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.
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.
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 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
146774 | CSP.0000744 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2004-02-29 - 2005-02-28 | INACTIVE |
Street Address | 3 DANFORTH LN |
City | W HARTFORD |
State | CT |
Zip Code | 06110 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Diem Thuy Nguyen | 25 Brian Road, West Hartford, CT 06110 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-26 ~ 2022-02-28 |
Dominick E Deslauriers | 67 Red Top Drive, West Hartford, CT 06110 | Physical Therapist | 2020-09-01 ~ 2021-08-31 |
Markos Raptis Dds | 61 Park Place Circle, West Hartford, CT 06110 | Dentist | 2020-07-01 ~ 2021-06-30 |
Keith A Dumond | 83 Mayflower Street, West Hartford, CT 06110 | Real Estate Salesperson | 2020-06-23 ~ 2021-05-31 |
Yayan Tong | 6 Steven St, West Hartford, CT 06110 | Nail Technician | ~ |
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 |
Jong Lee | 6 Timothy, West Hartford, CT 06110 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
Find all Licenses in zip 06110 |
City | W HARTFORD |
Zip Code | 06110 |
License Type | Physician/Surgeon |
License Type + County | Physician/Surgeon + W HARTFORD |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
John Stavola | 8 Rebecca St, Trumbull, CT 06611-5236 | Embalmer | 2020-07-01 ~ 2021-06-30 |
John F Stavola | 203 Creek St, Wrentham, MA 02093 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
John V Stavola | 39 Hamlock Road, Simsbury, CT 06070 | Hairdresser/cosmetician | 2014-05-01 ~ 2016-04-30 |
Stavola Custom Building LLC | 7 Rocky Pt Rd, Old Saybrook, CT 06475 | Home Improvement Contractor | 2018-12-01 ~ 2019-11-30 |
John Stavola | 8 Rebecca Street, Trumbull, CT 06611 | Notary Public Appointment | 2019-01-22 ~ 2024-01-31 |
John J Stavola | 405 Cedar Ridge Dr, Glastonbury, CT 06033-1817 | Certified Public Accountant Certificate | 2020-01-01 ~ 2020-12-31 |
John T Thompson | Physician Pavilion W, Towson, MD 21204 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
John C Radford | Po Box 248, Ellicottville, NY 14731-0248 | Physician/surgeon | ~ |
John S Kennedy | Psc 836 Box 56 | Physician/surgeon | 2002-03-19 ~ 2002-12-31 |
John J Roh | 12 Little Brook Ln, Weston, CT 06883-2233 | Physician/surgeon | 2020-02-01 ~ 2021-01-31 |
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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).