PE SHEIN WYNN MD (Credential# 191221) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is January 2, 1998. The license expiration date date is February 28, 1999. The license status is INACTIVE.
PE SHEIN WYNN MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0026399. The credential type is controlled substance registration for practitioner. The effective date is January 2, 1998. The expiration date is February 28, 1999. The business address is 254 Willis Avenue, Hawthrone, NY 10532. The current status is inactive.
| Licensee Name | PE SHEIN WYNN MD |
| Credential ID | 191221 |
| Credential Number | CSP.0026399 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
254 Willis Avenue Hawthrone NY 10532 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - DOES NOT WISH TO RENEW |
| Effective Date | 1998-01-02 |
| Expiration Date | 1999-02-28 |
| Refresh Date | 2004-04-23 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 553989 | 1.036397 | Physician/Surgeon | 1997-09-19 | - 1998-07-31 | INACTIVE |
| Street Address | 254 WILLIS AVENUE |
| City | HAWTHRONE |
| State | NY |
| Zip Code | 10532 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Heather J Robbins · Wiggins | 284 Warren Avenue, Hawthorne, NY 10532 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Michael Lieb | 153 Sherman Avenue, Hawthorne, NY 10532 | Notary Public Appointment | 2020-06-18 ~ 2025-06-30 |
| Edmund F Vogel | 27 Cross St East, Hawthorne, NY 10532 | Architect | 2020-08-01 ~ 2021-07-31 |
| Susan J Doering | 525 Manhattan Avenue, Hawthorne, NY 10532 | Hairdresser/cosmetician | 2020-08-01 ~ 2022-07-31 |
| Zachary W Kimmel | 290 Fort Washington Avenue, Hawthorne, NY 10532 | Certified Residential Real Estate Appraiser | 2019-05-01 ~ 2020-04-30 |
| Samantha L Petfield | 373 Commerce Street, Hawthorne, NY 10532 | Emergency Medical Responder | 2017-03-24 ~ 2019-12-31 |
| Dorothy E Tagarelli | 268 Myrtle Avenue, Hawthorne, NY 10532 | Licensed Clinical Social Worker | 2020-05-01 ~ 2021-04-30 |
| Prime Building Services Inc | 370 Elwood Ave, Hawthorne, NY 10532 | Home Improvement Contractor | 2020-02-24 ~ 2020-11-30 |
| Mini Abraham | 176 Benic Place, Hawthorne, NY 10532 | Pharmacist | 2020-02-01 ~ 2022-01-31 |
| Anthony Bruni | 527 Manhattan Ave, Hawthorne, NY 10532 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
| Find all Licenses in zip 10532 | |||
| City | HAWTHRONE |
| Zip Code | 10532 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + HAWTHRONE |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Daisy T Wynn Md | 134 State Street, Meriden, CT 06450 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
| Joseph E Polino | 7 Wynn Circle, East Lyme, CT 06333 | Controlled Substance Registration for Practitioner | 1997-01-03 ~ 1998-02-28 |
| Arun Basu Md | 4 Wynn Circle, East Lyme, CT 06333 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Bruce Shein | 11 Oak Bluff, Avon, CT 06001 | Certified Public Accountant Firm Permit | 2020-01-01 ~ 2020-12-31 |
| Shein, Cohen & Co. | One Darling Drive, Avon, CT 06001 | Certified Public Accountant Firm Permit | 1991-01-03 ~ 1991-12-31 |
| Wynn Imports Inc | 1266 E Main St Ste 700r, Stamford, CT 06902-3550 | Out of State Shipper Liquor | 2019-04-24 ~ 2020-04-23 |
| Shein, Cohen, Palmer & Co. | One Darlng Drive, Avon, CT 06001 | Certified Public Accountant Firm Permit | 1994-01-14 ~ 1994-12-31 |
| Shein, Cohen, Palmer & Co., LLC | 20 Tower Lane, Ste 305, Avon, CT 06001 | Certified Public Accountant Firm Permit | 2017-01-01 ~ 2017-12-31 |
| Jason Wynn · Jason Wynn Carpentry | 55 Warren Hill Road, Cornwall Bridge, CT 06754 | Home Improvement Contractor | 2007-05-16 ~ 2007-11-30 |
| Kathleen M Wynn · Wynn | 29 Burritt Ave, Norwalk, CT 06854-3727 | Licensed Clinical Social Worker | 2020-06-01 ~ 2021-05-31 |
Please comment or provide details below to improve the information on PE SHEIN WYNN 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).