Howard D Stupak Md Controlled Substance Registration for Practitioner
163 Main Street, Westport, CT 06880


Howard D Stupak Md is licensed in the eLicensing system of Connecticut. The license credential ID is 408251. The license type is CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER. The license status is ACTIVE. The address is 163 Main Street, Westport, CT 06880. The zip code is 06880.


Howard D Stupak Md · 163 Main Street, Westport, CT 06880

Credential ID 408251
Name HOWARD D STUPAK MD
Type INDIVIDUAL
Address 163 Main Street
Westport, CT 06880
License Credential CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Full Credential Code CSP.0037665
Credential Type CSP
Credential Number 37665
Status ACTIVE
Status Reason CURRENT
Active 1
Issue Date 06/24/2005
Effective Date 03/01/2015
Expiration Date 02/28/2017
Record Refresh Date 02/23/201

HOWARD D STUPAK MD · Connecticut Business

Howard D Stupak Md · Physician/surgeon 163 Main Street, Westport, CT 06880

Zip 06880 · Controlled Substance Registration for Practitioner · Connecticut Business

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