LORA A STEPHENS DO (Credential# 564771) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is August 1, 2016. The license expiration date date is July 31, 2017. The license status is INACTIVE.
LORA A STEPHENS DO is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.047189-DO. The credential type is physician/surgeon. The effective date is August 1, 2016. The expiration date is July 31, 2017. The business address is 20 North Cove Road, Old Saybrook, CT 06475. The current status is inactive.
| Licensee Name | LORA A STEPHENS DO |
| Credential ID | 564771 |
| Credential Number | 1.047189-DO |
| Credential Type | Physician/Surgeon |
| Credential SubCategory | DO |
| Business Address |
20 North Cove Road Old Saybrook CT 06475 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL; PRIOR DISCIPLINE |
| Issue Date | 2008-11-25 |
| Effective Date | 2016-08-01 |
| Expiration Date | 2017-07-31 |
| Refresh Date | 2017-11-03 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 519320 | CSP.0044847 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2008-12-01 | 2015-03-01 - 2017-02-28 | INACTIVE |
| Street Address | 20 North Cove Road |
| City | Old Saybrook |
| State | CT |
| Zip Code | 06475 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Koubao Wang | 119 Old Boston Post Rd, Old Saybrook, CT 06475 | Nail Technician | 2020-06-26 ~ 2022-05-31 |
| Houng Woo Kim | 103 Salmon Brook Dr Apt C, Glastonbury, CT 06475 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-26 ~ 2022-06-30 |
| Hull Harbor Inc | Bridge St, Old Saybrook, CT 06475 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Nancy J Norrie-murphy | 18 Fenwood Place, Old Saybrook, CT 06475 | Registered Nurse | 2020-06-01 ~ 2021-05-31 |
| Fromage Fine Foods & Coffees | 873 Boston Post Rd, Old Saybrook, CT 06475 | Bakery | 2020-07-01 ~ 2021-06-30 |
| Sarah E Grandsire | 5 Ridge Drive South, Old Saybrook, CT 06475 | Public Weigher | 2020-07-01 ~ 2021-06-30 |
| James A Carr | 310 Watrous Point Rd, Old Saybrook, CT 06475 | Architect | 2020-08-01 ~ 2021-07-31 |
| Peng Jiang | 137 Mian St, Old Saybrook, CT 06475 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Camille A Brodeur | 90 North Cove Rd, Old Saybrook, CT 06475 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Emily Marie Peluso | 27 Briarwood Drive, Old Saybrook, CT 06475 | Advanced Practice Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Find all Licenses in zip 06475 | |||
| City | Old Saybrook |
| Zip Code | 06475 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + Old Saybrook |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Lora M Herman | 710 Forest Glade Dr., Chesapeake, VA 23322 | Physician/surgeon | 2009-03-18 ~ 2010-05-31 |
| Daniel Joshua Stephens | 20 Swarthmore Rd, Scarsdale, NY 10583 | Physician/surgeon | ~ |
| James Stephens Md | 42 Irving Ave, Providence, RI 02906 | Physician/surgeon | 2003-04-15 ~ 2004-01-31 |
| Ralph R Stephens Jr | 530 Pembroke Ave, Norfolk, VA 23507 | Physician/surgeon | 1995-12-22 ~ 1996-12-31 |
| Polly L Stephens | 113 Middlebury Road, Watertown, CT 06795 | Physician/surgeon | 1998-03-23 ~ 1999-05-31 |
| Evelyn Stephens | 12 Old Hill Farms Rd, Westport, CT 06880-3034 | Physician/surgeon | 2020-06-18 ~ 2020-12-31 |
| Natalie G Stephens | 832 Hopewell Road, South Glastonbury, CT 06073 | Physician/surgeon | 1996-05-23 ~ 1997-06-30 |
| David King Stephens | 15 York St, Lci 716e, New Haven, CT 06511 | Physician/surgeon | 2020-06-17 ~ 2021-05-31 |
| Martha Stephens Md | 11 Cambridge Court East, Old Saybrook, CT 06475 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
| Cleveland Stephens · Stephens Painting & Decorating | 46 Catherine St, Hartford, CT 06106 | Home Improvement Contractor | 2014-12-01 ~ 2015-11-30 |
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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).