VIRGINIA M TJAN-WETTSTEIN MD
Controlled Substance Registration for Practitioner


Address: 22 Bristol Dr, Canton, CT 06019-2214

VIRGINIA M TJAN-WETTSTEIN MD (Credential# 184869) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2009. The license expiration date date is February 28, 2011. The license status is INACTIVE.

Business Overview

VIRGINIA M TJAN-WETTSTEIN MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0025653. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2009. The expiration date is February 28, 2011. The business address is 22 Bristol Dr, Canton, CT 06019-2214. The current status is inactive.

Basic Information

Licensee Name VIRGINIA M TJAN-WETTSTEIN MD
Credential ID 184869
Credential Number CSP.0025653
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 22 Bristol Dr
Canton
CT 06019-2214
Business Type INDIVIDUAL
Status INACTIVE
Effective Date 2009-03-01
Expiration Date 2011-02-28
Refresh Date 2013-03-07

Other licenses

ID Credential Code Credential Type Issue Term Status
553618 1.036026 Physician/Surgeon 1997-05-16 2008-04-25 - 2009-05-31 INACTIVE
514701 CSP.0044612 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 2008-09-19 2008-09-19 - 2009-02-28 INACTIVE

Office Location

Street Address 22 BRISTOL DR
City CANTON
State CT
Zip Code 06019-2214

Licenses in the same zip code

Licensee Name Office Address Credential Effective / Expiration
Kateri A Pilon 14 Bristol Dr, Canton, CT 06019-2214 Registered Nurse 2020-04-01 ~ 2021-03-31
Pedro L Pereira 48 Bristol Dr, Canton, CT 06019-2214 Asbestos Abatement Worker 2019-12-01 ~ 2020-11-30
Kylee D Melnysyn 52 Bristol Dr, Canton, CT 06019-2214 Hairdresser/cosmetician 2020-04-01 ~ 2022-03-31
Daniel Krynski 26 Bristol Dr, Canton, CT 06019-2214 Plumbing & Piping Limited Journeyperson 2019-11-01 ~ 2020-10-31
Lindsay K Linton 32 Bristol Dr, Canton, CT 06019-2214 Family Child Care Home 2019-06-01 ~ 2023-05-31
Piotr Piotrowski 22a Bristol Dr, Canton, CT 06019-2214 Emergency Medical Technician 2019-07-01 ~ 2022-06-30
Angelina C Dias 22a Bristol Dr, Canton, CT 06019-2214 Emergency Medical Technician 2019-04-01 ~ 2022-03-31
Brandon A Shilosky 48 Bristol Dr, Canton, CT 06019-2214 Emergency Medical Responder 2013-01-17 ~ 2015-10-01
Norris J Pilon 14 Bristol Dr, Canton, CT 06019-2214 Sub-surface Sewage Cleaner ~

Licenses in the same zip code

Licensee Name Office Address Credential Effective / Expiration
Laurie E Dunford 483 Dowd Ave., Canton, CT 06019 Licensed Clinical Social Worker 2020-07-01 ~ 2021-06-30
Christine M Jencik 71 Cherrybrook Road, Canton, CT 06019 Registered Nurse 2020-08-01 ~ 2021-07-31
Marie B Valley P.o. Box 284, Canton, CT 06019 Dental Hygienist 2020-07-01 ~ 2021-06-30
Stephen S Burgess 275 Barbourtown Rd, Canton, CT 06019 Architect 2020-08-01 ~ 2021-07-31
Lenore Quintal-bean 26 North St, Collinsville, CT 06019 Registered Nurse 2020-07-01 ~ 2021-06-30
Aubrey J Hoyt 82 Lovely Street, Canton, CT 06019 Radiographer 2020-08-01 ~ 2021-07-31
Julie Reed 41 Wickhams Fancy, Collinsville, CT 06019 Notary Public Appointment 2020-08-01 ~ 2025-07-31
Sylvia Dibiasi 93 Cherry Brook Road, Canton, CT 06019 Physical Therapist 2020-08-01 ~ 2021-07-31
Nora Baumgart 60 Cherry Brook Rd, Canton, CT 06019 Registered Nurse 2020-07-01 ~ 2021-06-30
Donald Tarinelli 4 Center St, Collinsville, CT 06019 Architect 2020-08-01 ~ 2021-07-31
Find all Licenses in zip 06019

Competitor

Search similar business entities

City CANTON
Zip Code 06019
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + CANTON

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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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