MASSOUD STEPHANE
Physician/surgeon


Address: 7 Hughes Pl Apt C, New Haven, CT 06511-4968

MASSOUD STEPHANE (Credential# 552605) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is December 23, 1996. The license expiration date date is February 28, 1998. The license status is INACTIVE.

Business Overview

MASSOUD STEPHANE is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.035010. The credential type is physician/surgeon. The effective date is December 23, 1996. The expiration date is February 28, 1998. The business address is 7 Hughes Pl Apt C, New Haven, CT 06511-4968. The current status is inactive.

Basic Information

Licensee Name MASSOUD STEPHANE
Credential ID 552605
Credential Number 1.035010
Credential Type Physician/Surgeon
Business Address 7 Hughes Pl Apt C
New Haven
CT 06511-4968
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 1995-12-15
Effective Date 1996-12-23
Expiration Date 1998-02-28
Refresh Date 2009-07-11

Other licenses

ID Credential Code Credential Type Issue Term Status
175992 CSP.0024541 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 1997-03-01 - 1998-02-28 INACTIVE

Office Location

Street Address 7 HUGHES PL APT C
City NEW HAVEN
State CT
Zip Code 06511-4968

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Competitor

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City NEW HAVEN
Zip Code 06511
License Type Physician/Surgeon
License Type + County Physician/Surgeon + NEW HAVEN

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Dataset Information

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).

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