SEAN J ENNEVOR (Credential# 554535) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is June 1, 2020. The license expiration date date is May 31, 2021. The license status is ACTIVE.
SEAN J ENNEVOR is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.036945. The credential type is physician/surgeon. The effective date is June 1, 2020. The expiration date is May 31, 2021. The business address is 450 Peavey Lane, Wayzata, MN 55391. The current status is active.
| Licensee Name | SEAN J ENNEVOR |
| Credential ID | 554535 |
| Credential Number | 1.036945 |
| Credential Type | Physician/Surgeon |
| Business Address |
450 Peavey Lane Wayzata MN 55391 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 1998-06-12 |
| Effective Date | 2020-06-01 |
| Expiration Date | 2021-05-31 |
| Refresh Date | 2020-06-02 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 223343 | CSP.0028963 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2000-02-29 - 2001-02-28 | INACTIVE |
| Street Address | 450 Peavey Lane |
| City | Wayzata |
| State | MN |
| Zip Code | 55391 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Luke J Surface | 575 Far Hill Rd, Wayzata, MN 55391 | Psychologist | 2020-08-01 ~ 2021-07-31 |
| Mfr Partners Xix, LLC | 735 Lake Street East, Wayzata, MN 55391 | Securities - Exemptions | 2019-12-20 ~ |
| Northern Pacific Investment Partners II, Lp | 315 East Lake Street, Wayzata, MN 55391 | Securities - Exemptions | 2020-01-16 ~ 2021-01-16 |
| Thomas C Guyn | 2801 Copperfield Cir, Wayzata, MN 55391 | Physician/surgeon | 1996-09-16 ~ 1997-11-30 |
| Nina M Graves | 4312 Ridge Ct, Wayzata, MN 55391 | Pharmacist | 2000-02-01 ~ 2001-01-31 |
| David M. Graves | 4312 Ridge Court, Wayzata, MN 55391 | Pharmacist | 2004-02-01 ~ 2005-01-31 |
| Douglas C Cooley | 240 Minnetonka Ave S Apt 302, Wayzata, MN 55391-0034 | Professional Engineer | ~ |
| Matthew J Brinza | 315 Park St E, Wayzata, MN 55391-1040 | Architect | 2020-08-01 ~ 2021-07-31 |
| Sarah E Birkholz | 140 Benton Ave, Wayzata, MN 55391-1111 | Emergency Medical Technician | 2012-03-14 ~ 2015-01-01 |
| Jamia L Hill | 230 Central Ave N Apt 306, Wayzata, MN 55391-1215 | Registered Nurse | 2016-12-01 ~ 2017-11-30 |
| Find all Licenses in zip 55391 | |||
| City | Wayzata |
| Zip Code | 55391 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + Wayzata |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Sean X Luo | 53 W 86, New York, NY 10024 | Physician/surgeon | 2017-10-04 ~ 2018-06-30 |
| Sean J Pittock | 200 1st St Sw, Rochester, MN 55905-0001 | Physician/surgeon | 2019-11-01 ~ 2020-10-31 |
| Sean R Christensen | 57 Redcoat Ln, Guilford, CT 06437-1946 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| L Sean Duerr | Suite 1f, Stratford, CT 06614 | Physician/surgeon | 2013-02-01 ~ 2014-01-31 |
| Sean Kalra | 20 York St Rm 226, New Haven, CT 06510-3220 | Physician/surgeon | 2020-05-08 ~ 2021-02-28 |
| Sean Lawler Md | 1 Rockridge Rd, Lincoln, RI 02865-2802 | Physician/surgeon | 1998-10-23 ~ 1999-11-30 |
| Sean Aaron Lisse | Po Box 208042, New Haven, CT 06520-8042 | Physician/surgeon | ~ |
| Sean M. Mclaughlin Md | 71 Haynes St, Manchester, CT 06040-4188 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Sean M Lang | 207 George St, Middletown, CT 06457 | Physician/surgeon | 2012-10-01 ~ 2013-09-30 |
| Sean M Misciagna | 565 Martling Ave, Tarrytown, NY 10591-4719 | Physician/surgeon | 2015-12-02 ~ 2015-11-15 |
Please comment or provide details below to improve the information on SEAN J ENNEVOR.
| 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).