RICHARD L WINTERMUTE
Physician/surgeon


Address: 1032 Valley Road, Fairfield, CT 06825

RICHARD L WINTERMUTE (Credential# 1159814) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is April 1, 2020. The license expiration date date is March 31, 2021. The license status is ACTIVE.

Business Overview

RICHARD L WINTERMUTE is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.052219. The credential type is physician/surgeon. The effective date is April 1, 2020. The expiration date is March 31, 2021. The business address is 1032 Valley Road, Fairfield, CT 06825. The current status is active.

Basic Information

Licensee Name RICHARD L WINTERMUTE
Credential ID 1159814
Credential Number 1.052219
Credential Type Physician/Surgeon
Business Address 1032 Valley Road
Fairfield
CT 06825
Business Type INDIVIDUAL
Status ACTIVE - CURRENT
Active 1
Issue Date 2013-07-12
Effective Date 2020-04-01
Expiration Date 2021-03-31
Refresh Date 2020-02-14

Other licenses

ID Credential Code Credential Type Issue Term Status
1174988 CSP.0055468 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 2013-07-22 2019-03-01 - 2021-02-28 ACTIVE

Office Location

Street Address 1032 Valley Road
City Fairfield
State CT
Zip Code 06825

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Competitor

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City Fairfield
Zip Code 06825
License Type Physician/Surgeon
License Type + County Physician/Surgeon + Fairfield

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Dataset Information

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).

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