STEPHANIE L WAIN (Credential# 547566) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is May 1, 2020. The license expiration date date is April 30, 2021. The license status is ACTIVE.
STEPHANIE L WAIN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.029076. The credential type is physician/surgeon. The effective date is May 1, 2020. The expiration date is April 30, 2021. The business address is 44 Hampton Close, Orange, CT 06477. The current status is active.
| Licensee Name | STEPHANIE L WAIN |
| Credential ID | 547566 |
| Credential Number | 1.029076 |
| Credential Type | Physician/Surgeon |
| Business Address |
44 Hampton Close Orange CT 06477 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 1988-05-27 |
| Effective Date | 2020-05-01 |
| Expiration Date | 2021-04-30 |
| Refresh Date | 2020-03-10 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 162844 | CSP.0021021 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2005-03-01 - 2006-02-28 | INACTIVE |
| Street Address | 44 HAMPTON CLOSE |
| City | ORANGE |
| State | CT |
| Zip Code | 06477 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Rakesh H Patel Md | 596 Cedar Grove, Orange, CT 06477 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| John D Mainwaring Dds | 240 Indian River Rd, Suite A7, Orange, CT 06477 | Dentist | 2020-08-01 ~ 2021-07-31 |
| Hea Sun Kwak | 477 Howellton Rd, Orange, CT 06477 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-26 ~ 2021-08-31 |
| Munsons Candy Kitchen Inc | 109 Boston Post Rd, Orange, CT 06477 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Takashi Yoshikawa | 151 Old Tavern Road, Orange, CT 06477 | Hairdresser/cosmetician | 2020-09-01 ~ 2022-08-31 |
| Yam Wong | 21 Country Club Close, Orange, CT 06477 | Notary Public Appointment | 2020-06-26 ~ 2025-06-30 |
| Shitong Liu | 519 Boston Post Rd Orange, Orange, CT 06477 | Nail Technician | ~ |
| Robert A Lamparski | Po B0x# 1183, Orange, CT 06477 | Real Estate Salesperson | 2019-06-01 ~ 2020-05-31 |
| Rolando R Lopez | 22 Tyler City Rd, Orange, CT 06477 | Physician Assistant | 2020-07-01 ~ 2021-06-30 |
| Lisa Courtney | 470 Locust Drive, Orange, CT 06477 | Notary Public Appointment | 2020-09-01 ~ 2025-08-31 |
| Find all Licenses in zip 06477 | |||
| City | ORANGE |
| Zip Code | 06477 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + ORANGE |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Stephanie Green Md | 2 Fox Den Way, Woodbridge, CT 06525 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Stephanie V Ng | 168 Linden St, Apt C2, New Haven, CT 06511 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Stephanie A Salas | 450 W 42nd St Apt 38h, New York, NY 10036-8213 | Physician/surgeon | ~ |
| Stephanie A Christensen | 16 Canborne Way, Madison, CT 06443 | Physician/surgeon | 1994-05-13 ~ 1995-05-31 |
| Stephanie Leeds | 39 Midbrook Ln, Old Greenwich, CT 06870-1427 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Stephanie J Krusz | 750 Reservoir Ave, Cranston, RI 02910 | Physician/surgeon | 2007-03-29 ~ 2008-05-31 |
| Stephanie H Swope Md | 295 Fox Drive, Boulder, CO 80303 | Physician/surgeon | 2012-10-01 ~ 2013-09-30 |
| Stephanie J Gargani | 18 Chestnut Ave, Pelham, NY 10803-1004 | Physician/surgeon | 2014-05-01 ~ 2015-05-31 |
| Stephanie L Kwei Md | Boardman 330, New Haven, CT 06520 | Physician/surgeon | 2016-10-01 ~ 2017-09-30 |
| Stephanie J Saucier | 246 Richard St, Newington, CT 06111 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
Please comment or provide details below to improve the information on STEPHANIE L WAIN.
| 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).