DANIEL WILENSKY MD
Controlled Substance Registration for Practitioner


Address: 930 Mt Vernon Rd, Southington, CT 06489

DANIEL WILENSKY MD (Credential# 164102) 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.

Business Overview

DANIEL WILENSKY MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0023129. 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 930 Mt Vernon Rd, Southington, CT 06489. The current status is active.

Basic Information

Licensee Name DANIEL WILENSKY MD
Credential ID 164102
Credential Number CSP.0023129
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 930 Mt Vernon Rd
Southington
CT 06489
Business Type INDIVIDUAL
Status ACTIVE - CURRENT
Active 1
Issue Date 1999-03-01
Effective Date 2019-03-01
Expiration Date 2021-02-28
Refresh Date 2019-01-07

Other licenses

ID Credential Code Credential Type Issue Term Status
551866 1.034268 Physician/Surgeon 1995-01-27 2019-11-01 - 2020-10-31 ACTIVE

Office Location

Street Address 930 MT VERNON RD
City SOUTHINGTON
State CT
Zip Code 06489

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Competitor

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City SOUTHINGTON
Zip Code 06489
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + SOUTHINGTON

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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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