PAUL ALLEN SCHWIGER JR (Credential# 1607016) 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.
PAUL ALLEN SCHWIGER JR is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.062163. The credential type is physician/surgeon. The effective date is April 1, 2020. The expiration date is March 31, 2021. The business address is 71 Haynes St, Manchester, CT 06040-4131. The current status is active.
| Licensee Name | PAUL ALLEN SCHWIGER JR |
| Credential ID | 1607016 |
| Credential Number | 1.062163 |
| Credential Type | Physician/Surgeon |
| Business Address |
71 Haynes St Manchester CT 06040-4131 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2018-12-10 |
| Effective Date | 2020-04-01 |
| Expiration Date | 2021-03-31 |
| Refresh Date | 2020-02-06 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1619688 | CSP.0069980 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2018-12-11 | 2018-12-11 - 2021-02-28 | ACTIVE |
| Street Address | 71 HAYNES ST |
| City | MANCHESTER |
| State | CT |
| Zip Code | 06040-4131 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Tahir Mohammad Chaudhry | 71 Haynes St, Manchester, CT 06040-4131 | Resident Physician | 2019-07-01 ~ 2022-06-30 |
| Tracey L Carpenter | 71 Haynes St, Manchester, CT 06040-4131 | Pharmacist | 2020-02-01 ~ 2022-01-31 |
| Darci Moran Pa | 71 Haynes St, Manchester, CT 06040 | Physician Assistant | 2020-06-01 ~ 2021-05-31 |
| Sean M. Mclaughlin Md | 71 Haynes St, Manchester, CT 06040-4188 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Amee Mehta | 71 Haynes St, Manchester, CT 06040 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Megan T. Cummings | 71 Haynes St, Manchester, CT 06040-4131 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Mark Gerard Amirault | 71 Haynes St, Manchester, CT 06040-4131 | Controlled Substance Registration for Practitioner | 2019-05-29 ~ 2021-02-28 |
| Amanda Lu | 71 Haynes St, Manchester, CT 06040-4131 | Controlled Substance Registration for Practitioner | 2019-05-29 ~ 2021-02-28 |
| Mehdi Momen | 71 Haynes St, Manchester, CT 06040-4131 | Controlled Substance Registration for Practitioner | 2019-05-20 ~ 2021-02-28 |
| Minoo Hollis | 71 Haynes St, Manchester, CT 06040-4131 | Controlled Substance Registration for Practitioner | 2019-03-21 ~ 2021-02-28 |
| Find all Licenses in the same address | |||
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Keri Lee Pinnock | 353 Main Street, Manchester, CT 06040-4131 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Dominique Kalil Md | 71 Haynes St Rm 1209, Manchester, CT 06040-4131 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Mary Fosuah Nketia | 61 Cougar Drive, Manchester, CT 06040 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| New Seasons Inc. | 164 East Center Street, Manchester, CT 06040 | Public Charity | 2019-06-01 ~ 2020-05-31 |
| Kaylen Lam | 60 Chlistone Lane, Manchester, CT 06040 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Matilde Altamirano | 415 Gardner Street, Manchester, CT 06040 | Nail Technician | 2020-06-27 ~ 2022-04-30 |
| Meilan Meilan Chen | 174 Middle Tpke, Manchester, CT 06040 | Nail Technician | ~ |
| Prince Acheampong | 32 Bigelow Street, Manchester, CT 06040 | Notary Public Appointment | ~ |
| Erin C Boyle | 470 Porter Street, Manchester, CT 06040 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Dejone Mitchell | 64 Ruby Dr Apt. P, Manchester, CT 06040 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Andrea H Clifford | 116 Longview Drive, Manchester, CT 06040 | Licensed Practical Nurse | 2020-09-01 ~ 2021-08-31 |
| Tabia Thornton-bey | 103 Walek Farms Road, Manchester, CT 06040 | Licensed Clinical Social Worker | 2020-07-01 ~ 2021-06-30 |
| Find all Licenses in zip 06040 | |||
| City | MANCHESTER |
| Zip Code | 06040 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + MANCHESTER |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Paul W Allen Sr · Allen Construction | 24 Deepwood Drive, Wolcott, CT 06716 | Home Improvement Contractor | 1998-12-01 ~ 1999-11-30 |
| P Wijewardane Md | 180 Allen St, New Britain, CT 06053 | Physician/surgeon | 2001-03-20 ~ 2002-03-31 |
| Allen F Davis Md | 164 Mt. Pleasant Rd., Newtown, CT 06470 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
| Geoffrey A Allen | 145 Cottage St B-1, New Haven, CT 06511 | Physician/surgeon | 1996-08-23 ~ 1997-08-31 |
| Allen M Kaufman | 15 E 26th St Apt 13e, New York, NY 10010-1445 | Physician/surgeon | 2017-07-01 ~ 2018-06-30 |
| Allen P Borger | 145 Columbia Ave., Holland, MI 49423 | Physician/surgeon | 2005-12-27 ~ 2007-01-31 |
| Stephen C Sorsby | 9 Allen St, Mystic, CT 06355-2903 | Physician/surgeon | ~ 1992-12-31 |
| Allen J Mayer | 333 East 68 St, New York, NY 10021 | Physician/surgeon | 1998-01-28 ~ 1999-01-31 |
| Allen R Koenig | 78 Dandy Drive, Cos Cob, CT 06807-2208 | Physician/surgeon | 2009-05-14 ~ 2010-05-31 |
| Allen Chetrick | 56 Turtle Bay Dr, Branford, CT 06405 | Physician/surgeon | 1998-05-01 ~ 1999-05-31 |
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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).