MICKEY J WYSE MD
Physician/surgeon


Address: 126 Chestnut Hill Road, Litchfield, CT 06759

MICKEY J WYSE MD (Credential# 548262) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is October 1, 2018. The license expiration date date is September 30, 2019. The license status is INACTIVE.

Business Overview

MICKEY J WYSE MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.030147. The credential type is physician/surgeon. The effective date is October 1, 2018. The expiration date is September 30, 2019. The business address is 126 Chestnut Hill Road, Litchfield, CT 06759. The current status is inactive.

Basic Information

Licensee Name MICKEY J WYSE MD
Credential ID 548262
Credential Number 1.030147
Credential Type Physician/Surgeon
Business Address 126 Chestnut Hill Road
Litchfield
CT 06759
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 1989-07-14
Effective Date 2018-10-01
Expiration Date 2019-09-30
Refresh Date 2018-07-16

Other licenses

ID Credential Code Credential Type Issue Term Status
158707 CSP.0018029 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 1999-03-01 2017-03-01 - 2019-02-28 LAPSED

Office Location

Street Address 126 Chestnut Hill Road
City Litchfield
State CT
Zip Code 06759

Licenses in the same zip code

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Marisa Concilio 138 South Lake St, Litchfield, CT 06759 Occupational Therapist Temporary Permit ~
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Jeanne M Sandrib 22 Minerva Lane, Litchfield, CT 06759 Registered Nurse 2020-07-01 ~ 2021-06-30
Albreada Refuse & Sweeping LLC 14 Iffland Pond Rd, Litchfield, CT 06759 Operator of Weighing & Measuring Devices 2020-08-01 ~ 2021-07-31
Theresa M. Spalletta 470 Pumping Station Rd., Litchfield, CT 06759 Distribution System Operator In Training 2020-04-01 ~ 2023-03-31
Lisa Ann Partrick 190 West Street, Litchfield, CT 06759 Notary Public Appointment 2020-07-01 ~ 2025-06-30
Debra A Majeske · Cooper 230 Blue Swamp Road, Litchfield, CT 06759 Licensed Clinical Social Worker 2020-08-01 ~ 2021-07-31
Tilden Seafood LLC 174 West St, Litchfield, CT 06759 Operator of Weighing & Measuring Devices 2020-08-01 ~ 2021-07-31
Cassandra Leigh Ganio 93 Headquarters Road, Litchfield, CT 06759 Master's Level Social Worker 2020-06-01 ~ 2021-05-31
Denise Konnik 344 Milton Rd, Litchfield, CT 06759 Registered Nurse 2020-09-01 ~ 2021-08-31
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Competitor

Search similar business entities

City Litchfield
Zip Code 06759
License Type Physician/Surgeon
License Type + County Physician/Surgeon + Litchfield

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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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