VIVIAN WIATER (Credential# 1299574) is licensed (Physician Assistant) 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.
VIVIAN WIATER is licensed with the Department of Consumer Protection of Connecticut. The credential number is #23.003393. The credential type is physician assistant. The effective date is April 1, 2020. The expiration date is March 31, 2021. The business address is 333 Cedar St, New Haven, CT 06510-3206. The current status is active.
| Licensee Name | VIVIAN WIATER |
| Credential ID | 1299574 |
| Credential Number | 23.003393 |
| Credential Type | Physician Assistant |
| Business Address |
333 Cedar St New Haven CT 06510-3206 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2015-07-27 |
| Effective Date | 2020-04-01 |
| Expiration Date | 2021-03-31 |
| Refresh Date | 2020-01-06 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1301992 | CSP.0061141 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2015-07-28 | 2019-03-01 - 2021-02-28 | ACTIVE |
| Street Address | 333 CEDAR ST |
| City | NEW HAVEN |
| State | CT |
| Zip Code | 06510-3206 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| James L Boyer | 333 Cedar St, New Haven, CT 06510-3206 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
| Ranjit S Bindra | 333 Cedar St, New Haven, CT 06510-3206 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
| Pamela Valentino | 333 Cedar St, New Haven, CT 06510-3206 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
| Hamid R Mojibian Md | 333 Cedar St, New Haven, CT 06510-3206 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Jillian Kateri Warejko | 333 Cedar St, New Haven, CT 06520 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Alex Sotolongo | 333 Cedar St, New Haven, CT 06510-3206 | Resident Physician | 2020-07-01 ~ 2021-06-30 |
| Brian S Henick | 333 Cedar St, New Haven, CT 06510-3206 | Resident Physician | 2015-07-01 ~ 2021-06-30 |
| Nancy Joan Brown | 333 Cedar St, New Haven, CT 06510-3206 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Alex Sherwood Miller | 333 Cedar St, New Haven, CT 06510-3206 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Susan R Levy | 333 Cedar St, New Haven, CT 06510-3206 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Find all Licenses in the same address | |||
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Marcus Bosenberg | 15 York Street Lmp5031, New Haven, CT 06510-3206 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Sarah B Goldberg | 333 Cedar St, Fmp 130, New Haven, CT 06510-3206 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
| Leina S Alrabadi | 333 Cedar St Lmp 4093, New Haven, CT 06510-3206 | Resident Physician | 2015-06-25 ~ 2021-06-30 |
| Dahlia Townsend | 333 Cedar St Tmp 3, New Haven, CT 06510-3206 | Resident Physician | 2020-07-01 ~ 2021-06-30 |
| Kristina Ann Fanucci | 333 Cedar St Rm Www, New Haven, CT 06510-3206 | Resident Physician | 2020-07-01 ~ 2021-06-30 |
| Paul A Cedeno | 333 Cedar St # Te-2, New Haven, CT 06510-3206 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Jane Coffin Childs Memorial Fund for Medical Research | 333 Cedar St # Smml300mc191, New Haven, CT 06510-3206 | Public Charity | 2020-06-01 ~ 2021-05-31 |
| Qingbing Zhu Md | 333 Cedar St # Tmp3, New Haven, CT 06510-3206 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Leonel Rodriguez | 333 Cedar St Lmp 4100, New Haven, CT 06510-3206 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Ricardo Arturo Arbizu Alvarez | 333 Cedar St # Lmp4100, New Haven, CT 06510-3206 | Physician/surgeon | 2020-03-13 ~ 2021-03-31 |
| Find all Licenses in zip 06510-3206 | |||
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Gary P Bernardi Jr | Yale New Haven Hospital, New Haven, CT 06510 | Advanced Practice Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Katherine G Kennedy | 65 Trumbull St, New Haven, CT 06510 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Molly Elizabeth Mcadow | 333 Cedar Street, New Haven, CT 06510 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Brady Dunkle | 58 Vernon Street, New Haven, CT 06510 | Registered Nurse | ~ |
| Karin Ann Price | 20 York St, New Haven, Ct 06510, New Haven, CT 06510 | Registered Nurse - Temporary | 2020-06-25 ~ 2020-10-23 |
| G C S Constuction LLC | 142 Temple Street, New Haven, CT 06510 | Major Contractor | 2020-07-01 ~ 2021-06-30 |
| Paul L Mccarthy Md · Yale School of Medicine | Dept of Pediatrics, New Haven, CT 06510 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
| Lauren E Cohn Md | Yale New-haven Hospital, New Haven, CT 06510 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Bong Francois | 900 Chapel St Apt 901, New Haven, CT 06510 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Pelli Clarke Pelli Architects Inc. | 1056 Chapel St, New Haven, CT 06510 | Architecture Corporation | 2020-08-01 ~ 2021-07-31 |
| Find all Licenses in zip 06510 | |||
| City | NEW HAVEN |
| Zip Code | 06510 |
| License Type | Physician Assistant |
| License Type + County | Physician Assistant + NEW HAVEN |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Vivian Calobrisi | 29 Carriage Drive, Clinton, CT 06413 | Physician Assistant | 1994-02-04 ~ 1995-01-31 |
| Renee L Wiater | 89 Berkshire Ave, Southwick, MA 01077 | Registered Nurse | 2019-11-01 ~ 2020-10-31 |
| William Hall | 1 Vivian Ct, Waterford, CT 06385-2321 | Family Child Care Assistant | 2015-05-28 ~ 2017-05-31 |
| Roseanne Czternastek · Wiater | 1033 Downer Ave, Utica, NY 13502 | Licensed Practical Nurse | 2002-09-20 ~ 2003-06-30 |
| Vivian Piper | 140 Stillwell Drive, Plainville, CT 06062 | Family Child Care Assistant | 2000-05-31 ~ 2000-05-31 |
| Physician Assistant Foundation of The American Academy of Physician Assistants | 2318 Mill Rd Ste 1300, Alexandria, VA 22314-6868 | Public Charity | 2019-12-01 ~ 2020-11-30 |
| Vivian G. Ng | 24629 52nd Ave, Douglaston, NY 11362-1605 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
| Vivian Hoang | 336 22nd Ave N, Nashville, TN 37203-1844 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Vivian Sone | 15 Crystal Spring Rd, Chappaqua, NY 10514-1412 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Vivian P Tsuei Md | 1062 Barnes Rd Ste 102, Wallingford, CT 06492-2576 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
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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).