License holder summary

STACEY SULLIVAN is a Physician/Surgeon licensed to practice in Connecticut. The address on file for STACEY SULLIVAN is 83 Deer Park Rd, Hartford, Simsbury, CT, 06089, Weatogue. This licensed professional license is current. The license was granted 01/16/2007 and expired on 11/30/2014.

Connecticut

Department of Consumer Protection

STACEY SULLIVAN
Physician/Surgeon
License number
45032
Date granted
01/16/2007
Date expires
11/30/2014
Class
Physician/Surgeon
Status
Active
Address
83 Deer Park Rd, Hartford, Simsbury, CT, 06089
ctlicensing.org
ID 4352656
LAST UPDATED 2024-02-09 06:49:37 UTC

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