FERNANDA WAJNSZTAJN YUNGHER
Physician/surgeon


Address: 46 Republic Dr Apt 343, Bloomfield, CT 06002-5457

FERNANDA WAJNSZTAJN YUNGHER (Credential# 1445389) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2020. The license expiration date date is February 28, 2021. The license status is ACTIVE.

Business Overview

FERNANDA WAJNSZTAJN YUNGHER is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.057020. The credential type is physician/surgeon. The effective date is March 1, 2020. The expiration date is February 28, 2021. The business address is 46 Republic Dr Apt 343, Bloomfield, CT 06002-5457. The current status is active.

Basic Information

Licensee Name FERNANDA WAJNSZTAJN YUNGHER
Credential ID 1445389
Credential Number 1.057020
Credential Type Physician/Surgeon
Business Address 46 Republic Dr Apt 343
Bloomfield
CT 06002-5457
Business Type INDIVIDUAL
Status ACTIVE - CURRENT
Active 1
Issue Date 2017-09-11
Effective Date 2020-03-01
Expiration Date 2021-02-28
Refresh Date 2020-02-05

Other licenses

ID Credential Code Credential Type Issue Term Status
1521306 CSP.0068608 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 2018-06-07 2019-03-01 - 2021-02-28 ACTIVE
1511703 1.060634-RES Resident Physician 2018-07-01 2018-07-01 - 2019-06-30 INACTIVE

Office Location

Street Address 46 REPUBLIC DR APT 343
City BLOOMFIELD
State CT
Zip Code 06002-5457

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Taylor A West 5 Tiffany Ln, Bloomfield, CT 06002 Registered Nurse 2020-07-01 ~ 2021-06-30
Emma J Ranel 53 Burr Road, Bloomfield, CT 06002 Licensed Practical Nurse 2020-07-01 ~ 2021-06-30
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Competitor

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City BLOOMFIELD
Zip Code 06002
License Type Physician/Surgeon
License Type + County Physician/Surgeon + BLOOMFIELD

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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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