CHRISTOPHER J WAKEM MD (Credential# 153019) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2013. The license expiration date date is February 28, 2015. The license status is INACTIVE.
CHRISTOPHER J WAKEM MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0002431. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2013. The expiration date is February 28, 2015. The business address is Hem/onc, Bristol, CT 06010. The current status is inactive.
| Licensee Name | CHRISTOPHER J WAKEM MD |
| Credential ID | 153019 |
| Credential Number | CSP.0002431 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
Hem/onc Bristol CT 06010 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE |
| Effective Date | 2013-03-01 |
| Expiration Date | 2015-02-28 |
| Refresh Date | 2016-01-29 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 542352 | 1.017355 | Physician/Surgeon | 1975-06-30 | 2013-08-01 - 2014-07-31 | INACTIVE |
| Street Address | HEM/ONC |
| City | BRISTOL |
| State | CT |
| Zip Code | 06010 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Deborah M Dube · Adamaitis | 33 Peck Lane, Bristol, CT 06010 | Licensed Practical Nurse | 2020-07-01 ~ 2021-06-30 |
| Barbara M Williams | 45 Harrison Street, Bristol, CT 06010 | Notary Public Appointment | 2020-08-01 ~ 2025-07-31 |
| Le Bao Linh Nguyen | 229 Silo Rd, Bristol, CT 06010 | Nail Technician | ~ |
| Tara M Chipman | 38 Grove St, Bristol, CT 06010 | Licensed Practical Nurse | 2020-07-01 ~ 2021-06-30 |
| Jaclyn J Brandolini | 424 Emmett St, Bristol, CT 06010 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Hoa Le | 63 Seminary St, Bristol, CT 06010 | Nail Technician | ~ |
| Barbara E Trench | 25 Peacedale St, Bristol, CT 06010 | Hairdresser/cosmetician | 2020-07-01 ~ 2022-06-30 |
| Tisha A Balfour | 379 West Street, Bristol, CT 06010 | Licensed Practical Nurse | 2020-08-01 ~ 2021-07-31 |
| Meredith Rose Martineau | 15 Bishop Street, Bristol, CT 06010 | Master's Level Social Worker - Temporary Permit | 2020-06-26 ~ 2020-09-06 |
| Jaime L Krueger | 130 Garfield Road, Bristol, CT 06010 | Notary Public Appointment | 2020-06-26 ~ 2025-06-30 |
| Find all Licenses in zip 06010 | |||
| City | BRISTOL |
| Zip Code | 06010 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + BRISTOL |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Christopher T Raczynski Md | Branford, CT 06405 | Controlled Substance Registration for Practitioner | 2011-03-14 ~ 2013-02-28 |
| Christopher A Dimeo | 8 Manursing Way, Rye, NY 10580-4312 | Controlled Substance Registration for Practitioner | 2019-04-22 ~ 2021-02-28 |
| Christopher M Svogun Pa | 1 Mae Ln, Wallingford, CT 06492-6060 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Christopher Nguyen | Farmington, CT 06032 | Controlled Substance Registration for Practitioner | 2016-07-25 ~ 2017-02-28 |
| Christopher Denapoles | 126 Big Oak Rd, Stamford, CT 06903-4608 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Christopher Sullivan | 300 George St Ste 901, New Haven, CT 06511-6662 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| William B Zucconi | 28 Christopher Ln, Madison, CT 06443-3349 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Z Christopher Religa Dmd | 828 Newfield St, Middletown, CT 06457 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Christopher R Parker Dds | 201 North St, Middlebury, CT 06762 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Christopher T Kolker | 25 Parkwoods Dr, Norwich, CT 06360-7524 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Please comment or provide details below to improve the information on CHRISTOPHER J WAKEM 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).