STACIE PERLMAN MD (Credential# 561984) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is February 23, 2007. The license expiration date date is April 30, 2008. The license status is INACTIVE.
STACIE PERLMAN MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.044402. The credential type is physician/surgeon. The effective date is February 23, 2007. The expiration date is April 30, 2008. The business address is Hospital of St.raphael, New Haven, CT 06511. The current status is inactive.
Licensee Name | STACIE PERLMAN MD |
Credential ID | 561984 |
Credential Number | 1.044402 |
Credential Type | Physician/Surgeon |
Business Address |
Hospital of St.raphael New Haven CT 06511 |
Business Type | INDIVIDUAL |
Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
Issue Date | 2006-05-24 |
Effective Date | 2007-02-23 |
Expiration Date | 2008-04-30 |
Refresh Date | 2009-07-11 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
373726 | CSP.0035132 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2004-06-28 | 2007-03-01 - 2008-02-29 | INACTIVE |
Street Address | HOSPITAL OF ST.RAPHAEL |
City | NEW HAVEN |
State | CT |
Zip Code | 06511 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Kervin Arroyo | Hospital of St.raphael, New Haven, CT 06511 | Controlled Substance Registration for Practitioner | 2009-03-01 ~ 2011-02-28 |
David J Smith | Hospital of St.raphael, New Haven, CT 06511 | Controlled Substance Registration for Practitioner | 2009-03-01 ~ 2011-02-28 |
Marisa H Tseng | Hospital of St.raphael, New Haven, CT 06511 | Controlled Substance Registration for Practitioner | 2009-03-01 ~ 2011-02-28 |
Ronan Ali Md | Hospital of St.raphael, New Haven, CT 06511 | Physician/surgeon | 2008-03-04 ~ 2009-04-30 |
Brian C Murphy | Hospital of St.raphael, New Haven, CT 06511 | Controlled Substance Registration for Practitioner | 2008-03-01 ~ 2009-02-28 |
Lynsey Biondi | Hospital of St.raphael, New Haven, CT 06511 | Controlled Substance Registration for Practitioner | 2008-03-01 ~ 2009-02-28 |
Carlos A Granja | Hospital of St.raphael, New Haven, CT 06511 | Controlled Substance Registration for Practitioner | 2008-03-01 ~ 2009-02-28 |
Manuel T Borges | Hospital of St.raphael, New Haven, CT 06511 | Controlled Substance Registration for Practitioner | 2008-03-03 ~ 2009-02-28 |
Chad Gretzula | Hospital of St.raphael, New Haven, CT 06511 | Controlled Substance Registration for Practitioner | 2008-03-01 ~ 2009-02-28 |
Maroun E Azar | Hospital of St.raphael, New Haven, CT 06511 | Controlled Substance Registration for Practitioner | 2008-03-01 ~ 2009-02-28 |
Find all Licenses in the same address |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Montessori School On Edgewood Inc. | 230 Edgewood Avenue, New Haven, CT 06511 | Public Charity | 2019-06-01 ~ 2020-05-31 |
Therese Parks · Visel Drug Store | 264 Munson St, New Haven, CT 06511 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
Dazjia Monet Green | 115 Edgewood Ave Apt 64, New Haven, CT 06511 | Registered Nurse | 2020-06-27 ~ 2021-05-31 |
Carol Yam | 343 Humphrey St, New Haven, CT 06511 | Registered Nurse | ~ |
Marwan S Haddad | 38 Lincoln Street, New Haven, CT 06511 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
Mary Lou Gaeta Md | 558 Chapel Street, New Haven, CT 06511 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
Cary M Tucker | 64 Bishop St, New Haven, CT 06511 | Architect | 2020-08-01 ~ 2021-07-31 |
Frank J Pannenborg | 505 Ellsworth Ave, New Haven, CT 06511 | Architect | 2020-08-01 ~ 2021-07-31 |
Crystal E Gooding | 26 Woodland Street, New Haven, CT 06511 | Notary Public Appointment | 2020-07-01 ~ 2025-06-30 |
Kieran Jones | 260 Crown St Unit 1f, New Haven, CT 06511 | Registered Nurse | ~ |
Find all Licenses in zip 06511 |
City | NEW HAVEN |
Zip Code | 06511 |
License Type | Physician/Surgeon |
License Type + County | Physician/Surgeon + NEW HAVEN |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Adele M Perlman | 19 Timrod Rd, West Hartford, CT 06107 | Physician/surgeon | 2003-11-24 ~ 2005-01-31 |
Jerold M Perlman | 3 Silvermine Woods, Wilton, CT 06897-4234 | Physician/surgeon | 2018-06-01 ~ 2019-05-31 |
Eric S Perlman | 385 Old Rock Road, Branford, CT 06405 | Physician/surgeon | 1993-01-25 ~ 1993-12-31 |
Fern L Perlman | 15 Cindy Lane, Weston, CT 06883 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
Bernard B Perlman | 10726 Greenbriar, Lake Worth, FL 11355 | Physician/surgeon | 1994-05-27 ~ 1995-05-31 |
The Perlman Music Program Inc | 19 W 69th St Apt 1101, New York, NY 10023-4751 | Public Charity | 2019-10-01 ~ 2020-08-31 |
Stacie Meisner | Po Box 384, Albion, RI 02802-0384 | Physician Assistant | ~ |
Stacie A Discipio, Cpa | 1 Woodrow Dr., East Lyme, CT 06333 | Certified Public Accountant Firm Permit | 1998-01-01 ~ 1998-12-31 |
Stacie B Campbell | 646 Anderson Ave., New York, NY 10024 | Physician Assistant | 2005-09-01 ~ 2006-09-30 |
Robert Michael Drew | 660 N Stacie Ct, Chandler, AZ 85226-1619 | Physician Assistant | 2018-05-01 ~ 2019-04-30 |
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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).