ILSE R WIECHERS MD (Credential# 919856) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is August 1, 2020. The license expiration date date is July 31, 2021. The license status is ACTIVE.
ILSE R WIECHERS MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.048554. The credential type is physician/surgeon. The effective date is August 1, 2020. The expiration date is July 31, 2021. The business address is 1056 Greenwood Dr, Menlo Park, CA 94025-1758. The current status is active.
| Licensee Name | ILSE R WIECHERS MD |
| Credential ID | 919856 |
| Credential Number | 1.048554 |
| Credential Type | Physician/Surgeon |
| Business Address |
1056 Greenwood Dr Menlo Park CA 94025-1758 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2010-03-23 |
| Effective Date | 2020-08-01 |
| Expiration Date | 2021-07-31 |
| Refresh Date | 2020-05-06 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 926410 | CSP.0047583 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2010-05-07 | 2019-03-01 - 2021-02-28 | ACTIVE |
| Street Address | 1056 GREENWOOD DR |
| City | MENLO PARK |
| State | CA |
| Zip Code | 94025-1758 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Brittany Otterstatter | 2115a Prospect St, Menlo Park, CA 94025 | Registered Nurse | ~ |
| Dfj Growth Iv, L.p. | 2882 Sand Hil Rd, Ste 150, Menlo Park, CA 94025 | Securities - Exemptions | 2020-05-22 ~ |
| Dfj Growth Spx Investors II, L.p. | 2882 Sand Hill Rd, Sute 150, Menlo Park, CA 94025 | Securities - Exemptions | 2020-05-18 ~ |
| Redpoint Ventures Viii, L.p. | 3300 Sand Hill Rd, Ste 2-290, Menlo Park, CA 94025 | Securities - Exemptions | 2020-05-08 ~ |
| Concrete Rose Fund, L.p. | 2145 Avy Ave, Menlo Park, CA 94025 | Securities - Exemptions | 2020-05-08 ~ |
| Silver Lake Partners Vi, L.p. | 2775 Sand Hill Rd, Ste 100, Menlo Park, CA 94025 | Securities - Exemptions | 2020-05-11 ~ |
| Mayfield Xvi, A Delaware Limited Partnership | 2484 Sand Hill Rd, Menlo Park, CA 94025 | Securities - Exemptions | 2020-04-30 ~ |
| Eighty-seven Capital, L.p. | 325 Sharon Park Dr, #824, Menlo Park, CA 94025 | Securities - Exemptions | 2020-05-01 ~ |
| Cnk Fund II, L.p. | 2865 Sand Hill Rd, Ste 101, Menlo Park, CA 94025 | Securities - Exemptions | 2020-04-30 ~ |
| Xplorer Capital Fund Iv, L.p. | 1260 San Mateo Dr, Menlo Park, CA 94025 | Securities - Exemptions | 2020-04-22 ~ |
| Find all Licenses in zip 94025 | |||
| City | MENLO PARK |
| Zip Code | 94025 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + MENLO PARK |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Ilse K Winkhaus | Sybel St 24 B, Dusseldorf Frg, D40239 | Physician/surgeon | 2003-01-24 ~ 2004-03-31 |
| Ilse M Reese | 55 Main St, Sharon, CT 06069 | Architect | 1998-11-23 ~ 1999-07-31 |
| Ilse Schwarz | 44 Sterling St, Fairfield, CT 06430 | Pharmacy Technician | 2001-06-13 ~ 2002-03-31 |
| Linda E Ilse | 56 Sterling Pl, Stamford, CT 06907 | Registered Nurse | 2019-08-01 ~ 2020-07-31 |
| George L Ilse | 15 Ben Merrill Rd, Clinton, CT 06413 | Licensed Practical Nurse | 2020-04-01 ~ 2021-03-31 |
| Ilse M Nelson · Sorensen | 67 Upper, East Lyme, CT 06333 | Radiographer | 1997-07-22 ~ 1997-09-30 |
| Ilse R Herz | 18 Hemlock Dr, Stamford, CT 06902 | Real Estate Salesperson | 2013-06-01 ~ 2014-05-31 |
| Ilse F Leibold · Timm | 11 Mountain Avenue, Bayville, NY 11700 | Radiographer | 1998-09-28 ~ 1999-10-31 |
| Christopher C Ilse | 4750 E Adamo Dr, Tampa, FL 33605 | Professional Engineer | 2009-02-01 ~ 2010-01-31 |
| Ilse H Krevit | 52 Whitney Avenue, New Haven, CT 06510 | Real Estate Broker | 1999-06-01 ~ 2000-05-31 |
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| 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).