STEPHEN A BRUNTON
Physician/surgeon


Address: 12105 Copper Way, Charlotte, NC 28277

STEPHEN A BRUNTON (Credential# 555017) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is January 1, 2010. The license expiration date date is December 31, 2010. The license status is INACTIVE.

Business Overview

STEPHEN A BRUNTON is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.037427. The credential type is physician/surgeon. The effective date is January 1, 2010. The expiration date is December 31, 2010. The business address is 12105 Copper Way, Charlotte, NC 28277. The current status is inactive.

Basic Information

Licensee Name STEPHEN A BRUNTON
Credential ID 555017
Credential Number 1.037427
Credential Type Physician/Surgeon
Business Address 12105 Copper Way
Charlotte
NC 28277
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 1998-12-04
Effective Date 2010-01-01
Expiration Date 2010-12-31
Refresh Date 2011-04-04

Other licenses

ID Credential Code Credential Type Issue Term Status
211321 CSP.0027996 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 2003-03-01 - 2004-02-28 INACTIVE

Office Location

Street Address 12105 Copper Way
City Charlotte
State NC
Zip Code 28277

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Competitor

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City Charlotte
Zip Code 28277
License Type Physician/Surgeon
License Type + County Physician/Surgeon + Charlotte

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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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