STACEY M DONEGAN MD (Credential# 561659) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2020. The license expiration date date is February 28, 2021. The license status is ACTIVE.
STACEY M DONEGAN MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.044077. The credential type is physician/surgeon. The effective date is March 1, 2020. The expiration date is February 28, 2021. The business address is 14 Woodland Rd, New City, NY 10956-2626. The current status is active.
| Licensee Name | STACEY M DONEGAN MD |
| Credential ID | 561659 |
| Credential Number | 1.044077 |
| Credential Type | Physician/Surgeon |
| Business Address |
14 Woodland Rd New City NY 10956-2626 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2006-02-06 |
| Effective Date | 2020-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2020-01-16 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 431230 | CSP.0038882 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2006-03-09 | 2019-03-01 - 2021-02-28 | ACTIVE |
| Street Address | 14 WOODLAND RD |
| City | NEW CITY |
| State | NY |
| Zip Code | 10956-2626 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Todd Rosenblum | 200 East Eckerson Road, New City, NY 10956 | Architect | 2020-08-01 ~ 2021-07-31 |
| Katherine Dalton | 4 Banta Place, New City, NY 10956 | Registered Nurse | 2019-01-01 ~ 2019-12-31 |
| Christiana I Famodimu | 12 Woodhaven Drive, New City, NY 10956 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Anthony F Lando | 5 Harvest Road, New City, NY 10956 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| Inga Shabalina | 43 Long Meadow Drive, New City, NY 10956 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| Martha A Ellis · Was Martha E. Gitlitz | 28 Woodglen Drive, New City, NY 10956 | Certified General Real Estate Appraiser | 2020-05-01 ~ 2021-04-30 |
| Lucy Villa | 5 Prides Crossing, New City, NY 10956 | Dentist | 2020-03-01 ~ 2021-02-28 |
| Perry Evan Schattman | 2 Glenmere Rd, New City, NY 10956 | Emergency Medical Technician | ~ |
| Marcia Marijas | 6 Dolphin Rd, New City, NY 10956 | Medication Administration Certification | ~ |
| On Time Remodeling Corp | 24 Lyncrest Ave, New City, NY 10956 | Home Improvement Contractor | 2020-03-20 ~ 2020-11-30 |
| Find all Licenses in zip 10956 | |||
| City | NEW CITY |
| Zip Code | 10956 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + NEW CITY |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Samuel P Donegan Md | 164 B Otrobando Ave, Norwich, CT 06360 | Physician/surgeon | 2003-02-03 ~ 2004-02-29 |
| John S Donegan · John Donegan Construction | 10 Lancaster Road, Coventry, CT 06238 | Home Improvement Contractor | 2000-12-20 ~ 2001-11-30 |
| Michael V Donegan · Donegan Builders | 123 Beachland Ave, Milford, CT 06460-7487 | Emergency Medical Technician | 2019-07-01 ~ 2022-06-30 |
| Grace S Lee | 27 Stacey Ln, Madison, CT 06443-2465 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Donegan and Co | Professional Engineer | 1993-12-27 ~ 1995-01-31 | |
| Stacey M Vitiello | 225 Nob Hill Dr., Elmford, NY 10523 | Physician/surgeon | 1999-06-18 ~ 2000-06-30 |
| Stacey D. Maslow | 761 Worcester Rd., Framingham, MA 01701 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Stacey L Longo | 6 Briarcliff Lane, Holmdel, NJ 07733 | Physician/surgeon | 2010-04-01 ~ 2011-03-31 |
| Stacey B Lendener | 81 Fariview Avenue, Tarrytown, NY 10591 | Physician/surgeon | 2013-02-01 ~ 2014-01-31 |
| Stacey Lauren June | 107 Newtown Rd Ste 2c, Danbury, CT 06810-4151 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
Please comment or provide details below to improve the information on STACEY M DONEGAN MD.
| 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).