ALICIA M STANTON (Credential# 551367) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is January 1, 2012. The license expiration date date is December 31, 2012. The license status is INACTIVE.
ALICIA M STANTON is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.033768. The credential type is physician/surgeon. The effective date is January 1, 2012. The expiration date is December 31, 2012. The business address is 90 Jonquil Lane, Longmeadow, MA 01106. The current status is inactive.
| Licensee Name | ALICIA M STANTON |
| Credential ID | 551367 |
| Credential Number | 1.033768 |
| Credential Type | Physician/Surgeon |
| Business Address |
90 Jonquil Lane Longmeadow MA 01106 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 1994-05-27 |
| Effective Date | 2012-01-01 |
| Expiration Date | 2012-12-31 |
| Refresh Date | 2012-12-11 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 164083 | CSP.0022201 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2005-04-07 | 2009-03-01 - 2011-02-28 | INACTIVE |
| Street Address | 90 JONQUIL LANE |
| City | LONGMEADOW |
| State | MA |
| Zip Code | 01106 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Michael S Caronna | 24 Chandler Ave, Longmeadow, MA 01106 | Registered Sanitarian | 2020-09-01 ~ 2021-08-31 |
| Susan Helen Templeton | 146 Pleasantview Avenue, Longmeadow, MA 01106 | Registered Nurse | ~ |
| Brittany Moreland | 103 Birchwood Ave, Longmeadow, MA 01106 | Real Estate Salesperson | 2020-06-22 ~ 2021-05-31 |
| Krystyna Olczuk | 158 Tanglewood Dr, Longmeadow, MA 01106 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Susan M Neville | 43 Lincoln Road, Longmeadow, MA 01106 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Kate E Schoenberger | 91 Williston Dr, Longmeadow, MA 01106 | Paramedic | 2020-09-01 ~ 2021-08-31 |
| Bryant E Ostrander | 52 Whitmun Road, Longmeadow, MA 01106 | Notary Public Appointment | 2020-10-01 ~ 2025-09-30 |
| Minsook Ku | 23 Herbert Street, Longmeadow, MA 01106 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-12 ~ 2022-01-31 |
| Lily Schneider | 160 Captain Rd, Longmeadow, MA 01106 | Emergency Medical Technician | ~ |
| Kimberly Marie Maynard | 175 Franklin Road, Longmeadow, MA 01106 | Psychologist | 2020-07-01 ~ 2021-06-30 |
| Find all Licenses in zip 01106 | |||
| City | LONGMEADOW |
| Zip Code | 01106 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + LONGMEADOW |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Kirsten G Engel | 12 Stanton Ct, Madison, CT 06443 | Physician/surgeon | 2007-03-28 ~ 2008-04-30 |
| Kevin M Johnson Md | 19 Stanton Ct, Madison, CT 06443 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Stanton C Honig | 330 Orchard St Ste 164, New Haven, CT 06511-4429 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
| Laura J Horvath Md | 19 Stanton Ct, Madison, CT 06443 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Bonita Stanton | 428 Columbus Ave, New Haven, CT 06519-1233 | Physician/surgeon | ~ 1984-04-30 |
| Sherry F Stanton | 50 East 89 Street, New York, NY 10128 | Physician/surgeon | 2003-04-28 ~ 2004-04-30 |
| Stanton H Avitabile | 28 Cutter Lane, Glastonbury, CT 06033 | Physician/surgeon | 2007-02-21 ~ 2008-04-30 |
| David E Lebwohl | 18 Stanton Court, Madison, CT 06443 | Physician/surgeon | 1999-05-04 ~ 2000-06-30 |
| Robert A Stanton | 305 Black Rock Turnpike, Fairfield, CT 06825 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Jeffrey S Isenberg | 920 Stanton L Young, Oklahoma City, OK 73190 | Physician/surgeon | 1993-10-25 ~ 1994-10-31 |
Please comment or provide details below to improve the information on ALICIA M STANTON.
| 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).