WAYNE JOSEPH OVERMAN (Credential# 1670104) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is June 20, 2019. The license expiration date date is February 28, 2021. The license status is ACTIVE.
WAYNE JOSEPH OVERMAN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0071630. The credential type is controlled substance registration for practitioner. The effective date is June 20, 2019. The expiration date is February 28, 2021. The business address is 111 Salem Tpke Ste 7, Norwich, CT 06360-7403. The current status is active.
| Licensee Name | WAYNE JOSEPH OVERMAN |
| Credential ID | 1670104 |
| Credential Number | CSP.0071630 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
111 Salem Tpke Ste 7 Norwich CT 06360-7403 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2019-06-20 |
| Effective Date | 2019-06-20 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2019-06-24 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1634477 | 1.063730 | Physician/Surgeon | 2019-06-19 | 2019-11-01 - 2020-10-31 | ACTIVE |
| Street Address | 111 SALEM TPKE STE 7 |
| City | NORWICH |
| State | CT |
| Zip Code | 06360-7403 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Jacqueline E Rowan | 111 Salem Tpke Ste 7, Norwich, CT 06360-7403 | Physician Assistant | 2020-09-01 ~ 2021-08-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Johannah Valentine | 111 Salem Tpke # 7, Norwich, CT 06360-7403 | Controlled Substance Registration for Practitioner | 2019-04-17 ~ 2021-02-28 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Helar E Campos | 9 Abel Crossing, Norwich, CT 06360 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
| Yanbo Dong | 624 West Main St Ste1, Norwich, CT 06360 | Esthetician | ~ |
| Jing An Jin | 624 West Main St Suite 160, Norwich, CT 06360 | Nail Technician | ~ |
| Deborah Moya | 9 3rd St, Norwich, CT 06360 | Notary Public Appointment | 2020-10-01 ~ 2025-09-30 |
| Argyro Donuts LLC | 60 Town Street, Norwich, CT 06360 | Bakery | 2019-08-12 ~ 2020-06-30 |
| Paige Elizabeth Signorella | 532 Boswell Avenue, Norwich, CT 06360 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-26 ~ 2021-09-30 |
| Bethany Catherine Chinigo | 19m 495 Laurel Hill Rd, Norwich, CT 06360 | Hairdresser/cosmetician | ~ |
| American Friends of Kenya Inc. | 150 Yantic Street, #142, Norwich, CT 06360 | Public Charity | 2020-12-01 ~ 2021-11-30 |
| Caylee Elizabeth Liebig | 10 Bozrah Drive, Norwich, CT 06360 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Brendan Williams | 18 Stonington Rd, Norwich, CT 06360 | Electrical Unlimited Journeyperson | 2020-06-22 ~ 2020-09-30 |
| Find all Licenses in zip 06360 | |||
| City | NORWICH |
| Zip Code | 06360 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + NORWICH |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Lillian Overman Md | 144 Main Street, East Hartford, CT 06118 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Roy H Kim | 3450 Wayne Ave Apt 21a, Bronx, NY 10467-2513 | Controlled Substance Registration for Practitioner | 2015-01-09 ~ 2017-02-28 |
| Wayne Yan | 129 York St Apt 6a, New Haven, CT 06511-5656 | Controlled Substance Registration for Practitioner | 2009-10-08 ~ 2011-02-28 |
| Ved Aggarwal Md | 3411 Wayne Ave, Bronx, NY 10467 | Controlled Substance Registration for Practitioner | 1996-09-09 ~ 1998-02-28 |
| Gregory A Bauman | 34 Knox Ter Apt 1d, Wayne, NJ 07470-2373 | Controlled Substance Registration for Practitioner | 2011-06-29 ~ 2013-02-28 |
| Wayne M Levasseur | 186 Broad St, Windsor, CT 06095 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Nicole L Fersa | 5 Alpine Dr, Wayne, NJ 07470-4201 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Wayne W Chan | 185 Santa Fe Ave, Hamden, CT 06517-1531 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Ruifeng Zhou | 390 Mcmull Dr, Wayne, PA 19087-2026 | Controlled Substance Registration for Practitioner | 2019-02-07 ~ 2021-02-28 |
| Wayne C Paulekas Md | 30 Jordan Ln, Wethersfield, CT 06109-1278 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
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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).