STEPHEN P. WISEMAN (Credential# 1491047) is licensed (Resident Physician) with Connecticut Department of Consumer Protection. The license effective date is August 1, 2016. The license expiration date date is June 30, 2021. The license status is INACTIVE.
STEPHEN P. WISEMAN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.059149-RES. The credential type is resident physician. The effective date is August 1, 2016. The expiration date is June 30, 2021. The business address is 939 N High St Unit 310, Columbus, OH 43201-2554. The current status is inactive.
| Licensee Name | STEPHEN P. WISEMAN |
| Credential ID | 1491047 |
| Credential Number | 1.059149-RES |
| Credential Type | Resident Physician |
| Credential SubCategory | RES |
| Business Address |
939 N High St Unit 310 Columbus OH 43201-2554 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - INACTIVE |
| Issue Date | 2016-08-01 |
| Effective Date | 2016-08-01 |
| Expiration Date | 2021-06-30 |
| Refresh Date | 2020-05-27 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1337893 | CSP.0062219 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2016-07-22 | 2019-01-29 - 2019-02-28 | INACTIVE |
| 1338035 | 1.055488-DO | Physician/Surgeon | 2016-07-18 | 2016-07-18 - 2017-07-31 | INACTIVE |
| Street Address | 939 N HIGH ST UNIT 310 |
| City | COLUMBUS |
| State | OH |
| Zip Code | 43201-2554 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Nicholas J Gilliland | 31 East 5th Avenue, Columbus, OH 43201 | Landscape Architect | 2018-04-23 ~ 2019-07-31 |
| Jeffrey H Snider | 59 Clark Pl, Columbus, OH 43201 | Registered Nurse - Temporary | 2016-02-03 ~ 2016-06-01 |
| Catherine A Rose | 100 W. Second Ave, Columbus, OH 43201 | Massage Therapist | 2002-10-10 ~ 2003-10-31 |
| Irene M Grabaskas | 190 West 8th Avenue, Columbus, OH 43201 | Registered Nurse | ~ 1982-08-31 |
| Daniel Doud Caraher | 1488 N 5th St, Columbus, OH 43201-2267 | Registered Nurse | 2019-11-20 ~ 2020-09-30 |
| Ryan J Wineland | 1231 N Grant Ave, Columbus, OH 43201-2835 | Pharmacist | 2020-02-01 ~ 2022-01-31 |
| Reid L Sprite | 47 W 3rd Ave, Columbus, OH 43201-3208 | Professional Engineer | 2017-02-01 ~ 2018-01-31 |
| Trevor L Miller | 295 Tappan St Apt B, Columbus, OH 43201-3347 | Temporary Certified General Real Estate Appraiser | 2008-10-08 ~ 2009-04-08 |
| India Graves-rogers | 1036 Oregon Ave, Columbus, OH 43201-3369 | Registered Nurse | 2020-05-26 ~ 2020-11-30 |
| Michael Catenaro | 1039 Highland Street, Columbus, OH 43201-3421 | Hairdresser/cosmetician | 2001-08-13 ~ 2002-09-30 |
| Find all Licenses in zip 43201 | |||
| City | COLUMBUS |
| Zip Code | 43201 |
| License Type | Resident Physician |
| License Type + County | Resident Physician + COLUMBUS |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Jessica F Wiseman | 263 Farmington Avenue, Farmington, CT 06030-1921 | Resident Physician | 2019-06-28 ~ 2022-06-30 |
| Stephen Wu | 24 Hospital Ave, Danbury, CT 06810-6099 | Resident Physician | 2020-06-22 ~ 2023-06-30 |
| Stephen L Carter | 175 19th St. #505, Brooklyn, NY 11232 | Resident Physician | 2019-07-01 ~ 2023-06-30 |
| Stephen D Packer | 224 Elmwood Ave, Maplewood, NJ 07040-1907 | Resident Physician | 2017-06-22 ~ 2023-06-30 |
| Stephen Yishu Wang | 84 Howe St Apt 202, New Haven, CT 06511-4629 | Resident Physician | 2020-06-11 ~ 2021-06-30 |
| John Stephen Sullivan | 38 Crown St Apt 310, New Haven, CT 06510-3354 | Resident Physician | 2020-07-01 ~ 2021-06-30 |
| Donald Stephen Wright | 20 York St, New Haven, CT 06510-3220 | Resident Physician | 2020-07-01 ~ 2021-06-30 |
| Stephen Allsop | 103 Meadow St Apt 1, East Haven, CT 06512-3512 | Resident Physician | 2019-06-11 ~ 2023-06-30 |
| Stephen Michael Smith | 2704-500 Shelbourne Street, Toronto M4x 1l1, OC | Resident Physician | 2017-07-01 ~ 2020-06-30 |
| Benevides, Wiseman, & Cooper, Ltd | 125 Shaw Street, New London, CT 06320 | Certified Public Accountant Firm Permit | 1998-01-01 ~ 1998-12-31 |
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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).