BRUCE W STAVENS (Credential# 545079) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is April 1, 2011. The license expiration date date is March 31, 2012. The license status is INACTIVE.
BRUCE W STAVENS is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.024614. The credential type is physician/surgeon. The effective date is April 1, 2011. The expiration date is March 31, 2012. The business address is 32475 South Ridge, Sioux City, IA 51108. The current status is inactive.
| Licensee Name | BRUCE W STAVENS |
| Credential ID | 545079 |
| Credential Number | 1.024614 |
| Credential Type | Physician/Surgeon |
| Business Address |
32475 South Ridge Sioux City IA 51108 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 1983-05-17 |
| Effective Date | 2011-04-01 |
| Expiration Date | 2012-03-31 |
| Refresh Date | 2012-07-03 |
| Street Address | 32475 SOUTH RIDGE |
| City | SIOUX CITY |
| State | IA |
| Zip Code | 51108 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Ethen Thomas Leff | 5801 Cleveland St, Sioux City, IA 51108-1149 | Radiographer | 2020-07-01 ~ 2021-06-30 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Sally J Tarasoff | 3118 Dearborn Blvd, Sioux City, IA 51104-2427 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Nubari Gimah | 4647 Stone Ave Bldg 117, Sioux City, IA 51106-1918 | Registered Nurse | 2020-04-06 ~ 2021-04-30 |
| Robert E Beacom | 1600 Aztec Cir, Sioux City, IA 51104-4303 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
| Iris Le | 3523 Strawberry Ln, Sioux City, IA 51104-1557 | Registered Nurse | 2020-01-15 ~ 2020-04-30 |
| Amy R Herbst | 2516 Nicklaus Blvd, Sioux City, IA 51106 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
| Chi S Lee | 5801 Lorraine Avenue, Sioux City, IA 51106 | Professional Engineer | 2019-02-01 ~ 2020-01-31 |
| Igor Begovic | 5006 Sergeant Rd # 413, Sioux City, IA 51106-4708 | Physician/surgeon | 2017-11-01 ~ 2018-10-31 |
| Leblanc Company Inc · Leblanc Communication Inc | 2301 Bridgeport Dr, Sioux City, IA 51111-1001 | Professional Engineering Corporation | 1998-09-14 ~ 1999-09-11 |
| Robert A Naumann | 128 S Casselman, Sioux City, IA 51103 | Professional Engineer | 1800-12-27 ~ 1992-01-31 |
| Pamela S Davis | 3127 Morrison Ave, Sioux City, IA 51104-2415 | Registered Nurse | ~ |
| Find all Licenses in SIOUX CITY | |||
| City | SIOUX CITY |
| Zip Code | 51108 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + SIOUX CITY |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Joel Stavens · Stavens Brothers Inc | 191 River Rd, Willington, CT 06279-1646 | Water Supply Contractor | 2020-05-01 ~ 2021-04-30 |
| Robert Stavens · Ken Ponkala, Ofc Mgr/bkpr | Po Box 406, Willington, CT 06279 | Water Supply Contractor | 2000-05-01 ~ 2001-04-30 |
| Bruce Kaster | 345 N Main St, West Hartford, CT 06117-2515 | Physician/surgeon | ~ |
| Bruce J Rounsaville Md | 400 Prospect St, New Haven, CT 06511 | Physician/surgeon | 2010-06-01 ~ 2011-05-31 |
| Bruce Steven Sachais | 310 E 67th St, New York, NY 10065-6275 | Physician/surgeon | ~ |
| Bruce M Molinelli Md | 31 River Road, Cos Cob, CT 06807 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Bruce R Dziura | 39 Lakeview St, Southwick, MA 01077-9610 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Bruce E Stein | 21 Parsons Way, Avon, CT 06001 | Physician/surgeon | 2010-01-01 ~ 2010-12-31 |
| Bruce Dickerson Md | 41 Thrush Ln, New Canaan, CT 06840 | Physician/surgeon | 2000-01-17 ~ 2001-02-28 |
| R Bruce Thayer | 28 School St, Enfield, CT 06082 | Physician/surgeon | 1996-02-21 ~ 1997-04-30 |
Please comment or provide details below to improve the information on BRUCE W STAVENS.
| 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).