SIDNEY L PENNER (Credential# 538331) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is November 15, 1994. The license expiration date date is December 31, 1995. The license status is INACTIVE.
SIDNEY L PENNER is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.003860. The credential type is physician/surgeon. The effective date is November 15, 1994. The expiration date is December 31, 1995. The business address is 158 Mill Hill Ave, Bridgeport, CT 06610. The current status is inactive.
| Licensee Name | SIDNEY L PENNER |
| Credential ID | 538331 |
| Credential Number | 1.003860 |
| Credential Type | Physician/Surgeon |
| Business Address |
158 Mill Hill Ave Bridgeport CT 06610 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 1938-09-02 |
| Effective Date | 1994-11-15 |
| Expiration Date | 1995-12-31 |
| Refresh Date | 2009-07-08 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 148255 | CSP.0006850 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 1993-11-08 - 1995-12-01 | INACTIVE |
| Street Address | 158 MILL HILL AVE |
| City | BRIDGEPORT |
| State | CT |
| Zip Code | 06610 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Nilca Janice Cardenales | 66 Rose St, Bridgeport, CT 06610 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Kiara Lizbeth Corporan | 10 Sturtevant Pl, Bridgeport, CT 06610 | Eyelash Technician | ~ |
| Alisha Garcia | 65 Berkeley Place, Bridgeport, CT 06610 | Notary Public Appointment | 2020-06-26 ~ 2025-06-30 |
| Pauline Parkes | 96 Virginia Avenue, Bridgeport, CT 06610 | Licensed Clinical Social Worker | ~ |
| Denise Reyes | 1125 Huntington Turnpike, Bridgeport, CT 06610 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Avery M Rilley | 80 Granfield Avenue, Bridgeport, CT 06610 | Pharmacy Technician | 2020-06-25 ~ 2021-03-31 |
| Bozena K. Malyszko | Bridgeport Hospital, Bridgeport, CT 06610 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Amy Espinosa | 146 Court D, Bridgeport, CT 06610 | Notary Public Appointment | 2020-07-01 ~ 2025-06-30 |
| Wilhelmina Jackson · Thomas | 172 Court D, Bridgeport, CT 06610 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Emma Agyeiwaa Vaczek | P.o Box 5223, Bridgeport, CT 06610 | Licensed Practical Nurse | 2020-08-01 ~ 2021-07-31 |
| Find all Licenses in zip 06610 | |||
| City | BRIDGEPORT |
| Zip Code | 06610 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + BRIDGEPORT |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Edward P Bergin | Sidney Med Center, Sidney, MT 59270 | Physician/surgeon | 1996-05-20 ~ 1997-06-30 |
| Sidney Vernon | 185 Birch St, Willimantic, CT 06226 | Physician/surgeon | 1992-09-24 ~ 1992-11-30 |
| Penner Ash LLC | Po Box 1207, Newberg, OR 97132-8207 | Out of State Winery | 2015-12-28 ~ 2016-12-27 |
| Sidney M Baker | 71 Ferry Road, Sag Harbor, NY 11963 | Physician/surgeon | 2020-02-01 ~ 2021-01-31 |
| Divya Motkur | 2915 Sidney Street, Pittsburgh, CT 15203 | Physician/surgeon | ~ |
| Sidney Hart | 282 Railroad Avenue, Greenwich, CT 06830 | Physician/surgeon | 2018-05-01 ~ 2019-04-30 |
| Sidney E Eisenberg | Orchard Cove, Canton, MA 02021 | Physician/surgeon | 1998-12-17 ~ 2000-01-31 |
| John C Wilsey | 12 Sidney Lanier Ln, Greenwich, CT 06831 | Physician/surgeon | 1995-05-04 ~ 1996-03-31 |
| Sidney Drobnes | 115 Lakeshore Dr, No Palm Beach, FL 33408 | Physician/surgeon | 1994-11-14 ~ 1995-11-30 |
| Sidney P Walker | 265 College Street, New Haven, CT 06510 | Physician/surgeon | 2000-04-13 ~ 2001-05-31 |
Please comment or provide details below to improve the information on SIDNEY L PENNER.
| 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).