NILS HENNINGER (Credential# 1117551) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is June 1, 2020. The license expiration date date is May 31, 2021. The license status is ACTIVE.
NILS HENNINGER is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.051414. The credential type is physician/surgeon. The effective date is June 1, 2020. The expiration date is May 31, 2021. The business address is 55 Lake Ave N, Worcester, MA 01655-0002. The current status is active.
| Licensee Name | NILS HENNINGER |
| Credential ID | 1117551 |
| Credential Number | 1.051414 |
| Credential Type | Physician/Surgeon |
| Business Address |
55 Lake Ave N Worcester MA 01655-0002 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2012-09-24 |
| Effective Date | 2020-06-01 |
| Expiration Date | 2021-05-31 |
| Refresh Date | 2020-05-26 |
| Street Address | 55 LAKE AVE N |
| City | WORCESTER |
| State | MA |
| Zip Code | 01655-0002 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Wiley R Hall | 55 Lake Ave N, Worcester, MA 01655 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Susanne Muehlschlegel Md | 55 Lake Ave N, Worcester, MA 01655-0002 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Adalia H. Jun-o'connell | 55 Lake Ave N, Worcester, MA 01655-0002 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Leslie J Domalik | 55 Lake Ave N, Worcester, MA 01655-0002 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Raphael A Carandang Md | 55 Lake Ave N, Worcester, MA 01655-0002 | Physician/surgeon | 2019-10-01 ~ 2020-09-30 |
| Daniel J Weber | 55 Lake Ave N, Worcester, MA 01655-0002 | Physician/surgeon | 2017-10-01 ~ 2018-09-30 |
| Shirin Haddady Md | 55 Lake Ave N, Worcester, MA 01655 | Physician/surgeon | 2014-07-01 ~ 2015-06-30 |
| Craig Smith Md | 55 Lake Ave N, Worcester, MA 01655 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
| Mira Torres Md | 55 Lake Ave N, Worcester, MA 01655 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
| Brian Mady Md | 55 Lake Ave N, Worcester, MA 01655 | Controlled Substance Registration for Practitioner | 2008-03-01 ~ 2009-02-28 |
| Find all Licenses in the same address | |||
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Umass Memorial Medical Center Specialty Pharmacy | 55 Lake Ave North Acc Building 1st Floor, Worcester, MA 01655-0002 | Nonresident Pharmacy | 2019-09-01 ~ 2020-08-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Carolina Ionete | 55 Lake Avenue, Worcester, MA 01655 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Thomas J Fitzgerald | 55 Lake Ave, N, Worcester, MA 01655 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Majaz Moonis Md | Umassmemorial Health Care, Neurology, 55 Lake Ave, Worcester, MA 01655 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Ari Wilkenfeld | Neurology Department � 5th Floor, Worcester, MA 01655 | Physician/surgeon | ~ |
| Kate Daniello | 55 N Lake Ave, Worcester, MA 01655 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Brian Silver | 55 Lake Avenue North, Worcester, MA 01655 | Physician/surgeon | 2020-01-01 ~ 2020-12-31 |
| Andrew Bouley | Umass Memorial, Department of Neurology, Worcester, MA 01655 | Physician/surgeon | 2019-04-01 ~ 2020-03-31 |
| Cheryl A Laflamme Aprn | 58 Bentwood Dr, Sturbridge, MA 01655 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Lawrence S Rosenthal Md | Umass Memorial Medical Center, Worcester, MA 01655 | Physician/surgeon | 2016-08-01 ~ 2017-07-31 |
| Daniel Z Fisher Md | 55 Lake Ave North, Worcester, MA 01655 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
| Find all Licenses in zip 01655 | |||
| City | WORCESTER |
| Zip Code | 01655 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + WORCESTER |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Nils Becker | 2 Middle St, Lexington, MA 02421-7702 | Physician/surgeon | 2019-12-01 ~ 2020-11-30 |
| Alan Nils Swartz | 556 Elm St, Windsor Locks, CT 06096-1650 | Physician/surgeon | 1975-03-24 ~ 1981-11-30 |
| Nils A Russell | 15 Fellscrest Road, Essex Fells, NJ 07021 | Physician/surgeon | 2002-10-22 ~ 2003-05-31 |
| Nils Anderson | 2111 Sprucewood Lane, Lindenhurst, IL 60046 | Physician/surgeon | 2004-10-18 ~ 2005-11-30 |
| Nils Mueller | 11760 Bird Road, Miami, FL 33175 | Physician/surgeon | 2016-09-01 ~ 2017-09-30 |
| Henninger | Connecticut Brand Registration, Hartford, CT 06106 | Liquor Brand Label | 2000-04-19 ~ 2003-04-19 |
| Henninger's Flower Shoppe Inc | 315 South Main St, New Britain, CT 06051 | Bakery | 2002-07-01 ~ 2003-06-30 |
| Brian J Henninger | 1305 Post Rd Ste 301, Fairfield, CT 06824-6016 | Naturopathic Physician | 2020-02-01 ~ 2021-01-31 |
| Nils A Loewen · Lab of Nils A Loewen Md Phd | 40 Temple St Ste 3d, New Haven, CT 06510-2715 | Controlled Substance Laboratory | 2012-02-01 ~ 2013-01-31 |
| Maura C Henninger | 1133 Broadway Ste 1023, New York, NY 10010-7988 | Naturopathic Physician | 2020-04-01 ~ 2021-03-31 |
Please comment or provide details below to improve the information on NILS HENNINGER.
| 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).