT
Zip Code 06110

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Dominick E Deslauriers 67 Red Top Drive, West Hartford, CT 06110 Physical Therapist 2020-09-01 ~ 2021-08-31
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Apsara Thapa 15 Lewis Lane, West Hartford, CT 06110 Combination Nail Technician, Esthetician Or Eyelash Technici ~
Aneudi J Rodriguez Perez 24 Elmhurt Circle, West Hartford, CT 06110 Real Estate Salesperson ~
Frances B Gurtman Md 445 S Main Street, West Hartford, CT 06110 Physician/surgeon 2020-08-01 ~ 2021-07-31
Diana M Rodriguez 445 South Main St, West Hartford, CT 06110 Physician/surgeon 2020-06-01 ~ 2021-05-31
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Competitor

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City W HARTFORD
Zip Code 06110
License Type Physician/Surgeon
License Type + County Physician/Surgeon + W HARTFORD

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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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