WAYNE S WARREN (Credential# 547631) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is April 1, 2020. The license expiration date date is March 31, 2021. The license status is ACTIVE.
WAYNE S WARREN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.029184. The credential type is physician/surgeon. The effective date is April 1, 2020. The expiration date is March 31, 2021. The business address is 1308 Chapel St, New Haven, CT 06511. The current status is active.
| Licensee Name | WAYNE S WARREN |
| Credential ID | 547631 |
| Credential Number | 1.029184 |
| Credential Type | Physician/Surgeon |
| Business Address |
1308 Chapel St New Haven CT 06511 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 1988-07-01 |
| Effective Date | 2020-04-01 |
| Expiration Date | 2021-03-31 |
| Refresh Date | 2020-03-27 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 155973 | CSP.0016360 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 1999-03-01 | 2019-03-01 - 2021-02-28 | ACTIVE |
| Street Address | 1308 CHAPEL ST |
| City | NEW HAVEN |
| State | CT |
| Zip Code | 06511 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Sunil G Menon | 1308 Chapel St, New Haven, CT 06511-4515 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Richard J Barse Dr. | 1308 Chapel St, New Haven, CT 06511 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Montessori School On Edgewood Inc. | 230 Edgewood Avenue, New Haven, CT 06511 | Public Charity | 2019-06-01 ~ 2020-05-31 |
| Therese Parks · Visel Drug Store | 264 Munson St, New Haven, CT 06511 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Dazjia Monet Green | 115 Edgewood Ave Apt 64, New Haven, CT 06511 | Registered Nurse | 2020-06-27 ~ 2021-05-31 |
| Carol Yam | 343 Humphrey St, New Haven, CT 06511 | Registered Nurse | ~ |
| Marwan S Haddad | 38 Lincoln Street, New Haven, CT 06511 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Mary Lou Gaeta Md | 558 Chapel Street, New Haven, CT 06511 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Cary M Tucker | 64 Bishop St, New Haven, CT 06511 | Architect | 2020-08-01 ~ 2021-07-31 |
| Frank J Pannenborg | 505 Ellsworth Ave, New Haven, CT 06511 | Architect | 2020-08-01 ~ 2021-07-31 |
| Crystal E Gooding | 26 Woodland Street, New Haven, CT 06511 | Notary Public Appointment | 2020-07-01 ~ 2025-06-30 |
| Kieran Jones | 260 Crown St Unit 1f, New Haven, CT 06511 | Registered Nurse | ~ |
| Find all Licenses in zip 06511 | |||
| City | NEW HAVEN |
| Zip Code | 06511 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + NEW HAVEN |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Wayne Gilbertie Md · Radiology & Imaging | Wayne Gilbertie, Md, Glastonbury, CT 06033 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Wayne M Fong | #27h, New York, NY 10016 | Physician/surgeon | 2019-11-01 ~ 2020-10-31 |
| Vasundhara G Untawale | 281 Farmingdale Rd, Wayne, NJ 07470-6555 | Physician/surgeon | ~ |
| Changzheng Wang | 4 Hickory Ln, Warren, NJ 07059-2602 | Physician/surgeon | ~ |
| Lawrence G Lareau | 900 4th Ave, Warren, PA 16365-1888 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Warren M Levin Md | Po Box 770, Wilton, CT 06897-3122 | Physician/surgeon | 2003-07-07 ~ 2004-08-31 |
| David J. Hoffman Md | 651 Knox Rd, Wayne, PA 19087-2015 | Physician/surgeon | 2015-04-01 ~ 2016-03-31 |
| Wayne O Southwick | Po Box 208071, New Haven, CT 06520-8071 | Physician/surgeon | 2003-01-10 ~ 2004-02-29 |
| Maya Pandey | 6 Waterford Ct, Wayne, NJ 07470-3738 | Physician/surgeon | 2020-02-01 ~ 2021-01-31 |
| Wayne K Scali | 368 C Tulibee Dr, Groton, CT 06349 | Physician/surgeon | 1987-08-14 ~ 1990-08-31 |
Please comment or provide details below to improve the information on WAYNE S WARREN.
| 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).