REBECCA M. WAHL (Credential# 554614) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is August 1, 2020. The license expiration date date is July 31, 2021. The license status is ACTIVE.
REBECCA M. WAHL is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.037024. The credential type is physician/surgeon. The effective date is August 1, 2020. The expiration date is July 31, 2021. The business address is 85 Island Ave, Madison, CT 06443-3030. The current status is active.
| Licensee Name | REBECCA M. WAHL |
| Credential ID | 554614 |
| Credential Number | 1.037024 |
| Credential Type | Physician/Surgeon |
| Business Address |
85 Island Ave Madison CT 06443-3030 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 1998-07-02 |
| Effective Date | 2020-08-01 |
| Expiration Date | 2021-07-31 |
| Refresh Date | 2020-05-18 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 155748 | CSP.0027334 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 1999-03-01 | 2019-03-01 - 2021-02-28 | ACTIVE |
| Street Address | 85 ISLAND AVE |
| City | MADISON |
| State | CT |
| Zip Code | 06443-3030 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| J Nann Development Group LLC | 85 Island Ave, Madison, CT 06443-3030 | Home Improvement Contractor | 2018-12-01 ~ 2019-11-30 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Charles F Scholhamer Jr | 89 Island Ave, Madison, CT 06443-3030 | Physician/surgeon | 2020-01-01 ~ 2020-12-31 |
| James E Bamber | 77 Island Ave, Madison, CT 06443-3030 | Real Estate Salesperson | 2009-05-18 ~ 2010-05-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Caitlyn Beverly Darosa | Lyle Dr, Madison, CT 06443 | Registered Nurse | ~ |
| Roberts Food Center · Rjf Inc Dba | 514 Old Toll Rd, Madison, CT 06443 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Karen D Leonetti · Rapuano | 553 Green Hill Rd, Madison, CT 06443 | Radiographer | 2020-09-01 ~ 2021-08-31 |
| Pasquale Sabatasso | 122 River Edge Farms Road, Madison, CT 06443 | Barber | 2020-07-01 ~ 2022-06-30 |
| Madision Health Foods · Jum Ok Coker | 59 Wall St, Madison, CT 06443 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Madison Community Services Inc. | P.o. Box 148, Madison, CT 06443 | Public Charity | 2020-12-01 ~ 2021-11-30 |
| Shaina Michele Levinson | 52 East Wharf Rd, Madison, CT 06443 | Master's Level Social Worker | ~ |
| Stephen G Lynch · Lynch, Stephen Gerard | 12 Milestone Lane, Madison, CT 06443 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| David F Courtney Md | 38 Old Duck Hole Road, Madison, CT 06443 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Sydni E Marmor | 560 Opening Hill Road, Madison, CT 06443 | Professional Counselor | 2020-07-01 ~ 2021-06-30 |
| Find all Licenses in zip 06443 | |||
| City | MADISON |
| Zip Code | 06443 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + MADISON |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Christopher J Wahl | 1 Church St 4th Fl, New Haven, CT 06510 | Physician/surgeon | 2009-07-20 ~ 2010-04-30 |
| Elizabeth R Wahl | 360 Fountain St Apt 20, New Haven, CT 06515-2610 | Physician/surgeon | 2012-10-01 ~ 2013-09-30 |
| Rebecca L. Manning | Po Box 365, Youngsville, NC 27596 | Physician/surgeon | 2009-07-16 ~ 2009-09-30 |
| Wahl Clipper Corporation | 2900 Locust St, Sterling, IL 61081-9501 | Importer of Bedding & Upholstered Furniture | 2020-05-01 ~ 2021-04-30 |
| Rebecca L Johnson | P.o. Box 524, Richmond, MA 01254 | Physician/surgeon | 1995-07-27 ~ 1996-08-31 |
| Rebecca Z Solomon Md | 9 Highview Ave, Norwalk, CT 06851 | Physician/surgeon | 1996-10-22 ~ 1997-12-31 |
| Rebecca Sahlman | 230 Stratford Ave, Westmont, NJ 08108 | Physician/surgeon | 2019-09-30 ~ 2020-05-31 |
| Rebecca K Chaffee | 341 E28th St, Erie, PA 16504 | Physician/surgeon | 1992-05-27 ~ 1993-05-31 |
| Rebecca J Ondrus | 125 Providence St, West Warwick, RI 02893-2500 | Physician/surgeon | ~ |
| Rebecca A Trotman | 13 Adams Rd., Ridgefield, CT 06877 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
Please comment or provide details below to improve the information on REBECCA M. WAHL.
| 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).