SANDRA P BOLTAX-STERN (Credential# 540057) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is April 1, 2020. The license expiration date date is March 31, 2021. The license status is ACTIVE.
SANDRA P BOLTAX-STERN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.011608. The credential type is physician/surgeon. The effective date is April 1, 2020. The expiration date is March 31, 2021. The business address is 78 Ansonia Rd, Woodbridge, CT 06525. The current status is active.
| Licensee Name | SANDRA P BOLTAX-STERN |
| Credential ID | 540057 |
| Credential Number | 1.011608 |
| Credential Type | Physician/Surgeon |
| Business Address |
78 Ansonia Rd Woodbridge CT 06525 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 1963-12-23 |
| Effective Date | 2020-04-01 |
| Expiration Date | 2021-03-31 |
| Refresh Date | 2020-04-04 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 159966 | CSP.0020279 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 1999-03-01 | 2019-03-01 - 2021-02-28 | ACTIVE |
| Street Address | 78 ANSONIA RD |
| City | WOODBRIDGE |
| State | CT |
| Zip Code | 06525 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Harold Stern | 78 Ansonia Rd, Woodbridge, CT 06525-2502 | Physician/surgeon | 2009-04-16 ~ 2010-04-30 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Hyue Kyung Choi | 11 Rock Hill Road, Woodbridge, CT 06525 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Jewish Cemetery Association of Greater New Haven | 360 Amity Road, Woodbridge, CT 06525 | Public Charity | 2020-07-01 ~ 2021-06-30 |
| Nancy Bradstreet | 146 Northrop Rd., Woodbridge, CT 06525 | Licensed Clinical Social Worker | 2020-09-01 ~ 2021-08-31 |
| Robert I Tucker | 15 Research Drive, Woodbridge, CT 06525 | Architect | 2020-08-01 ~ 2021-07-31 |
| Amity Brick Oven Pizza Inc · Joseph R Sarno | 142 Amity Rd, New Haven, CT 06525 | Bakery | 2020-07-01 ~ 2021-06-30 |
| Linda A Starace-colabella | 895 Baldwin Rd, Woodbridge, CT 06525 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
| Patricia A Kenyon · Leskow | 8 Maple Terrace, Woodbridge, CT 06525 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Marianne L Dexter | 37 Acorn Hill Rd, Woodbridge, CT 06525 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Debra G Wayne | 94 Maple Vale Drive, Woodbridge, CT 06525 | Psychologist | 2020-09-01 ~ 2021-08-31 |
| Timothy Michael Carney | 1119 Racebrook Road, Woodbridge, CT 06525 | Emergency Medical Technician | 2016-08-19 ~ 2020-03-31 |
| Find all Licenses in zip 06525 | |||
| City | WOODBRIDGE |
| Zip Code | 06525 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + WOODBRIDGE |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Robert S Boltax | 545 Longwharf Dr, New Haven, CT 06511 | Physician/surgeon | 2007-03-19 ~ 2008-05-31 |
| Harold Stern | 78 Ansonia Rd, Woodbridge, CT 06525-2502 | Physician/surgeon | 2009-04-16 ~ 2010-04-30 |
| Aaron Stern | 53 Dingletown Rd, Greenwich, CT 06830 | Physician/surgeon | 2014-04-01 ~ 2015-03-31 |
| Bernard Stern | 3128 Palisade Ave, Riverdale, NY 10463 | Physician/surgeon | 1995-05-22 ~ 1996-05-31 |
| Robert G Stern | 1245 Park Ave, New York, NY 10128 | Physician/surgeon | 1994-03-25 ~ 1995-05-31 |
| Peter Stern | 60 Ackerman Drive, Mahwah, NJ 07430 | Physician/surgeon | 2001-01-29 ~ 2002-02-28 |
| Jeffrey Stern | 2009 Summer St, Stamford, CT 06905-5023 | Physician/surgeon | 2020-03-09 ~ 2021-03-31 |
| Jeffrey T Stern Md | 51 Depot Street Ste #201, Watertown, CT 06795 | Physician/surgeon | 2018-09-01 ~ 2019-08-31 |
| Leonard Stern Md | 16 Bushy Ridge Rd, Westport, CT 06880 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Rohan A Stern | 72 Cook Hill Rd, Windsor, CT 06095-3153 | Physician/surgeon | 2013-07-01 ~ 2014-06-30 |
Please comment or provide details below to improve the information on SANDRA P BOLTAX-STERN.
| 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).