DEVAN T. WEIDLE PA-C (Credential# 980251) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is January 14, 2011. The license expiration date date is February 28, 2013. The license status is INACTIVE.
DEVAN T. WEIDLE PA-C is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0049500. The credential type is controlled substance registration for practitioner. The effective date is January 14, 2011. The expiration date is February 28, 2013. The business address is 40 Prospect Ave, Norwalk, CT 06850-3737. The current status is inactive.
| Licensee Name | DEVAN T. WEIDLE PA-C |
| Credential ID | 980251 |
| Credential Number | CSP.0049500 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
40 Prospect Ave Norwalk CT 06850-3737 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE |
| Issue Date | 2011-01-14 |
| Effective Date | 2011-01-14 |
| Expiration Date | 2013-02-28 |
| Refresh Date | 2014-01-29 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 953888 | 23.002502 | Physician Assistant | 2010-10-06 | 2011-08-01 - 2012-07-31 | INACTIVE |
| Street Address | 40 PROSPECT AVE |
| City | NORWALK |
| State | CT |
| Zip Code | 06850-3737 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Allan A Lambkin | 40 Prospect Ave, Norwalk, CT 06850-3737 | Resident Physician | 2018-06-25 ~ 2021-06-30 |
| Astha Tejpal | 40 Prospect Ave, Norwalk, CT 06850-3737 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Rekha M Reddy | 40 Prospect Ave, Norwalk, CT 06850-3737 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Sivraj Muralikrishnan | 40 Prospect Ave, Norwalk, CT 06850-3737 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Daniel Wallace Dahl | 40 Prospect Ave, Norwalk, CT 06850 | Physician/surgeon | 2018-01-01 ~ 2018-12-31 |
| Molly S Van Dams | 40 Prospect Ave, Norwalk, CT 06850 | Occupational Therapist | 2015-08-01 ~ 2017-07-31 |
| Brienne M Chow | 40 Prospect Ave, Norwalk, CT 06850 | Registered Nurse | 2016-05-01 ~ 2017-04-30 |
| Kylie Tanabe | 40 Prospect Ave, Norwalk, CT 06850-3737 | Physician Assistant | 2016-05-01 ~ 2017-04-30 |
| Prakriti S Merchant | 40 Prospect Ave, Norwalk, CT 06850-3737 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Adrienne Berkowitz | 40 Prospect Ave, Norwalk, CT 06850-3737 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Find all Licenses in the same address | |||
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Amanda Lindo | 40 Prospect Ave Bldg 3j, Norwalk, CT 06850-3737 | Resident Physician | 2020-07-01 ~ 2022-06-30 |
| Angad Deengar | 40 Prospect Ave Bldg 4k, Norwalk, CT 06850-3737 | Resident Physician | 2020-07-01 ~ 2023-06-30 |
| Juan C Sarmiento Ramon | 40 Prospect Ave Bldg 3l, Norwalk, CT 06850-3737 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Carlos M Nunez | 40 Prospect Ave Bldg 3a, Norwalk, CT 06850-3737 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Di Wu | 40 Prospect Ave Bldg 4d, Norwalk, CT 06850-3737 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Yousaf A Shaikh | 40 Prospect Ave Apt 3d, Norwalk, CT 06850-3737 | Resident Physician | 2018-06-20 ~ 2021-06-19 |
| Mufti Mushfiqur Rahman | 40 Prospect Ave Bldg 3f, Norwalk, CT 06850-3737 | Resident Physician | 2017-06-20 ~ 2021-06-19 |
| Sharon Sukhdeo | 40 Prospect Ave Bldg 3k, Norwalk, CT 06850-3737 | Resident Physician | 2017-06-19 ~ 2021-06-30 |
| Virginia Ruiz | 40 Prospect Ave Bldg 4l, Norwalk, CT 06850-3737 | Resident Physician | 2019-11-11 ~ 2022-11-10 |
| Rodney Jake Teichroeb | 40 Prospect Ave Bldg 1-k, Norwalk, CT 06850-3737 | Resident Physician | 2018-06-25 ~ 2021-06-30 |
| Find all Licenses in zip 06850-3737 | |||
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Maria L Volpe | 31 Geneva Road, West Norwalk, CT 06850 | Hairdresser/cosmetician | 2020-09-01 ~ 2022-08-31 |
| Rhonda Teel | 96 Stuart Avenue, Norwalk, CT 06850 | Notary Public Appointment | 2020-07-01 ~ 2025-06-30 |
| Jill Goldberg Aprn | 1 Bonnybrook Road, Norwalk, CT 06850 | Advanced Practice Registered Nurse | 2020-05-01 ~ 2021-04-30 |
| Allen D Sanchez | 22 Newfield St, Norwalk, CT 06850 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| John B Howell | 16 Forest Hill Road, Norwalk, CT 06850 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| Ting Chen | Seven Nails Spa 99 New Canaan Ave, Norwalk, CT 06850 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Vincent Grasso | 21 Rae Lane, Norwalk, CT 06850 | Architect | 2020-08-01 ~ 2021-07-31 |
| Karen G Nicolas | 16 Orange St, Norwalk, CT 06850 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Amarely Sanchez | 139 Stuart Ave, Norwalk, CT 06850 | Nail Technician | ~ |
| Lance E Zimmerman | 14 Cliffview Dr, Norwalk, CT 06850 | Architect | 2020-08-01 ~ 2021-07-31 |
| Find all Licenses in zip 06850 | |||
| City | NORWALK |
| Zip Code | 06850 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + NORWALK |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Devan N Lax Dpm | 210 S Main St, Middletown, CT 06457-3764 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Devan L Kansagara Md | 13 Fairway Dr, Cheshire, CT 06410 | Controlled Substance Registration for Practitioner | 2005-03-01 ~ 2006-02-28 |
| Devan D. Bhagat | 157 Demarest Avenue, Closter, NJ 07624-1741 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Devan News and Variety | 2385 Main St Ste 2, Stratford, CT 06615-5955 | Lottery Sales Agent | 2014-04-01 ~ 2015-03-31 |
| Sandra T Markus · Devan | 57 Kings Hwy, Shelton, CT 06484 | Respiratory Care Practitioner | 2019-08-01 ~ 2020-07-31 |
| Steven Kassels Md · Community Substance Abuse Center | Comm. Physicians PC/125 North Elm Street, Westfield, MA 01085 | Controlled Substance Registration for Practitioner | 2018-06-15 ~ 2019-02-28 |
| Paul Devan IIi Building Services LLC | 37 Maple St, Litchfield, CT 06759-3101 | Home Improvement Contractor | 2017-12-01 ~ 2018-11-30 |
| Shu-i Lin | CT | Controlled Substance Registration for Practitioner | 2017-06-12 ~ 2019-02-28 |
| Min Jin Kim | 639 4th Ave Apt 5c, Brooklyn, NY 11232-1048 | Controlled Substance Registration for Practitioner | 2012-05-10 ~ 2013-02-28 |
| Qi Che Md | Bridgeport, CT 06610 | Controlled Substance Registration for Practitioner | 2006-03-01 ~ 2007-02-28 |
Please comment or provide details below to improve the information on DEVAN T. WEIDLE PA-C.
| 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).