David A Staudacher Dvm Controlled Substance Registration for Practitioner
60 Lovely Street, Canton, CT 06019


David A Staudacher Dvm is licensed in the eLicensing system of Connecticut. The license credential ID is 158652. The license type is CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER. The license status is ACTIVE. The address is 60 Lovely Street, Canton, CT 06019. The zip code is 06019.


David A Staudacher Dvm · 60 Lovely Street, Canton, CT 06019

Credential ID 158652
Name DAVID A STAUDACHER DVM
Type INDIVIDUAL
Address 60 LOVELY STREET
CANTON, CT 06019
License Credential CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Full Credential Code CSP.0017040
Credential Type CSP
Credential Number 17040
Status ACTIVE
Status Reason CURRENT
Active 1
Effective Date 03/01/2015
Expiration Date 02/28/2017
Record Refresh Date 02/06/201

street_number: 60
route: Lovely Street (Lovely St)
locality, political: Canton
admin_level_2, political: Hartford County
admin_level_1, political: Connecticut (CT)
country, political: United States (US)
postal_code: 06019
postal_code_suffix: 2630
types : premise
latitude: 41.8172473
longitude: -72.8888552
latlng: (41.8172473, -72.8888552)


DAVID A STAUDACHER DVM · Connecticut Business

David A Staudacher Dvm · Veterinarian 60 Lovely Street, Canton, CT 06019

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