PAIGE G WICKNER MD (Credential# 562250) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is April 1, 2010. The license expiration date date is March 31, 2011. The license status is INACTIVE.
PAIGE G WICKNER MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.044668. The credential type is physician/surgeon. The effective date is April 1, 2010. The expiration date is March 31, 2011. The business address is 114 Lawrence St, New Haven, CT 06511. The current status is inactive.
| Licensee Name | PAIGE G WICKNER MD |
| Credential ID | 562250 |
| Credential Number | 1.044668 |
| Credential Type | Physician/Surgeon |
| Business Address |
114 Lawrence St New Haven CT 06511 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 2006-08-07 |
| Effective Date | 2010-04-01 |
| Expiration Date | 2011-03-31 |
| Refresh Date | 2011-07-01 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 380120 | CSP.0035877 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2004-09-07 | 2009-03-01 - 2011-02-28 | INACTIVE |
| 448802 | CSP.0040465 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2006-08-31 | 2006-08-31 - 2007-02-28 | INACTIVE |
| Street Address | 114 LAWRENCE ST |
| City | NEW HAVEN |
| State | CT |
| Zip Code | 06511 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Montessori School On Edgewood Inc. | 230 Edgewood Avenue, New Haven, CT 06511 | Public Charity | 2019-06-01 ~ 2020-05-31 |
| Therese Parks · Visel Drug Store | 264 Munson St, New Haven, CT 06511 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Dazjia Monet Green | 115 Edgewood Ave Apt 64, New Haven, CT 06511 | Registered Nurse | 2020-06-27 ~ 2021-05-31 |
| Carol Yam | 343 Humphrey St, New Haven, CT 06511 | Registered Nurse | ~ |
| Marwan S Haddad | 38 Lincoln Street, New Haven, CT 06511 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Mary Lou Gaeta Md | 558 Chapel Street, New Haven, CT 06511 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Cary M Tucker | 64 Bishop St, New Haven, CT 06511 | Architect | 2020-08-01 ~ 2021-07-31 |
| Frank J Pannenborg | 505 Ellsworth Ave, New Haven, CT 06511 | Architect | 2020-08-01 ~ 2021-07-31 |
| Crystal E Gooding | 26 Woodland Street, New Haven, CT 06511 | Notary Public Appointment | 2020-07-01 ~ 2025-06-30 |
| Kieran Jones | 260 Crown St Unit 1f, New Haven, CT 06511 | Registered Nurse | ~ |
| Find all Licenses in zip 06511 | |||
| City | NEW HAVEN |
| Zip Code | 06511 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + NEW HAVEN |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Paige J Brennan | 55 Quail Run, Madison, CT 06443-1946 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Amy B Nieman | 215 Paige Hill Road, Goffstown, NH 03045 | Physician/surgeon | 2016-12-01 ~ 2017-11-30 |
| Alfred L Paige | 15 York Street, New Haven, CT 06520 | Physician/surgeon | 2003-07-18 ~ 2004-04-30 |
| Todd Edward Paige | 83 Pratt Street, Glastonbury, CT 06033 | Physician/surgeon | 2001-05-01 ~ 2002-05-31 |
| Courtney Paige Ridley | 94072 Bayview Dr, Gold Beach, OR 97444 | Physician/surgeon | 2017-11-01 ~ 2018-09-30 |
| Amanda Paige Ulrich | 263 Farmington Ave, Farmington, CT 06030-0001 | Physician/surgeon | 2020-04-28 ~ 2021-04-30 |
| Bob Paige · Bob Paige Plumb & Heat Inc | 13 Old Church Rd, Oxford, CT 06478 | Home Improvement Contractor | 1996-04-17 ~ 1996-11-30 |
| Paige Buckley · Paige Buckley Carpentry | 13 Colonial Rd, Bolton, CT 06043 | Home Improvement Contractor | 2002-12-31 ~ 2003-11-30 |
| Paige Ai, Inc. | 11 East Loop Road, New York, NY 10044 | Securities - Exemptions | ~ |
| Paige A Malone | 18 Whiting St, Willimantic, CT 06226 | Physician Assistant | 2001-09-04 ~ 2002-09-30 |
Please comment or provide details below to improve the information on PAIGE G WICKNER 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).