PETER B WITTSTEIN
Physician/surgeon


Address: 16 East Home Road, Springfield, OH 45504-1012

PETER B WITTSTEIN (Credential# 543733) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is April 25, 1995. The license expiration date date is April 30, 1996. The license status is INACTIVE.

Business Overview

PETER B WITTSTEIN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.021567. The credential type is physician/surgeon. The effective date is April 25, 1995. The expiration date is April 30, 1996. The business address is 16 East Home Road, Springfield, OH 45504-1012. The current status is inactive.

Basic Information

Licensee Name PETER B WITTSTEIN
Credential ID 543733
Credential Number 1.021567
Credential Type Physician/Surgeon
Business Address 16 East Home Road
Springfield
OH 45504-1012
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 1989-05-26
Effective Date 1995-04-25
Expiration Date 1996-04-30
Refresh Date 2009-07-08

Other licenses

ID Credential Code Credential Type Issue Term Status
159830 CSP.0017375 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 1993-04-15 - 1995-05-01 INACTIVE

Office Location

Street Address 16 EAST HOME ROAD
City SPRINGFIELD
State OH
Zip Code 45504-1012

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Marie Camille C Casareno 737 Village Rd, Springfield, OH 45504-1058 Emergency Medical Technician ~
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Candace F Kelly 839 White Oak Dr, Springfield, OH 45504-4132 Registered Nurse 2015-07-01 ~ 2016-06-30
Bruce R Mustain 2647 Troy Rd, Springfield, OH 45504-4344 Engineer-in-training 1978-07-28 ~ 1988-07-28

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Competitor

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City SPRINGFIELD
Zip Code 45504
License Type Physician/Surgeon
License Type + County Physician/Surgeon + SPRINGFIELD

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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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