TODD WIDER MD (Credential# 552790) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is October 10, 1997. The license expiration date date is October 31, 1998. The license status is INACTIVE.
TODD WIDER MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.035197. The credential type is physician/surgeon. The effective date is October 10, 1997. The expiration date is October 31, 1998. The business address is 266 West End Ave, New York, NY 10023. The current status is inactive.
| Licensee Name | TODD WIDER MD |
| Credential ID | 552790 |
| Credential Number | 1.035197 |
| Credential Type | Physician/Surgeon |
| Business Address |
266 West End Ave New York NY 10023 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 1996-04-12 |
| Effective Date | 1997-10-10 |
| Expiration Date | 1998-10-31 |
| Refresh Date | 2009-07-11 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 174120 | CSP.0024263 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 1997-06-05 - 1998-02-28 | INACTIVE |
| Street Address | 266 WEST END AVE |
| City | NEW YORK |
| State | NY |
| Zip Code | 10023 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Leonard R Woods | 290 West End Ave 15b, New York, NY 10023 | Architect | 2020-08-01 ~ 2021-07-31 |
| Susan T Rodriguez | 320 West End Ave Apt #15-a, New York, NY 10023 | Architect | 2020-08-01 ~ 2021-07-31 |
| Barbara S Goldberg · Straite | 175 W 76th St, New York, NY 10023 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Kenneth H Drucker | 235 West 76th St#9-d, New York, NY 10023 | Architect | 2020-08-01 ~ 2021-07-31 |
| Jeffrey H Berman | 240 West 75th St #5-b, New York, NY 10023 | Architect | 2020-08-01 ~ 2021-07-31 |
| James Mccullar | 268 West 73rd St Apt 2b, New York, NY 10023 | Architect | 2018-08-01 ~ 2019-07-31 |
| Juan C Estupinan Beltran Md | 20 West 64th Street, New York, NY 10023 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Lauren A Gabriele | 145 W 67th St, New York, NY 10023 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| Joanna Guarino | 201 West 72nd Street, #10e, New York, NY 10023 | Speech and Language Pathologist | 2020-02-01 ~ 2021-01-31 |
| Nancy Peterson | 240 West End Avenue, New York, NY 10023 | Psychologist | ~ |
| Find all Licenses in zip 10023 | |||
| City | NEW YORK |
| Zip Code | 10023 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + NEW YORK |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Clc Lathon Wider | 137 Henry St, Stamford, CT 06902-5801 | Child Care Center | 2018-10-01 ~ 2022-09-30 |
| Wider Opportunities for Women | 1001 Connecticut Ave., Nw, Suite 930, Washington, DC 20036 | Public Charity | 2009-12-01 ~ 2010-05-31 |
| Todd C Patton | 73 Market St, Yonkers, NY 10710-7616 | Physician/surgeon | ~ |
| Lathon Wider Child Development Center | 137 Henry Street, Stamford, CT 06902 | Child Care Center | 2008-07-02 ~ |
| Todd E Carlson Md | 156 Orchard Ave, Woodbury, CT 06798 | Physician/surgeon | 2002-04-17 ~ 2003-04-30 |
| Todd M Bishop Do | 80 S Main St, Middletown, CT 06457 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Todd S Albala Md | 40 Hart St, New Britain, CT 06052 | Physician/surgeon | 2006-04-21 ~ 2007-01-31 |
| Todd Carranza Md | 101 Regent Ave, Providence, RI 02908 | Physician/surgeon | 2019-12-01 ~ 2020-11-30 |
| Todd F Baumgartner | Po Box 1066, Manchester, VT 05254-1066 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Todd A Bickmore | 11 Ridge Rd, Cromwell, CT 06416-1516 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
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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).