JEFFREY WU (Credential# 1122697) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is October 25, 2012. The license expiration date date is July 31, 2013. The license status is INACTIVE.
JEFFREY WU is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.051457. The credential type is physician/surgeon. The effective date is October 25, 2012. The expiration date is July 31, 2013. The business address is 263 Farmington Ave Mc-3955, Farmington, CT 06030-3955. The current status is inactive.
| Licensee Name | JEFFREY WU |
| Credential ID | 1122697 |
| Credential Number | 1.051457 |
| Credential Type | Physician/Surgeon |
| Business Address |
263 Farmington Ave Mc-3955 Farmington CT 06030-3955 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 2012-10-25 |
| Effective Date | 2012-10-25 |
| Expiration Date | 2013-07-31 |
| Refresh Date | 2013-11-06 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 476517 | CSP.0041867 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2007-08-03 | 2011-05-26 - 2013-02-28 | INACTIVE |
| Street Address | 263 FARMINGTON AVE MC-3955 |
| City | FARMINGTON |
| State | CT |
| Zip Code | 06030-3955 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Adam T. Tyson | 263 Farmington Ave Mc-3955, Farmington, CT 06030-3955 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Kiranmayi Muddasani | 263 Farmington Ave Mc-3955, Farmington, CT 06030-3955 | Controlled Substance Registration for Practitioner | 2013-04-26 ~ 2015-02-28 |
| Sarah D Treter | 263 Farmington Ave Mc-3955, Farmington, CT 06030-3955 | Controlled Substance Registration for Practitioner | 2011-06-15 ~ 2013-02-28 |
| Anne M Suskind | 263 Farmington Ave Mc-3955, Farmington, CT 06030 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
| Cybele Pacheco | 263 Farmington Ave Mc-3955, Farmington, CT 06030-3955 | Controlled Substance Registration for Practitioner | 2009-03-02 ~ 2011-02-28 |
| Usman Waheed | 263 Farmington Ave Mc-3955, Farmington, CT 06030-3955 | Controlled Substance Registration for Practitioner | 2008-03-03 ~ 2009-02-28 |
| Aaron Reiter | 263 Farmington Ave Mc-3955, Farmington, CT 06030-3955 | Controlled Substance Registration for Practitioner | 2007-07-16 ~ 2008-02-29 |
| Deborah R Schnipper | 263 Farmington Ave Mc-3955, Farmington, CT 06030-3955 | Controlled Substance Registration for Practitioner | 2007-03-01 ~ 2008-02-29 |
| Rami Z Tabbarah | 263 Farmington Ave Mc-3955, Farmington, CT 06030 | Controlled Substance Registration for Practitioner | 2007-03-01 ~ 2008-02-29 |
| Amanda S Ayerd | 263 Farmington Ave Mc-3955, Farmington, CT 06030-3955 | Controlled Substance Registration for Practitioner | 2006-12-11 ~ 2007-02-28 |
| Find all Licenses in the same address | |||
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Xuan M Luu Md | 263 Farmington Avenue Mc-3955, Farmington, CT 06030-3955 | Controlled Substance Registration for Practitioner | 2013-06-07 ~ 2015-02-28 |
| Andrew S Nisbet | 262 Farmington Avenue Mc-3955, Farmington, CT 06030-3955 | Controlled Substance Registration for Practitioner | 2008-03-01 ~ 2009-02-28 |
| Alisa M.d. Berger | 263 Farmington Ave Mc 3955, Farmington, CT 06030-3955 | Controlled Substance Registration for Practitioner | 2007-03-28 ~ 2008-02-29 |
| Carl K Gjertson | Farmington, CT 06030-3955 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Peter C Albertsen | Uconn Health Center, Farmington, CT 06030-3955 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Bruce M Brenner | 263 Farmington Ave, Farmington, CT 06030-3955 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Michael S Dahn Md | Uconn Health Ctr, Farmington, CT 06030-3955 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Lori L Wilson Md | 263 Farmington Avenue, Farmington, CT 06030-3955 | Controlled Substance Registration for Practitioner | 2011-03-17 ~ 2013-02-28 |
| Tamar Lipof | 263 Farmington Avenue Mc-3955, Farmington, CT 06030-3955 | Controlled Substance Registration for Practitioner | 2009-03-01 ~ 2011-02-28 |
| Yuri W Novitsky Md | 263 Farmington Ave, Farmington, CT 06030-3955 | Controlled Substance Registration for Practitioner | 2009-03-01 ~ 2011-02-28 |
| Find all Licenses in zip 06030-3955 | |||
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Eric Anthony Brueckner | 263 Farmington Ave., Farmington, CT 06030 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
| Derrick B Bremang | Residency Program, Farmington, CT 06030 | Physician/surgeon | 2020-06-01 ~ 2021-06-30 |
| David M Shafer | Uconn Health Center, Farmington, CT 06030 | Dentist | 2020-07-01 ~ 2021-06-30 |
| Michael J Murphy | Dept of Dermatology, Farmington, CT 06030 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
| Richard F Kaplan | Univ. of Ct., Farmington, CT 06030 | Psychologist | 2020-06-01 ~ 2021-05-31 |
| Nicholas George Vitale | 22 Woods Drive, Norwich, CT 06030 | Casino Class I Employee | 2019-12-03 ~ 2020-10-31 |
| Bruce E Gould | Univ of Conn Health Center, Farmington, CT 06030 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Vinayak M Sathe | Uconn Health Center,263 Farmington Ave, Farmington, CT 06030 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Shobhana Pathani | Department of Medicine, 263 Farmington Ave, CT 06030 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Patricia L Almeida | John Dempsey Hospital, Farmington, CT 06030 | Registered Nurse | 2020-04-01 ~ 2021-03-31 |
| Find all Licenses in zip 06030 | |||
| City | FARMINGTON |
| Zip Code | 06030 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + FARMINGTON |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Jeffrey J Lim | P O Box 158, Guymon, OK 73942-0158 | Physician/surgeon | 1998-03-30 ~ 1999-04-30 |
| Jeffrey E Epstein | 25 Glenbrook Rd, Stamford, CT 06902-2871 | Physician/surgeon | ~ |
| Jeffrey Kwan | 118 Heather Dr, Atherton, CA 94027-2120 | Physician/surgeon | ~ |
| Jeffrey Begleiter Md | Po Box 306, Canton, CT 06019-0306 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Jeffrey T Pan Md | 41 Ironwood Rd, Guilford, CT 06437 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Jeffrey B Howe | P O Box 366, Eastford, CT 06242 | Physician/surgeon | 2019-08-01 ~ 2020-07-31 |
| Jeffrey Y Ngeow | 535 E 70 St, New York, NY 10021 | Physician/surgeon | 2016-02-01 ~ 2017-01-31 |
| Jeffrey D Rosen | P.o. Box 558, Ludlow, VT 05149 | Physician/surgeon | 2011-03-01 ~ 2012-02-29 |
| Jeffrey L Bobrowitz | 86 Valleywood Rd, Cos Cob, CT 06807-2321 | Physician/surgeon | 2016-05-01 ~ 2017-04-30 |
| Jeffrey T Hal | 500 Westover Dr #87631, Sanford, NC 27330 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
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| 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).