DETLEF WENCKER (Credential# 558194) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is August 1, 2015. The license expiration date date is July 31, 2016. The license status is INACTIVE.
DETLEF WENCKER is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.040611. The credential type is physician/surgeon. The effective date is August 1, 2015. The expiration date is July 31, 2016. The business address is 2812 W 117th St, Leawood, KS 66211-3030. The current status is inactive.
| Licensee Name | DETLEF WENCKER |
| Credential ID | 558194 |
| Credential Number | 1.040611 |
| Credential Type | Physician/Surgeon |
| Business Address |
2812 W 117th St Leawood KS 66211-3030 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 2002-07-01 |
| Effective Date | 2015-08-01 |
| Expiration Date | 2016-07-31 |
| Refresh Date | 2016-11-03 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 312259 | CSP.0032203 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2013-03-01 - 2015-02-28 | INACTIVE |
| Street Address | 2812 W 117th St |
| City | Leawood |
| State | KS |
| Zip Code | 66211-3030 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Black & Veatch Construction Inc | 11401 Lamar Avenue, Suite 200, Overland Park, KS 66211 | Major Contractor | 2020-07-01 ~ 2021-06-30 |
| Order Pro Usa | 4801 W 110th Street, Suite 110, Overland Park, KS 66211 | Real Estate Appraisal Management Company | 2019-01-01 ~ 2020-03-31 |
| Ann C Porter | 4400 College Blvd, Overland Park, KS 66211 | Certified General Real Estate Appraiser | 2020-05-01 ~ 2021-04-30 |
| Dechra Veterinary Products, LLC · N/a | 7015 College Blvd, Overland Park, KS 66211 | Out of State Manufacturer of Drugs, Cosmetics & Medical Devices | 2018-03-08 ~ |
| Black&veatch Engr/arch | 6309 W 108 Terrace, Overland Park, KS 66211 | Professional Engineer | 1988-01-25 ~ 1989-01-31 |
| Dennis Ray Wellner | 11701 Manor, Leawood, KS 66211 | Architect | 2014-08-01 ~ 2015-07-31 |
| James C Askew | 11914 West 101st St, Leawood, KS 66211 | Temporary Certified General Real Estate Appraiser | 2013-06-07 ~ 2013-12-07 |
| Yrc Inc | 10990 Roe Avenue, Overland Park, KS 66211 | Transporter Liquor | 2009-01-13 ~ 2010-01-12 |
| Linda L Maier | 10734 Glenwood St, Overland Park, KS 66211 | Registered Nurse | 2012-02-01 ~ 2013-01-31 |
| Della L Stapp | 4005 W 110th St., Leawood, KS 66211 | Registered Nurse | 2009-04-13 ~ 2010-05-31 |
| Find all Licenses in zip 66211 | |||
| City | Leawood |
| Zip Code | 66211 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + Leawood |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Detlef Bockenhauer Md | Yale University School of Medicine, 333 Cedar Street, New Haven, CT 06510 | Physician/surgeon | 2004-06-11 ~ 2005-06-30 |
| Penny Lamhut Md | Genesis Physician Services, Windsor, CT 06098 | Physician/surgeon | 1999-07-15 ~ 2000-07-31 |
| Gilbert L Drozdow | Envision Physician Services, Plantation, FL 33322 | Physician/surgeon | 2019-10-01 ~ 2020-09-30 |
| Russell H Harris Md | Envision Physician Services, Horsham, PA 19044 | Physician/surgeon | 2019-09-01 ~ 2020-08-31 |
| John T Thompson | Physician Pavilion W, Towson, MD 21204 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Arnold R Kriegstein | College Physician, New York, NY 10032 | Physician/surgeon | 1993-04-23 ~ 1994-03-31 |
| Catherine Nguyen Keegan | Envision Physician Services, Dallas, TX 75240 | Physician/surgeon | 2020-02-01 ~ 2021-01-31 |
| Brent Robert Jacobson | Envision Physician Services, Dallas, TX 75240 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
| Nazanin Barzideh Md | North Shore Retina Physician, Pllc, East Hills, NY 11576 | Physician/surgeon | 2010-05-01 ~ 2011-04-30 |
| Barbara M Galko Md | Danbury Office of Physician Services PC, Danbury, CT 06810 | Physician/surgeon | 2010-06-01 ~ 2011-05-31 |
Please comment or provide details below to improve the information on DETLEF WENCKER.
| 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).