KYLE R VANSTONE Physician/Surgeon

Address: 8025 Bonhomme Ave Apt 2002, Clayton, MO 63105

KYLE R VANSTONE (Credential# 917308) is Physician/Surgeon licensed with Connecticut Department of Consumer Protection. The license expiration date is 2015-10-31.

Business Overview

Name KYLE R VANSTONE
Credential ID 917308
Credential Code 1.048595
Credential Physician/Surgeon
Address 8025 Bonhomme Ave Apt 2002
Clayton
MO 63105
Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 2010-03-30
Effective Date 2014-11-01
Expiration Date 2015-10-31
Refresh Date 2016-02-03

Other licenses

ID Credential Code Credential Type Term Status
919310 CSP.0047350 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 2013-03-01 - 2015-02-28 INACTIVE

Office Location

Street Address 8025 Bonhomme Ave Apt 2002
City Clayton
State MO
Zip Code 63105

Entities with the same location

Name Office Address Expiration Date
KYLE R VANSTONE 8025 Bonhomme Ave Apt 2002, Clayton, MO 63105 2015-02-28

Competitor

Search similar business entities

City Clayton
Zip Code 63105
License Type Physician/Surgeon
License Type + County Physician/Surgeon + Clayton

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Dataset Information

Data Provider Connecticut Department of Consumer Protection
Jurisdiction Connecticut

This dataset includes 1.41 million licenses issued wtih Connecticut Department of Consumer Protection (TDLR).