STEVAN M WEINE
Physician/surgeon


Address: 29 Meadowbrook Rd, Hamden, CT 06517

STEVAN M WEINE (Credential# 548222) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is June 22, 1994. The license expiration date date is June 30, 1995. The license status is INACTIVE.

Business Overview

STEVAN M WEINE is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.030090. The credential type is physician/surgeon. The effective date is June 22, 1994. The expiration date is June 30, 1995. The business address is 29 Meadowbrook Rd, Hamden, CT 06517. The current status is inactive.

Basic Information

Licensee Name STEVAN M WEINE
Credential ID 548222
Credential Number 1.030090
Credential Type Physician/Surgeon
Business Address 29 Meadowbrook Rd
Hamden
CT 06517
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 1989-07-01
Effective Date 1994-06-22
Expiration Date 1995-06-30
Refresh Date 2009-07-08

Other licenses

ID Credential Code Credential Type Issue Term Status
160650 CSP.0019553 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 1993-08-04 - 1995-05-01 INACTIVE

Office Location

Street Address 29 MEADOWBROOK RD
City HAMDEN
State CT
Zip Code 06517

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Keleann T Tamaki 165 Ridge Road, Hamden, CT 06517 Registered Nurse 2020-09-01 ~ 2021-08-31
Robin L Esposito 191 Thornton St, Hamden, CT 06517 Registered Nurse 2020-09-01 ~ 2021-08-31
Michele R Abrams 114 Wakefield St, Hamden, CT 06517 Audiologist 2020-09-01 ~ 2021-08-31
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Competitor

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City HAMDEN
Zip Code 06517
License Type Physician/Surgeon
License Type + County Physician/Surgeon + HAMDEN

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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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