DARYL W WESTERBACK MD (Credential# 198128) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is February 29, 2000. The license expiration date date is February 28, 2001. The license status is INACTIVE.
DARYL W WESTERBACK MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0026994. The credential type is controlled substance registration for practitioner. The effective date is February 29, 2000. The expiration date is February 28, 2001. The business address is 20 Club Lane, Cheshire, CT 06410. The current status is inactive.
| Licensee Name | DARYL W WESTERBACK MD |
| Credential ID | 198128 |
| Credential Number | CSP.0026994 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
20 Club Lane Cheshire CT 06410 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE |
| Effective Date | 2000-02-29 |
| Expiration Date | 2001-02-28 |
| Refresh Date | 2009-01-26 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 554416 | 1.036825 | Physician/Surgeon | 1998-05-01 | 1999-05-17 - 2000-05-31 | INACTIVE |
| Street Address | 20 CLUB LANE |
| City | CHESHIRE |
| State | CT |
| Zip Code | 06410 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Kelly J Dawson Md | 20 Club Lane, Cheshire, CT 06410 | Physician/surgeon | 2000-06-29 ~ 2001-06-30 |
| Genevieve B St John | 20 Club Lane, Cheshire, CT 06410 | Notary Public Appointment | 1986-01-29 ~ 1991-03-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Mr B's · Bimonte's Pizza Castle | 155 Highland Ave, Cheshire, CT 06410 | Bakery | 2020-07-01 ~ 2021-06-30 |
| Traci L Bonassar | 452 Castle Glenn, Cheshire, CT 06410 | Notary Public Appointment | 2020-10-01 ~ 2025-09-30 |
| Faith H Morico · Hennessey | 177 Wallingford Rd, Cheshire, CT 06410 | Licensed Practical Nurse | 2020-07-01 ~ 2021-06-30 |
| Renee D Kane | 40 Willow St, Cheshire, CT 06410 | Advanced Practice Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Kara Capuano | 20 Renee Court, Cheshire, CT 06410 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Eugenia A Marquez | 22 Currier Way, Cheshire, CT 06410 | Radiographer | 2020-07-01 ~ 2021-06-30 |
| Mahnaz M Emamian | 471 West Main St, Cheshire, CT 06410 | Esthetician | ~ |
| Margarita A. Norris | 302 Highland Avenue, Cheshire, CT 06410 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Wendell D Wallace Juedes | 545 Country Club Rd, Cheshire, CT 06410 | Podiatrist | 2020-04-01 ~ 2021-03-31 |
| Hyunjung An | 55 Moneta Ln., Cheshire, CT 06410 | Acupuncturist | ~ |
| Find all Licenses in zip 06410 | |||
| City | CHESHIRE |
| Zip Code | 06410 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + CHESHIRE |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Daryl J Wisler Md | 65 Hepburn Rd, Hamden, CT 06517 | Controlled Substance Registration for Practitioner | 2003-03-01 ~ 2004-02-28 |
| Daryl L Wieland | 8 Peppercorn Pl, Bedford, NY 10506-2209 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
| Daryl R Connolly | 19 Towne House Rd, Hamden, CT 06514-2103 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Daryl Story Md | 637 West Avenue, Norwalk, CT 06850 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Daryl D Mcclendon | 148 1st Street, Jersey City, NJ 07302 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| 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 |
| Daryl Ajgelo · Daryl's Tree & Lawn Service | 31 Circle Dr, Branford, CT 06405-2509 | Home Improvement Contractor | 2019-12-01 ~ 2020-11-30 |
| Daryl Rex Groom | Connecticut Brand Registration, Hartford, CT 06106 | Liquor Brand Label | 2015-08-06 ~ 2018-08-05 |
| 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 |
Please comment or provide details below to improve the information on DARYL W WESTERBACK 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).