DAVID R WIDROW MD (Credential# 539962) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is August 20, 2002. The license expiration date date is October 31, 2003. The license status is INACTIVE.
DAVID R WIDROW MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.011316. The credential type is physician/surgeon. The effective date is August 20, 2002. The expiration date is October 31, 2003. The business address is 22 Fifth St, Stamford, CT 06905. The current status is inactive.
| Licensee Name | DAVID R WIDROW MD |
| Credential ID | 539962 |
| Credential Number | 1.011316 |
| Credential Type | Physician/Surgeon |
| Business Address |
22 Fifth St Stamford CT 06905 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 1963-04-23 |
| Effective Date | 2002-08-20 |
| Expiration Date | 2003-10-31 |
| Refresh Date | 2009-07-11 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 150536 | CSP.0002358 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2002-03-01 - 2003-02-28 | INACTIVE |
| Street Address | 22 FIFTH ST |
| City | STAMFORD |
| State | CT |
| Zip Code | 06905 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Salvatore Trentalancia | 22 Fifth St, Stamford, CT 06905 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Wanjun Xiao | 603, Stamford, CT 06905 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Karina E Lidums | 90 Ken Court, Stamford, CT 06905 | Real Estate Salesperson | 2020-06-26 ~ 2021-05-31 |
| Julie E Geiser Aprn | 94 Hirsch Rd, Stamford, CT 06905 | Advanced Practice Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Jason R Teitelbaum | 66 Dann Drive, Stamford, CT 06905 | Notary Public Appointment | 2020-08-01 ~ 2025-07-31 |
| Iliana Nikolova | 106 Oaklawn Ave, Stamford, CT 06905 | Notary Public Appointment | 2020-07-01 ~ 2025-06-30 |
| Grade A Market | 563 New Field Ave, Stamford, CT 06905 | Bakery | 2020-07-01 ~ 2021-06-30 |
| Valerie Ann Legrone | 146 Cold Spring Road Unit 12, Stamford, CT 06905 | Advanced Practice Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Liang Shan | 142-37 38 Ave, Flushing, NY 06905 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Peter C Hart | 160 Bridge St, Stamford, CT 06905 | Architect | 2020-08-01 ~ 2021-07-31 |
| Anthony Masciarelli | 31 Bradley Place, Stamford, CT 06905 | Architect | 2020-08-01 ~ 2021-07-31 |
| Find all Licenses in zip 06905 | |||
| City | STAMFORD |
| Zip Code | 06905 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + STAMFORD |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Arline B Widrow | 91 Mountainwood Rd, Stamford, CT 06903 | Registered Nurse | 2003-07-15 ~ 2004-09-30 |
| David D Giardina | 10 Little Fox La, Westport, CT 06880 | Physician/surgeon | 2004-07-06 ~ 2005-07-31 |
| David L Maxham | Box 517, Woodstock, VT 05091 | Physician/surgeon | 1994-03-07 ~ 1995-02-28 |
| David Chu Md | 358 W Hyerdale Dr, Goshen, CT 06756 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| David M Drvaric | 516 Carew St, Springfield, MA 01104-2330 | Physician/surgeon | ~ |
| David L Brook | Rfd 3, Oakland, ME 04963 | Physician/surgeon | 1994-08-08 ~ 1995-10-31 |
| David H Barad | 21 E 69th St, New York, NY 10021-4917 | Physician/surgeon | ~ |
| David I Soybel | Fmb 109, New Haven, CT 06511 | Physician/surgeon | 1992-10-23 ~ 1993-11-30 |
| David P Roy | 184 East St, Plainville, CT 06062-2913 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| David Kessler | 615 W 131st St, New York, NY 10027 | Physician/surgeon | ~ |
Please comment or provide details below to improve the information on DAVID R WIDROW MD.
| 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).