WAYNE B ANDRUS MD (Credential# 540413) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is June 24, 2005. The license expiration date date is June 30, 2006. The license status is INACTIVE.
WAYNE B ANDRUS MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.012593. The credential type is physician/surgeon. The effective date is June 24, 2005. The expiration date is June 30, 2006. The business address is 35 Stonegate Drive, Portland, CT 06480. The current status is inactive.
| Licensee Name | WAYNE B ANDRUS MD |
| Credential ID | 540413 |
| Credential Number | 1.012593 |
| Credential Type | Physician/Surgeon |
| Business Address |
35 Stonegate Drive Portland CT 06480 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 1966-08-29 |
| Effective Date | 2005-06-24 |
| Expiration Date | 2006-06-30 |
| Refresh Date | 2009-07-11 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 154492 | CSP.0014172 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2005-03-01 - 2006-02-28 | INACTIVE |
| Street Address | 35 STONEGATE DRIVE |
| City | PORTLAND |
| State | CT |
| Zip Code | 06480 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Galladex Bd T85% I 9082 | 47 Lower Main St, Portland, CT 06480 | Medical Marijuana Producer Brand Registration | 2020-06-26 ~ |
| Suzanne S O'rourke | 35 Apple Tree Lane, Portland, CT 06480 | Notary Public Appointment | 2020-09-01 ~ 2025-08-31 |
| Gui Jiang | Sunny�s Nail&spa, Portland, CT 06480 | Nail Technician | 2020-06-26 ~ 2021-12-31 |
| Kevin R Johnson | 20 Mountain Laurel Way, Portland, CT 06480 | Landscape Architect | 2020-08-01 ~ 2021-07-31 |
| Aaron A Adams | 138 High Street, Portland, CT 06480 | Licensed Practical Nurse | 2020-06-01 ~ 2021-05-31 |
| Amanda R. Weinberger | 270 Main St. Suite A, Portland, CT 06480 | Advanced Practice Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Karen L Cianci | 3 Myrtle Rd, Portland, CT 06480 | Hairdresser/cosmetician | 2020-07-01 ~ 2022-06-30 |
| Joseph Bials | P.o. Box 546, Portland, CT 06480 | Sub-surface Sewage Installer | 2020-05-01 ~ 2021-04-30 |
| Olivia Jane Briggs | 6 Allen Street, Portland, CT 06480 | Radiographer | 2020-08-01 ~ 2021-07-31 |
| Donna M Dubay | 8 Penny Corner Road, Portland, CT 06480 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Find all Licenses in zip 06480 | |||
| City | PORTLAND |
| Zip Code | 06480 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + PORTLAND |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Phillip Andrus Md | 14 Lefurgy Ave, Hastings-on-hudson, NY 10706 | Physician/surgeon | 2019-10-07 ~ 2020-09-30 |
| Jason M Andrus | 2005 Palmer Ave, Larchmont, NY 10538 | Physician/surgeon | 2016-11-01 ~ 2017-10-31 |
| Mark Andrus Flood | 1209 E Cumberland Ave Unit 2602, Tampa, FL 33602-4262 | Physician/surgeon | 2017-11-29 ~ 2018-11-30 |
| Wayne Gilbertie Md · Radiology & Imaging | Wayne Gilbertie, Md, Glastonbury, CT 06033 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Wayne M Fong | #27h, New York, NY 10016 | Physician/surgeon | 2019-11-01 ~ 2020-10-31 |
| Vasundhara G Untawale | 281 Farmingdale Rd, Wayne, NJ 07470-6555 | Physician/surgeon | ~ |
| David J. Hoffman Md | 651 Knox Rd, Wayne, PA 19087-2015 | Physician/surgeon | 2015-04-01 ~ 2016-03-31 |
| Wayne K Scali | 368 C Tulibee Dr, Groton, CT 06349 | Physician/surgeon | 1987-08-14 ~ 1990-08-31 |
| Wayne O Southwick | Po Box 208071, New Haven, CT 06520-8071 | Physician/surgeon | 2003-01-10 ~ 2004-02-29 |
| Maya Pandey | 6 Waterford Ct, Wayne, NJ 07470-3738 | Physician/surgeon | 2020-02-01 ~ 2021-01-31 |
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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).