LISA WIECHMANN (Credential# 1265696) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2017. The license expiration date date is February 28, 2019. The license status is LAPSED.
LISA WIECHMANN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0059381. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2017. The expiration date is February 28, 2019. The business address is 310 W 137th St, New York, NY 10030-2409. The current status is lapsed.
Licensee Name | LISA WIECHMANN |
Credential ID | 1265696 |
Credential Number | CSP.0059381 |
Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
Business Address |
310 W 137th St New York NY 10030-2409 |
Business Type | INDIVIDUAL |
Status | LAPSED |
Active | 1 |
Issue Date | 2015-02-05 |
Effective Date | 2017-03-01 |
Expiration Date | 2019-02-28 |
Refresh Date | 2020-04-28 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
1254693 | CSP.0059011 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2015-02-03 | 2017-03-01 - 2019-02-28 | LAPSED |
1255185 | 1.053810 | Physician/Surgeon | 2015-02-02 | 2017-02-01 - 2018-01-31 | INACTIVE |
Street Address | 310 W 137TH ST |
City | NEW YORK |
State | NY |
Zip Code | 10030-2409 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Christopher M Ingram Md | 306 W 137th St, New York, NY 10030-2409 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Iyabo Olubunmi Muse | 2351 Adam Clayton Powell Jr Blvd, New York, NY 10030 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
Cynthia E Wyatt | 2430 Adam Clayton Powell Jr. Blvd., New York, NY 10030 | Master's Level Social Worker | 2020-02-01 ~ 2021-01-31 |
Claudette Rhymer | 2660 8th Avenue, New York, NY 10030 | Master's Level Social Worker | 2019-11-01 ~ 2020-10-31 |
Janet L Bardini | 202 W. 140th Street, #4c, New York, NY 10030 | Acupuncturist | 2019-04-01 ~ 2021-03-31 |
Chair Meister | 99-4, Gahyeonro 85gil, Gyeonggi, KR 10030 | Manufacturer of Bedding & Upholstered Furniture | 2017-05-01 ~ 2018-04-30 |
Mary Gomez | 313 W. 143 St Apt 1a, New York, NY 10030 | Master's Level Social Worker | 2016-01-01 ~ 2016-12-31 |
Senator Chuck Allen IIi Scholarship Fund | 204 W. 134th Street, New York, NY 10030 | Public Charity-exempt From Financial Requirements | ~ |
Maggie Akyeampomaa | 132 Edgecombe Ave, New York, NY 10030 | Licensed Practical Nurse | 2003-12-22 ~ 2004-09-30 |
Rosalyn H Graves | 310 West 138th St, New York, NY 10030 | Registered Nurse | 2000-09-01 ~ 2001-10-31 |
Khalif H Osman | 101 W 143rd Street, New York, NY 10030 | Registered Nurse | 1999-04-08 ~ 2000-05-31 |
Find all Licenses in zip 10030 |
City | NEW YORK |
Zip Code | 10030 |
License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + NEW YORK |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Lisa Phuong | 440 W End Ave Apt 12f, New York, NY 10024-5358 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
Lisa J Mao | 49 Lake Ave, Greenwich, CT 06830-4501 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Lisa K Yoo Do | 121 Gower Rd, New Canaan, CT 06840 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
Lisa D Picascia | Middletown, CT 06457 | Controlled Substance Registration for Practitioner | 2018-04-04 ~ 2019-02-28 |
Lisa Kim | 56 Franklin St, Waterbury, CT 06706-1253 | Controlled Substance Registration for Practitioner | 2015-04-23 ~ 2017-02-28 |
Lisa M Fox | 50 Woodland Dr, Northford, CT 06472-1206 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Lisa M Decarlo | 36 Peck St, Norwich, CT 06360-5515 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Lisa J Uri Md | 219 Saddle Hill Rd, Stamford, CT 06903 | Controlled Substance Registration for Practitioner | 2006-03-01 ~ 2007-02-28 |
Lisa Goebel Pa | 528 Cypress Rd, Newington, CT 06111 | Controlled Substance Registration for Practitioner | 1997-03-01 ~ 1998-02-28 |
Lisa E Fogel Md | 69 Sand Pit Rd Ste 101, Danbury, CT 06810 | Controlled Substance Registration for Practitioner | 2006-03-01 ~ 2007-02-28 |
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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).