BENJAMIN E WOWO MD
Controlled Substance Registration for Practitioner


Address: East Stroudsburg, PA 18301

BENJAMIN E WOWO MD (Credential# 913880) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2011. The license expiration date date is February 28, 2013. The license status is INACTIVE.

Business Overview

BENJAMIN E WOWO MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0047232. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2011. The expiration date is February 28, 2013. The business address is East Stroudsburg, PA 18301. The current status is inactive.

Basic Information

Licensee Name BENJAMIN E WOWO MD
Credential ID 913880
Credential Number CSP.0047232
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address East Stroudsburg
PA 18301
Business Type INDIVIDUAL
Status INACTIVE
Issue Date 2010-02-23
Effective Date 2011-03-01
Expiration Date 2013-02-28
Refresh Date 2014-01-29

Office Location

City east Stroudsburg
State PA
Zip Code 18301

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Christopher Gray Mcclosky 95 Sunrise Drive, East Stroudsburg, PA 18301 Advanced Emergency Medical Technician ~
Jhuvisca Charles 12402 Mountain Laurel Drive, East Stroudsburg, PA 18301 Licensed Practical Nurse 2019-10-01 ~ 2020-09-30
Max C Yocum 57b Lower Ridgeview Circle, Shawnee-on-delaware, PA 18301 Home Improvement Salesperson 2005-12-01 ~ 2006-11-30
Nicole M Masucci 151 Kimberleigh Court, East Stroudsburg, PA 18301 Licensed Practical Nurse 2016-04-01 ~ 2017-03-31
Robert Little 40 Gold Street, East Stroudsburg, PA 18301 Master's Level Social Worker 2015-07-08 ~ 2016-01-31
Jonathan Terry 94 Elk Street, E Stroudsburg, PA 18301 Land Surveyor 2008-02-01 ~ 2009-01-31
Mohammad Afzal 1503 Spring Lane, East Stroudsburg, PA 18301 Professional Engineer 2004-02-01 ~ 2005-01-31
Xiaohong Zhao 333 Green Tree Dr Apt #c-10, East Strasberg, PA 18301 Engineer-in-training 2004-03-09 ~ 2014-03-09
Oleh Dzydzora, Sr. 21 Ledgewood Court, East Stroudsburg, PA 18301 Water Treatment Plant Operator - Class Iv 2003-04-01 ~ 2006-03-31
Kazuko Kihara 16 Lions Street, East Stroudsburg, PA 18301 Occupational Therapist 2009-07-03 ~ 2011-07-31
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Competitor

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City east Stroudsburg
Zip Code 18301
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + east Stroudsburg

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Dataset Information

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).

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