ROBIN WISCH MD (Credential# 556996) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is January 15, 2004. The license expiration date date is March 31, 2005. The license status is INACTIVE.
ROBIN WISCH MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.039411. The credential type is physician/surgeon. The effective date is January 15, 2004. The expiration date is March 31, 2005. The business address is 13 Peck St, North Haven, CT 06473. The current status is inactive.
| Licensee Name | ROBIN WISCH MD |
| Credential ID | 556996 |
| Credential Number | 1.039411 |
| Credential Type | Physician/Surgeon |
| Business Address |
13 Peck St North Haven CT 06473 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 2001-04-09 |
| Effective Date | 2004-01-15 |
| Expiration Date | 2005-03-31 |
| Refresh Date | 2009-07-11 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 279423 | CSP.0030912 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2004-02-29 - 2005-02-28 | INACTIVE |
| Street Address | 13 PECK ST |
| City | NORTH HAVEN |
| State | CT |
| Zip Code | 06473 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Allison V Cohen Md | 13 Peck St, North Haven, CT 06473 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Stefania Pellegrino Aprn | 13 Peck St, North Haven, CT 06473-2308 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Stephanie J Slattery | 13 Peck St, North Haven, CT 06473 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Katie Anne Limauro | 13 Peck St, North Haven, CT 06473-2308 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| John W Mcgrath Md | 13 Peck St, North Haven, CT 06473 | Physician/surgeon | 2009-01-15 ~ 2009-12-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Renee A Rollier | 90 Fallon Drive, North Haven, CT 06473 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Carly J Brueggestrat Aprn | 191 Cloudland Rd, North Haven, CT 06473 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Heesuk Hyun | 769 Middletown Ave, North Haven, CT 06473 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Jacqueline N Sancho | 9 Corey Rd, North Haven, CT 06473 | Physical Therapist Assistant | 2020-08-01 ~ 2021-07-31 |
| Irene L Smith | 35 Debra Lane, North Haven, CT 06473 | Radiographer | 2020-08-01 ~ 2021-07-31 |
| Jane S Jane | 380 Skiff Street, North Haven, CT 06473 | Psychologist | 2020-09-01 ~ 2021-08-31 |
| Shana Kathleen Lipp | [email protected], North Haven, CT 06473 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Haifeng Piao | 201 Universal Drive, North Haven, CT 06473 | Nail Technician | ~ |
| Xuefan Piao | 32 Lexington Gardens, North Haven, CT 06473 | Nail Technician | ~ |
| Zachary A Cuzzocreo | 45 Thorpe Street, North Haven, CT 06473 | Real Estate Salesperson | 2020-06-20 ~ 2021-05-31 |
| Find all Licenses in zip 06473 | |||
| City | NORTH HAVEN |
| Zip Code | 06473 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + NORTH HAVEN |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Nathaniel Wisch | 12 East 86, New York, NY 10028 | Physician/surgeon | 1992-01-23 ~ 1992-12-31 |
| Douglas C Wisch | 245 Alvord Park Road, Torrington, CT 06790 | Physician/surgeon | 2020-01-01 ~ 2020-12-31 |
| Yi Zhou | 32 Robin Rd, Woodbridge, CT 06525 | Physician/surgeon | 2011-12-01 ~ 2012-11-30 |
| Robin L Smith | 930 5th Ave Apt 8h, New York, NY 10021-2680 | Physician/surgeon | 2020-01-01 ~ 2020-12-31 |
| Robin H Unger | 315 E 72nd St, New York, NY 10021-4625 | Physician/surgeon | ~ |
| Matthew A Barish | 58 Robin Ct, Middletown, CT 06457 | Physician/surgeon | ~ 1997-07-31 |
| Bruce T Sanders | 49 Robin Ct, Poughquag, NY 12570-4508 | Physician/surgeon | 2016-04-01 ~ 2017-03-31 |
| Robin L Kaplan | P.o. Box 607306, Chicago, IL 60660 | Physician/surgeon | 1995-11-22 ~ 1997-01-31 |
| Daniel J Feuer | 335 Robin Rd, Englewood, NJ 07631 | Physician/surgeon | 1993-09-23 ~ 1994-09-30 |
| Alan Wynn | 3 Robin Ln, Huntington, CT 06484-3510 | Physician/surgeon | 1986-03-27 ~ 1987-11-30 |
Please comment or provide details below to improve the information on ROBIN WISCH MD.
| 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).