HARRIET E WIEDER (Credential# 1422453) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2019. The license expiration date date is February 28, 2021. The license status is ACTIVE.
HARRIET E WIEDER is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0065321. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2019. The expiration date is February 28, 2021. The business address is 304 Grasslands Road, Valhalla, NY 10595. The current status is active.
| Licensee Name | HARRIET E WIEDER |
| Credential ID | 1422453 |
| Credential Number | CSP.0065321 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
304 Grasslands Road Valhalla NY 10595 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2017-05-09 |
| Effective Date | 2019-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2019-01-07 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1411191 | 1.056400 | Physician/Surgeon | 2017-05-01 | 2019-06-01 - 2020-05-31 | ACTIVE |
| Street Address | 304 Grasslands Road |
| City | Valhalla |
| State | NY |
| Zip Code | 10595 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Emily R Segal · Reichert | 35 Taylor Road, Valhalla, NY 10595 | Licensed Clinical Social Worker | 2020-09-01 ~ 2021-08-31 |
| Sahil Munjal | 100 Woods Road, Valhalla, NY 10595 | Resident Physician | 2017-07-01 ~ 2021-06-30 |
| Isaac H. Shalom | Westchester Medical Center, New York, NY 10595 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Thomas D Cerabona | 401 Columbus Ave, Valhalla, NY 10595 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
| Joanne R Ricciardella | 364 Grasslands Road, Valhalla, NY 10595 | Real Estate Broker | 2019-04-01 ~ 2020-03-31 |
| Sunny D Mitchell | Dept of Surgery, Valhalla, NY 10595 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Marcon Group Ltd · Gregg D Smolev | 120 Prospect Ave., Valhalla, NY 10595 | Real Estate Broker | 2020-04-01 ~ 2021-03-31 |
| Emma Caitlin Mason | 45 Pamela Lane, Valhalla, NY 10595 | Registered Nurse | 2020-05-01 ~ 2021-04-30 |
| Katherine Osborn-jones | 115 South Kensico, Valhalla, CT 10595 | Registered Nurse | ~ |
| Incoronata Lileika | 21 Locust St., Valhalla, NY 10595 | Audiologist | 2020-03-01 ~ 2021-02-28 |
| Find all Licenses in zip 10595 | |||
| City | Valhalla |
| Zip Code | 10595 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + Valhalla |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Michael Wieder | 1 Cross St, Gardner, MA 01440-2213 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
| Harriet J Delima Md | 330 Yale Ave, New Haven, CT 06515 | Controlled Substance Registration for Practitioner | 2006-03-01 ~ 2007-02-28 |
| Harriet Burris Md | Middlesex Medical Ctr, Essex, CT 06426 | Controlled Substance Registration for Practitioner | 2006-03-01 ~ 2007-02-28 |
| Mary G Lawrence | 4415 Lake Harriet Parkway East, Minneapolis, MN 55419 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Steven Kassels Md · Community Substance Abuse Center | Comm. Physicians PC/125 North Elm Street, Westfield, MA 01085 | Controlled Substance Registration for Practitioner | 2018-06-15 ~ 2019-02-28 |
| Shu-i Lin | CT | Controlled Substance Registration for Practitioner | 2017-06-12 ~ 2019-02-28 |
| Erin K Fee | CT | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Qi Che Md | Bridgeport, CT 06610 | Controlled Substance Registration for Practitioner | 2006-03-01 ~ 2007-02-28 |
| Hae J Kim Pa | New Haven, CT 06511 | Controlled Substance Registration for Practitioner | 2008-03-31 ~ 2009-02-28 |
| Huu Duc D Luu | 630 Mix Ave Apt 6p, Hamden, CT 06514-2320 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
Please comment or provide details below to improve the information on HARRIET E WIEDER.
| 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).