STEPHEN G WAXMAN MD (Credential# 546530) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is September 1, 2020. The license expiration date date is August 31, 2021. The license status is ACTIVE.
STEPHEN G WAXMAN MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.027345. The credential type is physician/surgeon. The effective date is September 1, 2020. The expiration date is August 31, 2021. The business address is Yale School of Med Neurology, West Haven, CT 06516. The current status is active.
Licensee Name | STEPHEN G WAXMAN MD |
Credential ID | 546530 |
Credential Number | 1.027345 |
Credential Type | Physician/Surgeon |
Business Address |
Yale School of Med Neurology West Haven CT 06516 |
Business Type | INDIVIDUAL |
Status | ACTIVE - CURRENT |
Active | 1 |
Issue Date | 1986-06-20 |
Effective Date | 2020-09-01 |
Expiration Date | 2021-08-31 |
Refresh Date | 2020-06-02 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
155193 | CSP.0014349 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 1999-03-01 | 2019-03-01 - 2021-02-28 | ACTIVE |
Street Address | YALE SCHOOL OF MED NEUROLOGY |
City | WEST HAVEN |
State | CT |
Zip Code | 06516 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Nancy Cabrera Salinas | 649 Third Ave., West Haven, CT 06516 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-27 ~ 2021-07-31 |
Lauralee L Gaglio | 27 Peppermill Drive, West Haven, CT 06516 | Hairdresser/cosmetician | 2020-07-01 ~ 2022-06-30 |
Evelyn Ruiz Conant | 309 Terrace Ave, Unit 42, West Haven, CT 06516 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
Junqin Wang | 15 Central Ave West Haven, West Haven, CT 06516 | Nail Technician | ~ |
Mehmet Sofuoglu Md | Va Conn Healthcare System, West Haven, CT 06516 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
Monica M Skakacz | 19 Cowpen Rd, West Haven, CT 06516 | Registered Nurse | 2020-05-01 ~ 2021-04-30 |
Lourdes Maribel Guzman | 26 York Street, West Haven, CT 06516 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
Mcdonald's · Tay Mac Dba | 1129 Campbell Ave, West Haven, CT 06516 | Bakery | 2020-07-01 ~ 2021-06-30 |
Dyaija Soriano | 29 Ridge Court East, West Haven, CT 06516 | Esthetician | 2020-06-26 ~ 2022-05-31 |
Katherine M Grable | 13 Perry Merrill Drive, West Haven, CT 06516 | Licensed Practical Nurse | 2020-07-01 ~ 2021-06-30 |
Find all Licenses in zip 06516 |
City | WEST HAVEN |
Zip Code | 06516 |
License Type | Physician/Surgeon |
License Type + County | Physician/Surgeon + WEST HAVEN |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Peter N Waxman Md | 3839 Danbury Rd, Brewster, NY 10509 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
Aaron B Waxman Md | Pulmonary Sect, Yale School of Med, New Haven, CT 06520 | Physician/surgeon | 2001-03-12 ~ 2002-02-28 |
Waxman Sales LLC | 4901 Morena Blvd Ste 326, San Diego, CA 92117-3378 | Importer of Bedding & Upholstered Furniture | 2010-04-20 ~ 2011-04-30 |
Marvin Waxman Consulting Engineers Inc | 530 Walnut St 14th Flr, Philadelphia, PA 19056 | Professional Engineering Corporation | 2008-10-12 ~ 2009-10-11 |
Stephen T. Moran | 20 E 22nd St, New York, NY 10010-6101 | Physician/surgeon | ~ |
Stephen R Barone | 320 E 46th St Apt 16e, New York, NY 10017-3025 | Physician/surgeon | ~ |
Stephen Andreoni | 162 Bay Ave, Halesite, NY 11743 | Physician/surgeon | 2016-11-30 ~ 2017-08-31 |
Stephen Fealy | 535 E 70th St, New York, NY 10021-4823 | Physician/surgeon | ~ |
J. Stephen Roy | 7a Ludlow Rd, Westport, CT 06880-3043 | Physician/surgeon | 2019-09-01 ~ 2020-08-31 |
Stephen A Moe | Po Box 2236, New Haven, CT 06520 | Physician/surgeon | 1993-01-25 ~ 1994-01-31 |
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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).