LISA WIECHMANN
Controlled Substance Registration for Practitioner


Address: 310 W 137th St, New York, NY 10030-2409

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.

Business Overview

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.

Basic Information

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

Other licenses

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

Office Location

Street Address 310 W 137TH ST
City NEW YORK
State NY
Zip Code 10030-2409

Licenses in the same zip code

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

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Competitor

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City NEW YORK
Zip Code 10030
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + NEW YORK

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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
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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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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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