GEORGE R HENINGER MD (Credential# 540411) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is December 1, 2019. The license expiration date date is November 30, 2020. The license status is ACTIVE.
GEORGE R HENINGER MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.012589. The credential type is physician/surgeon. The effective date is December 1, 2019. The expiration date is November 30, 2020. The business address is 34 Park St, New Haven, CT 06508. The current status is active.
| Licensee Name | GEORGE R HENINGER MD |
| Credential ID | 540411 |
| Credential Number | 1.012589 |
| Credential Type | Physician/Surgeon |
| Business Address |
34 Park St New Haven CT 06508 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 1966-07-05 |
| Effective Date | 2019-12-01 |
| Expiration Date | 2020-11-30 |
| Refresh Date | 2019-09-17 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 144635 | CSP.0006227 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 1999-03-01 | 2017-03-01 - 2019-02-28 | LAPSED |
| Street Address | 34 PARK ST |
| City | NEW HAVEN |
| State | CT |
| Zip Code | 06508 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Alexander R N Westphal Md | 34 Park St, New Haven, CT 06519-1109 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Brittany Quagan | 34 Park St, New Haven, CT 06519 | Professional Counselor | 2020-07-01 ~ 2021-06-30 |
| Nhut Giuc Tran | 34 Park St, New Haven, CT 06519-1109 | Resident Physician | 2019-12-23 ~ 2021-06-30 |
| Jeanne Steiner Do | 34 Park St, New Haven, CT 06519 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Mark D Simoniello | 34 Park St, New Haven, CT 06519-1109 | Licensed Clinical Social Worker | 2020-05-01 ~ 2021-04-30 |
| Evan Michael Vitiello | 34 Park St, New Haven, CT 06519-1109 | Controlled Substance Registration for Practitioner | 2020-06-10 ~ 2021-02-28 |
| Hassan Naqvi | 34 Park St, New Haven, CT 06519-1109 | Controlled Substance Registration for Practitioner | 2019-06-11 ~ 2021-02-28 |
| Carmen Gabrielle Parker | 34 Park St, New Haven, CT 06519-1109 | Controlled Substance Registration for Practitioner | 2019-07-01 ~ 2021-02-28 |
| Ct Mental Health Center · Robert Cole | 34 Park St, New Haven, CT 06519 | Controlled Substance Registration for Hospitals | 2019-03-01 ~ 2021-02-28 |
| Mohini Ranganathan | 34 Park St, New Haven, CT 06511-5474 | Controlled Substance Laboratory | 2020-02-01 ~ 2021-01-31 |
| Find all Licenses in the same address | |||
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Christopher J Pittenger | 34 Park Street, W315, New Haven, CT 06508 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Modern Greek Studies Association | P.o. Box 1826, New Haven, CT 06508 | Public Charity-exempt From Financial Requirements | ~ |
| Katherine J Cheeves | Ct Mental Hlth Ctr, New Haven, CT 06508 | Physician/surgeon | 1992-04-24 ~ 1993-03-31 |
| Gary R De Leone · New Haven Coliseum Concessions | 273 South Orange Street, New Haven, CT 06508 | Coliseum Concession Beer | 2001-10-03 ~ 2002-09-30 |
| Gary R De Leone · New Haven Coliseum Cons S Nh Sport | 275 South Orange Street, New Haven, CT 06508 | Coliseum Liquor | 2001-10-01 ~ 2002-09-30 |
| William E Goodrich | 39 Ferry St, New Haven, CT 06508 | Heating, Piping & Cooling Unlimited Contractor | ~ |
| Yale School of Med Dept Psychiatry · David W Self | 34 Park St Rm S-306, New Haven, CT 06508 | Controlled Substance Laboratory | 2000-02-01 ~ 2001-01-31 |
| Ronald S Duman · Yale University School of Medicine | 34 Park St., New Haven, CT 06508 | Controlled Substance Laboratory | 2020-02-01 ~ 2020-02-25 |
| Ct Mental Health Center | Dept of Psychiatry, New Haven, CT 06508 | Controlled Substance Laboratory | 2008-02-01 ~ 2009-01-31 |
| Douglas Ziedonis Md | Cmhc, New Haven, CT 06508 | Controlled Substance Registration for Practitioner | 1999-04-09 ~ 2000-02-28 |
| Find all Licenses in zip 06508 | |||
| City | NEW HAVEN |
| Zip Code | 06508 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + NEW HAVEN |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Yale School of Medicine · George R Heninger Md | Dept of Psychiatry, New Haven, CT 06514 | Controlled Substance Laboratory | 1997-02-01 ~ 1998-01-31 |
| George S Isckarus | George Isckarus, M.d., Joppa, MD 21085 | Physician/surgeon | 2004-12-24 ~ 2006-02-28 |
| George F May | 702 E Hartford Ave, Uxbridge, MA 01569 | Physician/surgeon | 2004-04-05 ~ 2005-04-30 |
| John Hwa | 300 George St Ste 759h, New Haven, CT 06511-6664 | Physician/surgeon | ~ |
| George Tawfik | 427 Nome Ave, New York, NY 10314 | Physician/surgeon | ~ |
| Isaac George | 177 Ft. Washing Ave., New York, NY 10032 | Physician/surgeon | ~ |
| George B Corcoran Jr | Po Box 608, Suffield, CT 06078 | Physician/surgeon | 1994-09-07 ~ 1995-09-30 |
| George Braff | P.o. Box 157, Lisbon, NH 03585 | Physician/surgeon | 2005-06-29 ~ 2006-08-31 |
| George R Lee IIi | 336 22nd Ave N, Nashville, TN 37203-1844 | Physician/surgeon | 2020-01-01 ~ 2020-12-31 |
| George J Dirago | 359 N Central Ave, Hartsdale, NY 10530-1811 | Physician/surgeon | ~ |
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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).