CHARLES L STAUB (Credential# 546402) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is November 1, 2019. The license expiration date date is October 31, 2020. The license status is ACTIVE.
CHARLES L STAUB is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.027155. The credential type is physician/surgeon. The effective date is November 1, 2019. The expiration date is October 31, 2020. The business address is 445 South Street, Litchfield, CT 06759. The current status is active.
Licensee Name | CHARLES L STAUB |
Credential ID | 546402 |
Credential Number | 1.027155 |
Credential Type | Physician/Surgeon |
Business Address |
445 South Street Litchfield CT 06759 |
Business Type | INDIVIDUAL |
Status | ACTIVE - CURRENT |
Active | 1 |
Issue Date | 1986-04-09 |
Effective Date | 2019-11-01 |
Expiration Date | 2020-10-31 |
Refresh Date | 2019-08-13 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
157146 | CSP.0013951 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2015-03-01 - 2017-02-28 | INACTIVE | |
451056 | CSP.0040678 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2006-09-22 | 2015-03-01 - 2017-02-28 | INACTIVE |
1267259 | CSP.0059474 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | - | INACTIVE |
Street Address | 445 South Street |
City | LITCHFIELD |
State | CT |
Zip Code | 06759 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Dale D Staub | 445 South Street, Litchfield, CT 06759 | Registered Nurse | 2018-10-01 ~ 2019-09-30 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Marisa Concilio | 138 South Lake St, Litchfield, CT 06759 | Occupational Therapist Temporary Permit | ~ |
True Value of Litchfield | 348 Bantam Rd, Litchfield, CT 06759 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
Jeanne M Sandrib | 22 Minerva Lane, Litchfield, CT 06759 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
Albreada Refuse & Sweeping LLC | 14 Iffland Pond Rd, Litchfield, CT 06759 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
Theresa M. Spalletta | 470 Pumping Station Rd., Litchfield, CT 06759 | Distribution System Operator In Training | 2020-04-01 ~ 2023-03-31 |
Lisa Ann Partrick | 190 West Street, Litchfield, CT 06759 | Notary Public Appointment | 2020-07-01 ~ 2025-06-30 |
Debra A Majeske · Cooper | 230 Blue Swamp Road, Litchfield, CT 06759 | Licensed Clinical Social Worker | 2020-08-01 ~ 2021-07-31 |
Tilden Seafood LLC | 174 West St, Litchfield, CT 06759 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
Cassandra Leigh Ganio | 93 Headquarters Road, Litchfield, CT 06759 | Master's Level Social Worker | 2020-06-01 ~ 2021-05-31 |
Denise Konnik | 344 Milton Rd, Litchfield, CT 06759 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
Find all Licenses in zip 06759 |
City | LITCHFIELD |
Zip Code | 06759 |
License Type | Physician/Surgeon |
License Type + County | Physician/Surgeon + LITCHFIELD |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Nicholas Staub II · Bailey & Staub Inc | 1 Bailey Cirlce, New London, CT 06320 | Home Improvement Contractor | 1995-12-01 ~ 1996-11-30 |
Bailey & Staub Inc | 5 Bailey Cir, New London, CT 06320-5813 | Home Improvement Contractor | 2009-10-05 ~ 2009-11-30 |
Charles M Dickson | 95 Day St, Granby, CT 06035 | Physician/surgeon | 2010-04-01 ~ 2011-03-31 |
Charles A Mauriello | P.o Box 570, Villanova, PA 19085 | Physician/surgeon | 2010-08-01 ~ 2011-07-31 |
Charles L Larkin Jr | Box 177, Middlebury, CT 06762 | Physician/surgeon | 2006-05-04 ~ 2007-05-31 |
Charles W Boren | Rt 2 Box 106, Pecos, NM 87552 | Physician/surgeon | 1993-05-25 ~ 1994-06-30 |
Charles Flack | Ohs 3rd Fl, San Bernadino, CA 92415 | Physician/surgeon | 1993-09-23 ~ 1994-07-31 |
Christopher El Khuri | 218 N Charles St, Baltimore, MD 21201-4021 | Physician/surgeon | ~ |
Charles F Stroebel IIi | Po Box 279, Andover, CT 06232-0279 | Physician/surgeon | 1998-03-16 ~ 1999-05-31 |
Charles D Bizilj Jr | 183 Hillside Rd, Ashford, CT 06278-2206 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
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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).