WARREN R PISTEY MD PHD (Credential# 541124) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is July 1, 2011. The license expiration date date is June 30, 2012. The license status is INACTIVE.
WARREN R PISTEY MD PHD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.014476. The credential type is physician/surgeon. The effective date is July 1, 2011. The expiration date is June 30, 2012. The business address is 645 Redding Rd, Fairfield, CT 06824. The current status is inactive.
| Licensee Name | WARREN R PISTEY MD PHD |
| Credential ID | 541124 |
| Credential Number | 1.014476 |
| Credential Type | Physician/Surgeon |
| Business Address |
645 Redding Rd Fairfield CT 06824 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 1970-06-25 |
| Effective Date | 2011-07-01 |
| Expiration Date | 2012-06-30 |
| Refresh Date | 2012-10-05 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 408107 | CSP.0037659 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2005-06-24 | 2008-03-01 - 2009-02-28 | INACTIVE |
| Street Address | 645 REDDING RD |
| City | FAIRFIELD |
| State | CT |
| Zip Code | 06824 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Amy S Van Buren | 11 Larkspur Road, Fairfield, CT 06824 | Massage Therapist | 2020-08-01 ~ 2022-07-31 |
| Linda J Batchelder | 72 Ruane St, Fairfield, CT 06824 | Architect | 2020-08-01 ~ 2021-07-31 |
| Fairfield American Little League | 87 Charles St, Fairfield, CT 06824 | Public Charity | 2020-12-01 ~ 2021-11-30 |
| Robert D Sickeler | 175 Wakeman Rd, Fairfield, CT 06824 | Architect | 2020-08-01 ~ 2021-07-31 |
| Michael P Brennan | 338 Sturges Rd, Fairfield, CT 06824 | Real Estate Salesperson | 2020-06-23 ~ 2021-05-31 |
| Maria A Arduini | 499 Hemlock Rd, Fairfield, CT 06824 | Real Estate Salesperson | 2020-06-23 ~ 2021-05-31 |
| Ryan L Antisdale | 104 Rhoda Avenue, Fairfield, CT 06824 | Real Estate Salesperson | 2020-06-23 ~ 2021-05-31 |
| Szymlinska Eva Jucelin | 105 Churchill Street, Fairfield, CT 06824 | Licensed Practical Nurse | 2020-07-01 ~ 2021-06-30 |
| Afoofa, Inc · Afoofa | 298 South Benson Road, Fairfield, CT 06824 | Public Charity-exempt From Financial Requirements | 2020-06-25 ~ |
| Rachel Finlaw | 2546 North Benson Road, Fairfield, CT 06824 | Master's Level Social Worker | ~ |
| Find all Licenses in zip 06824 | |||
| City | FAIRFIELD |
| Zip Code | 06824 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + FAIRFIELD |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Lawrence G Lareau | 900 4th Ave, Warren, PA 16365-1888 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Changzheng Wang | 4 Hickory Ln, Warren, NJ 07059-2602 | Physician/surgeon | ~ |
| Warren M Levin Md | Po Box 770, Wilton, CT 06897-3122 | Physician/surgeon | 2003-07-07 ~ 2004-08-31 |
| Wojciech Ratajczak | 563 Warren St Apt 3r, Brooklyn, NY 11217-2746 | Physician/surgeon | 2010-07-21 ~ 2011-04-30 |
| Warren F Woodworth | 17 Wells St, Westerly, RI 02891 | Physician/surgeon | 2004-03-17 ~ 2005-04-30 |
| Stephen L Warren | 514 Treat La, Orange, CT 06477 | Physician/surgeon | 1996-01-29 ~ 1997-02-28 |
| Warren D Widmann | 182 South St, Morristown, NJ 07960 | Physician/surgeon | 1994-12-05 ~ 1996-01-31 |
| David Warren Doo | 24 Hospital Ave, Danbury, CT 06810-6099 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Eric D Salk | 379 Lake Rd, Warren, CT 06777-1114 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
| Robert I Kalish | 57 Warren St, New York, NY 10007 | Physician/surgeon | 2004-09-13 ~ 2005-06-30 |
Please comment or provide details below to improve the information on WARREN R PISTEY MD PHD.
| 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).