STACY D LUNDIN MD (Credential# 554445) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is January 2, 2002. The license expiration date date is December 31, 2002. The license status is INACTIVE.
STACY D LUNDIN MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.036854. The credential type is physician/surgeon. The effective date is January 2, 2002. The expiration date is December 31, 2002. The business address is 35 Tannery Court, Glastonbury, CT 06033. The current status is inactive.
| Licensee Name | STACY D LUNDIN MD |
| Credential ID | 554445 |
| Credential Number | 1.036854 |
| Credential Type | Physician/Surgeon |
| Business Address |
35 Tannery Court Glastonbury CT 06033 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 1998-05-08 |
| Effective Date | 2002-01-02 |
| Expiration Date | 2002-12-31 |
| Refresh Date | 2009-07-11 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 158861 | CSP.0027229 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2001-03-01 - 2002-02-28 | INACTIVE |
| Street Address | 35 TANNERY COURT |
| City | GLASTONBURY |
| State | CT |
| Zip Code | 06033 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Vanessa Segal | 46 Salem Court, Glastonbury, CT 06033 | Hairdresser/cosmetician | ~ |
| Laura Nadeau | 3641 Hebron Ave, Glastonbury, CT 06033 | Respiratory Care Practitioner | 2020-08-01 ~ 2021-07-31 |
| Abigail Lynn Hubbard | 55 Brookview Drive, Glastonbury, CT 06033 | Emergency Medical Technician | ~ |
| Maureen E Booth | 36 Hubbard Run Drive, Glastonbury, CT 06033 | Speech and Language Pathologist | 2020-07-01 ~ 2021-06-30 |
| Wendy B Johnson | 1789 Main St, Glastonbury, CT 06033 | Architect | 2020-08-01 ~ 2021-07-31 |
| Michael D Devanney Pa | 28 Evergreen Ln, Glastonbury, CT 06033 | Physician Assistant | 2020-09-01 ~ 2021-08-31 |
| Sophie C Gomez · Pirog | 81 Three Mile Rd, Glastonbury, CT 06033 | Licensed Practical Nurse | 2020-07-01 ~ 2021-06-30 |
| Jennifer R Briones | 90 Deerfield Drive, Glastonbury, CT 06033 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Munson's Chocolates | 135 Glastonbury Blvd, Glastonbury, CT 06033 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Yulhun Sung | 245 Griswold St Unit A, Glastonbury, CT 06033 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Find all Licenses in zip 06033 | |||
| City | GLASTONBURY |
| Zip Code | 06033 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + GLASTONBURY |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Andrey Lundin Md | 3418 S Eucalyptus Pl, Chandler, AZ 85286 | Physician/surgeon | 2019-12-02 ~ 2020-12-31 |
| Stacy B Gross | 5867 Sandstone Way, Jacksonville, FL 32258 | Physician/surgeon | 2008-01-09 ~ 2009-01-31 |
| Stacy L Spooner Md | 8-1 Riverdale Landing, Old Lyme, CT 06371 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Stacy Slat | 6804 Brandywine Ct, Fairview Heights, IL 62208 | Physician/surgeon | 2018-11-01 ~ 2019-10-31 |
| Stacy J Spiro Md | 49 Pheasant Chase, West Hartford, CT 06117-1031 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Stacy J Taylor | Hartford Healthcare Medical Group, Torrington, CT 06790 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Pamela Stacy Westerling | 14723 Hidden Meadows Dr, Dubuque, IA 52002 | Physician/surgeon | 2018-11-20 ~ 2019-08-31 |
| Stacy O Wilson · Stacy Wilson | 219 Indian Hollow Rd, Windham, CT 06280 | Home Improvement Contractor | 1998-10-02 ~ 1998-11-30 |
| Stacy Alston · Stacy Cakes LLC | 53 Wig Hill Rd, Chester, CT 06412-1111 | Cottage Food Operation | 2019-12-20 ~ 2021-02-28 |
| Stacy S Adil | 84 Hawthorne Ave, Hamden, CT 06517-1825 | Physician Assistant | 2020-07-01 ~ 2021-06-30 |
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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).