HOLLY E KORSVIK-WYSOCKI (Credential# 548092) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is January 1, 2019. The license expiration date date is December 31, 2019. The license status is INACTIVE.
HOLLY E KORSVIK-WYSOCKI is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.029897. The credential type is physician/surgeon. The effective date is January 1, 2019. The expiration date is December 31, 2019. The business address is 11913 Tallwood Ct, Potomac, MD 20854-2169. The current status is inactive.
| Licensee Name | HOLLY E KORSVIK-WYSOCKI |
| Credential ID | 548092 |
| Credential Number | 1.029897 |
| Credential Type | Physician/Surgeon |
| Business Address |
11913 Tallwood Ct Potomac MD 20854-2169 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 1989-04-21 |
| Effective Date | 2019-01-01 |
| Expiration Date | 2019-12-31 |
| Refresh Date | 2020-06-08 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 160511 | CSP.0017540 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 1994-12-01 - 1996-12-01 | INACTIVE |
| Street Address | 11913 TALLWOOD CT |
| City | POTOMAC |
| State | MD |
| Zip Code | 20854-2169 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Warren G Feldman | 11303 S Glen Rd, Potomac, MD 20854 | Architect | 2020-08-01 ~ 2021-07-31 |
| Albert B Deisseroth | 11609 Deborah Drive, Potomac, MD 20854 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Ethan M Stier | 8518 Postoak Road, Potomac, MD 20854 | Pharmacist | 2020-06-02 ~ 2022-01-31 |
| Trung Nhut Nguyen | 10441 Heathside Way, Potomac, MD 20854 | Hairdresser/cosmetician | 2020-06-01 ~ 2022-05-31 |
| Rebecca H Leonard | 11706 Split Tree C, Potomac, MD 20854 | Physical Therapist | 2018-12-01 ~ 2019-11-30 |
| Current Yield With Participation Fund V, LLC | 9916 Logan Drive, Potomac, MD 20854 | Securities - Exemptions | 2020-02-20 ~ |
| Alex Shokouhi Mohseni | 8904 Maxwell Dr., Potomac, MD 20854 | Physician/surgeon | 2020-02-20 ~ 2020-07-31 |
| Victor Tseng | 9909 Chapel Road, Potomac, MD 20854 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Eric L Edelson | 11001 Haislip Ct, Potomac, MD 20854 | Professional Engineer | 2014-02-01 ~ 2015-01-31 |
| Candice M Siegenthaler | 9901 Bedfordshire Court, Potomac, MD 20854 | Pharmacist | 2020-02-01 ~ 2022-01-31 |
| Find all Licenses in zip 20854 | |||
| City | POTOMAC |
| Zip Code | 20854 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + POTOMAC |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| John David Wysocki | 85 Seymour St Ste 1000, Hartford, CT 06106-5529 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Holly Thompson | 285 13th St, Brooklyn, NY 11215-4909 | Physician/surgeon | ~ |
| Holly Ann Mazur | 58 Esty Rd, Princeton, MA 01541-1215 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Wendy L Stiles | 506 W Holly St, Phoenix, AZ 85003-1119 | Physician/surgeon | 2009-10-01 ~ 2010-09-30 |
| Holly L Seddon Md | 52 Wheaton Rd, New Milford, CT 06776-2137 | Physician/surgeon | 2014-08-01 ~ 2015-07-31 |
| Allison Ostroff | 75 Holly Hill Ln, Greenwich, CT 06830-6098 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Alice H Rusk | 55 Holly Hill Ln Ste 240, Greenwich, CT 06830-6074 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Joan M Foytho | 58 Holly Dale Rd, Fairfield, CT 06430 | Physician/surgeon | 1994-10-21 ~ 1995-11-30 |
| Laura J Meyer | 55 Holly Hill Ln Ste 270, Greenwich, CT 06830-6074 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Elizabeth L Salsburg | 22 Holly Terrace, New London, CT 06320 | Physician/surgeon | 1996-07-08 ~ 1997-07-31 |
Please comment or provide details below to improve the information on HOLLY E KORSVIK-WYSOCKI.
| 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).