GENGYUN WEN (Credential# 1280497) 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.
GENGYUN WEN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.054266. The credential type is physician/surgeon. The effective date is April 1, 2020. The expiration date is March 31, 2021. The business address is 92 Meadowbrook Rd, Westbrook, CT 06498. The current status is active.
| Licensee Name | GENGYUN WEN |
| Credential ID | 1280497 |
| Credential Number | 1.054266 |
| Credential Type | Physician/Surgeon |
| Business Address |
92 Meadowbrook Rd Westbrook CT 06498 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2015-06-22 |
| Effective Date | 2020-04-01 |
| Expiration Date | 2021-03-31 |
| Refresh Date | 2020-01-21 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1280773 | CSP.0059917 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2015-06-23 | 2019-03-01 - 2021-02-28 | ACTIVE |
| Street Address | 92 Meadowbrook Rd |
| City | Westbrook |
| State | CT |
| Zip Code | 06498 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Patricia A Rose | 69 Post Avenue, Westbrook, CT 06498 | Licensed Practical Nurse | 2020-09-01 ~ 2021-08-31 |
| Harry's Marine | 38 Hammock Road South, Westbrook, CT 06498 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Kathleen Joann Mckay | 5 Timberlane Dr, Westbrook, CT 06498 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Pennywise Oil Company Inc | 35 Westbrook Industrial Park Rd, Westbrook, CT 06498 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Kimberly F Harlow | 228 Hammock Road, Westbrook, CT 06498 | Notary Public Appointment | 2020-10-01 ~ 2025-09-30 |
| Wilcox Fuel Inc | 1179 Boston Post Rd, Westbrook, CT 06498 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Thomas L Elliott | 274 Chittemden Hill Rd, Westbrook, CT 06498 | Architect | 2020-08-01 ~ 2021-07-31 |
| Jessica L Fernandes | 21 Pepperidge Ave, Westbrook, CT 06498 | Registered Nurse | 2020-06-01 ~ 2021-05-31 |
| Jeanne Ross | 2 Lake Louise Drive, Westbrook, CT 06498 | Notary Public Appointment | 2020-09-01 ~ 2025-08-31 |
| Carol L Casserino | 331 Seaside Avenue, Westbrook, CT 06498 | Notary Public Appointment | 2020-10-01 ~ 2025-09-30 |
| Find all Licenses in zip 06498 | |||
| City | Westbrook |
| Zip Code | 06498 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + Westbrook |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Penny Lamhut Md | Genesis Physician Services, Windsor, CT 06098 | Physician/surgeon | 1999-07-15 ~ 2000-07-31 |
| Gilbert L Drozdow | Envision Physician Services, Plantation, FL 33322 | Physician/surgeon | 2019-10-01 ~ 2020-09-30 |
| Russell H Harris Md | Envision Physician Services, Horsham, PA 19044 | Physician/surgeon | 2019-09-01 ~ 2020-08-31 |
| John T Thompson | Physician Pavilion W, Towson, MD 21204 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Arnold R Kriegstein | College Physician, New York, NY 10032 | Physician/surgeon | 1993-04-23 ~ 1994-03-31 |
| Catherine Nguyen Keegan | Envision Physician Services, Dallas, TX 75240 | Physician/surgeon | 2020-02-01 ~ 2021-01-31 |
| Brent Robert Jacobson | Envision Physician Services, Dallas, TX 75240 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
| Nazanin Barzideh Md | North Shore Retina Physician, Pllc, East Hills, NY 11576 | Physician/surgeon | 2010-05-01 ~ 2011-04-30 |
| Susan J Batlan Md | Eye Physician Associates of Hartford, West Hartford, CT 06107 | Physician/surgeon | 2000-07-27 ~ 2001-07-31 |
| Sajot S Grewal Md | Danbury Office of Physician Services PC, Danbury, CT 06810 | Physician/surgeon | 2004-01-30 ~ 2005-03-31 |
Please comment or provide details below to improve the information on GENGYUN WEN.
| 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).