AMANDA W SPEICHER MD (Credential# 937661) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2019. The license expiration date date is February 28, 2021. The license status is ACTIVE.
AMANDA W SPEICHER MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0047853. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2019. The expiration date is February 28, 2021. The business address is 147 Hangman Hill Rd, N Stonington, CT 06359-1307. The current status is active.
| Licensee Name | AMANDA W SPEICHER MD |
| Credential ID | 937661 |
| Credential Number | CSP.0047853 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
147 Hangman Hill Rd N Stonington CT 06359-1307 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2010-06-30 |
| Effective Date | 2019-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2019-01-14 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 557405 | 1.039821 | Physician/Surgeon | 2001-08-22 | 2019-07-01 - 2020-06-30 | ACTIVE |
| Street Address | 147 HANGMAN HILL RD |
| City | N STONINGTON |
| State | CT |
| Zip Code | 06359-1307 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Ryan D Schwaab | 25 Hangman Hill Rd, North Stonington, CT 06359-1307 | Heating, Piping & Cooling Limited Journeyperson | 2019-09-01 ~ 2020-08-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Elizabeth Taylor | 404 Pendleton Hill Rd, North Stonington, CT 06359 | Esthetician | 2020-06-27 ~ 2022-03-31 |
| Alaina L Kindelan | 70e Reutemann Rd, North Stonington, CT 06359 | Advanced Practice Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Tenzin Dechen | 105 A Lakeside Drive, North Stonington, CT 06359 | Casino Class I Employee | 2019-12-03 ~ 2020-03-02 |
| Chad J Eaton · Bellissimo Grande | 411a 411b Norwich Westerly Road, North Stonington, CT 06359 | Hotel Liquor (10000 Or Less Population) | 2019-12-20 ~ 2021-04-19 |
| Carolyn A Howell | 495 Providence Newlondon Turnpike, North Stonington, CT 06359 | Notary Public Appointment | 2020-10-01 ~ 2025-09-30 |
| Nancy L Peterson | 30 Pond Drive, North Stonington, CT 06359 | Hairdresser/cosmetician | 2020-08-01 ~ 2022-07-31 |
| Pamela C Greenleaf | 28 Pond Dr, North Stonington, CT 06359 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Lorna Mckusick Pulver | 62n Patricia Avenue, North Stonington, CT 06359 | Esthetician | 2020-06-13 ~ 2022-04-30 |
| Jennifer A Emert · Chappell | 85 Rocky Hollow Rd, North Stonington, CT 06359 | Registered Nurse | 2020-05-01 ~ 2021-04-30 |
| Ariel J Pelletier | 389j Wyassup Road, North Stonington, CT 06359 | Notary Public Appointment | 2020-06-11 ~ 2025-06-30 |
| Find all Licenses in zip 06359 | |||
| City | N STONINGTON |
| Zip Code | 06359 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + N STONINGTON |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Amanda N Rea | 195 Broadmere Rd, Stratford, CT 06614 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Amanda Lu | 71 Haynes St, Manchester, CT 06040-4131 | Controlled Substance Registration for Practitioner | 2019-05-29 ~ 2021-02-28 |
| Amanda H Uva | 6 Chiltern St, Farmington, CT 06032-1533 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Amanda L Ray | 44 Woodland Park, Hartford, CT 06105-1219 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
| Amanda J Morvai | 39 Stonybrook Rd Ste 2, Stratford, CT 06614-3752 | Controlled Substance Registration for Practitioner | 2019-08-19 ~ 2021-02-28 |
| Michelle N Brenes Pa | 41 Amanda Cir, Windsor, CT 06095-3466 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Amanda Joy Pinkerton | 63 Chapman St, Newington, CT 06111-1702 | Controlled Substance Registration for Practitioner | 2020-05-26 ~ 2021-02-28 |
| Amanda L Gosling | 32 Highview Ter Apt D7, Hamden, CT 06514-2241 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
| Amanda N Pucci | 22 Lenox Ave, Stamford, CT 06906-2315 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Amanda Ray | 500 Westover Dr # 11027, Sanford, NC 27330-8941 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Please comment or provide details below to improve the information on AMANDA W SPEICHER 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).