MYRA WAYNIK MD (Credential# 157012) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2015. The license expiration date date is February 28, 2017. The license status is INACTIVE.
MYRA WAYNIK MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0014788. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2015. The expiration date is February 28, 2017. The business address is 6448 Main St, Trumbull, CT 06611. The current status is inactive.
| Licensee Name | MYRA WAYNIK MD |
| Credential ID | 157012 |
| Credential Number | CSP.0014788 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
6448 Main St Trumbull CT 06611 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE |
| Effective Date | 2015-03-01 |
| Expiration Date | 2017-02-28 |
| Refresh Date | 2018-01-29 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 432917 | CSP.0038955 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2006-03-27 | 2007-03-01 - 2008-02-29 | INACTIVE |
| Street Address | 6448 MAIN ST |
| City | TRUMBULL |
| State | CT |
| Zip Code | 06611 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| St. Joseph's Center | 6448 Main St, Trumbull, CT 06611-2075 | Residential Care Facility | 2018-07-01 ~ 2021-06-30 |
| Hbr Trumbull LLC · St. Joseph's Manor Rehabilitation and Nursing Center | 6448 Main St, Trumbull, CT 06611-2075 | Outpatient Clinic | 2013-12-31 ~ 2014-06-30 |
| Daniel J Boudreau | 6448 Main St, Trumbull, CT 06611 | Nursing Home Administrator | 2006-06-23 ~ 2008-07-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Ashley S Balestriere | 7 Sutton Place, Trumbull, CT 06611 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Filomena L Ferraro · Nicolia | 35 Skating Pond Rd, Trumbull, CT 06611 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Alexis Grace Shaub | 58 Chestnut Hill Road, Trumbull, CT 06611 | Physician Assistant | 2020-08-01 ~ 2021-07-31 |
| Maria Bivona | 5302 Main Street, Trumbull, CT 06611 | Notary Public Appointment | 2020-10-01 ~ 2025-09-30 |
| Gina M Gallo · Liquigli | 20 Red Maple Lane, Trumbull, CT 06611 | Hairdresser/cosmetician | 2020-09-01 ~ 2022-08-31 |
| Xuehuan Zhang | 31 Asbury Rd, Trumbull, CT 06611 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Antoinette D Senior | 38 Tanager Lane, Trumbull, CT 06611 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Solution Construction LLC | 3 Stonewall Lane, Trumbull, CT 06611 | New Home Construction Contractor | 2020-06-18 ~ 2021-09-30 |
| Gary T Sorge | 63 Limerick Road, Trumbull, CT 06611 | Landscape Architect | 2020-08-01 ~ 2021-07-31 |
| Melodie T Noga | 55 Moose Hill Road, Trumbull, CT 06611 | Real Estate Salesperson | 2020-06-19 ~ 2021-05-31 |
| Find all Licenses in zip 06611 | |||
| City | TRUMBULL |
| Zip Code | 06611 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + TRUMBULL |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Mark Waynik Md | 22 Winding Way, Trumbull, CT 06611-2945 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Ilana Y Waynik | 30 Bainbridge Road, West Hartford, CT 06119-1641 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Myra J Lewis | 125 Oyster Road, Fairfield, CT 06824 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Myra Waynik | 17031 Loudon Pl, Lakewood Ranch, FL 34202-9204 | Physician/surgeon | 2020-02-01 ~ 2021-01-31 |
| Myra Recon Bucevic Md | 98 Willow St, Garden City, NY 11530 | Controlled Substance Registration for Practitioner | 2009-03-01 ~ 2011-02-28 |
| 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 |
| Shu-i Lin | CT | Controlled Substance Registration for Practitioner | 2017-06-12 ~ 2019-02-28 |
| Huu Duc D Luu | 630 Mix Ave Apt 6p, Hamden, CT 06514-2320 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
| Min Jin Kim | 639 4th Ave Apt 5c, Brooklyn, NY 11232-1048 | Controlled Substance Registration for Practitioner | 2012-05-10 ~ 2013-02-28 |
| Erin K Fee | CT | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
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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).