ANDREW C WORMSER MD (Credential# 150045) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2019. The license expiration date date is February 28, 2021. The license status is ACTIVE.
ANDREW C WORMSER MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0013317. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2019. The expiration date is February 28, 2021. The business address is 46 Prince St Ste 302, New Haven, CT 06519-1600. The current status is active.
| Licensee Name | ANDREW C WORMSER MD |
| Business Name | PRINCE PROFESSIONAL CENTER |
| Credential ID | 150045 |
| Credential Number | CSP.0013317 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
46 Prince St Ste 302 New Haven CT 06519-1600 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 1999-03-01 |
| Effective Date | 2019-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2018-12-28 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 546102 | 1.026623 | Physician/Surgeon | 1985-07-12 | 2020-02-01 - 2021-01-31 | ACTIVE |
| Street Address | 46 PRINCE ST STE 302 |
| City | NEW HAVEN |
| State | CT |
| Zip Code | 06519-1600 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Sonia D. Hegde Do | 46 Prince St Ste 302, New Haven, CT 06519-1600 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Raquel Canete | 46 Prince St Ste 302, New Haven, CT 06519-1600 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Anthony A Lavorgna | 46 Prince St Ste 201, New Haven, CT 06519-1600 | Chiropractor | 2020-06-01 ~ 2021-05-31 |
| Kristin S Nowak | 46 Prince St Ste 408, New Haven, CT 06519-1600 | Licensed Nurse Midwife | 2020-05-01 ~ 2021-04-30 |
| Philip M Falcone | 46 Prince St Ste 203, New Haven, CT 06519-1600 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Julie Shih | 46 Prince St Ste 207, New Haven, CT 06519-1600 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Talha I Patel | 46 Prince St Ste 301, New Haven, CT 06519-1600 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Jonathan S Siegfried | 46 Prince St Ste 310, New Haven, CT 06519-1600 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Myles A Kessler | 46 Prince St, New Haven, CT 06519-1600 | Audiologist | 2020-07-01 ~ 2021-06-30 |
| Richard D Moscarelli Md | 46 Prince St Ste 207, New Haven, CT 06519-1600 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Wayne Larrison Md | 46 Prince St Ste 203, New Haven, CT 06519-1600 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Vincent Quarato | 46 Prince St Ste 201, New Haven, CT 06519-1600 | Chiropractor | 2020-01-01 ~ 2020-12-31 |
| Find all Licenses in zip 06519-1600 | |||
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Vinod H Srihari Md | 34 Park St Cmhc, New Haven, CT 06519 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
| Monica Brito Salinas | 111 Kimberly Ave., New Haven, CT 06519 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-27 ~ 2022-02-28 |
| Walter Mathis | 34 Park St., New Haven, CT 06519 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Kimberly Pizza · Emmanuel Zorgias | 34 Kimberly Ave, New Haven, CT 06519 | Bakery | 2020-07-01 ~ 2021-06-30 |
| Slawomir Piascik | 51 Longhini Lane, New Haven, CT 06519 | Asbestos Abatement Supervisor | 2020-08-01 ~ 2021-07-31 |
| Margaret T Boron | 428 Columbus Ave, New Haven, CT 06519 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Laura Ann Dicola | Connecticut Mental Health Center Law & Psychiatry, New Haven, CT 06519 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Elizabeth Parson | 689 Congress Ave, New Haven, CT 06519 | Medication Administration Certification | 2020-08-05 ~ 2022-08-04 |
| Alejandra Lopez Cervantes | 10 Hedge St, New Haven, CT 06519 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-20 ~ 2021-08-31 |
| Deicy Alexandra Urena Dagua | 267 Howard Ave, New Haven, CT 06519 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-20 ~ 2021-10-31 |
| Find all Licenses in zip 06519 | |||
| City | NEW HAVEN |
| Zip Code | 06519 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + NEW HAVEN |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Robert Andrew Katz | 189 Storrs Rd, Mansfield Center, CT 06250-1683 | Controlled Substance Registration for Practitioner | 2017-01-25 ~ 2019-02-28 |
| Andrew J Aronson | Connecticut Childrens Medical Center, Chicago, IL 06206 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Andrew Trice Pickens | 942 Orange Center Rd, Orange, CT 06477-1715 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Raquel Canete | 46 Prince St Ste 302, New Haven, CT 06519-1600 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Sonia D. Hegde Do | 46 Prince St Ste 302, New Haven, CT 06519-1600 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Jonathan S Siegfried | 46 Prince St Ste 310, New Haven, CT 06519-1600 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Philip M Falcone | 46 Prince St Ste 203, New Haven, CT 06519-1600 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Talha I Patel | 46 Prince St Ste 301, New Haven, CT 06519-1600 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Joan M Landino | 147 Prince St, Wallingford, CT 06492-4139 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Wayne Larrison Md | 46 Prince St Ste 203, New Haven, CT 06519-1600 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Please comment or provide details below to improve the information on ANDREW C WORMSER 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).