IRIS WERTHEIM MD (Credential# 556594) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is August 1, 2013. The license expiration date date is July 31, 2014. The license status is INACTIVE.
IRIS WERTHEIM MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.039006. The credential type is physician/surgeon. The effective date is August 1, 2013. The expiration date is July 31, 2014. The business address is 16 Alta Lane, Chappaqua, NY 10514. The current status is inactive.
| Licensee Name | IRIS WERTHEIM MD |
| Credential ID | 556594 |
| Credential Number | 1.039006 |
| Credential Type | Physician/Surgeon |
| Business Address |
16 Alta Lane Chappaqua NY 10514 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 2000-09-15 |
| Effective Date | 2013-08-01 |
| Expiration Date | 2014-07-31 |
| Refresh Date | 2014-11-03 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 244843 | CSP.0030267 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2011-03-01 - 2013-02-28 | INACTIVE |
| Street Address | 16 Alta Lane |
| City | Chappaqua |
| State | NY |
| Zip Code | 10514 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| James David Shorser | 480 Bedford Road Suite 4202, Chappaqua, NY 10514 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
| Sheryl Manasse | 5 Walden Hill, Chappaqua, NY 10514 | Master's Level Social Worker | 2020-08-01 ~ 2021-07-31 |
| Ross A Cole Briskman | 26 Douglas Rd, Chappaqua, NY 10514 | Architect | 2020-08-01 ~ 2021-07-31 |
| Eric M Dorsch | 37 Aldridge Road, Chappaqua, NY 10514 | Landscape Architect | 2020-08-01 ~ 2021-07-31 |
| Lauren R Safran | 6 Chappaqua Mountain Road, Chappaqua, NY 10514 | Licensed Clinical Social Worker | 2020-06-01 ~ 2021-05-31 |
| Stacy Weinberg | 75 High Way, Chappaqua, NY 10514 | Real Estate Salesperson | 2019-06-01 ~ 2020-05-31 |
| Rita H Stern | Raveis 75 N Greeley Ave, Chappaqua, NY 10514 | Real Estate Salesperson | 2017-06-01 ~ 2018-05-31 |
| Samuel Goldfarb | 2 Sunset Drive North, Chappaqua, NY 10514 | Notary Public Appointment | 2015-05-29 ~ 2020-05-31 |
| John Panzone | 42 Hardscrabble Hill Road 42 Hardscrabble Hill Roa, Chappaqua, NY 10514 | Physician/surgeon | ~ |
| Boris Usherenko | 480 Bedford Road, Chappaqua, NY 10514 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Find all Licenses in zip 10514 | |||
| City | Chappaqua |
| Zip Code | 10514 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + Chappaqua |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| R. Wertheim & Co., Cpa's | 6800 Jericho Turnpike, Syosset, NY 11791 | Certified Public Accountant Firm Permit | 2009-01-01 ~ 2009-12-31 |
| R. Wertheim & Co. | 7001 Brush Hollow Rd, Westbury, NY 11590 | Certified Public Accountant Firm Permit | 2000-01-01 ~ 2000-12-31 |
| Leo J Seman Md | 31 Iris Court, Cheshire, CT 06410 | Physician/surgeon | 2007-05-08 ~ 2008-06-30 |
| Mark E Ludwig | 17 Iris Way, Berlin, CT 06037-5000 | Physician/surgeon | 2019-08-01 ~ 2020-07-31 |
| Mary Iris Meily Md | 2 Mansfield Grove Rd #373, E Haven, CT 06512 | Physician/surgeon | 1998-03-09 ~ 1999-04-30 |
| Norma Iris Lopez | 2660 Main Street, Bridgeport, CT 06606 | Physician/surgeon | 2000-05-08 ~ 2001-05-31 |
| Iris E Soliman | Department of Anesthesia & Criticalcare Medicine, Wilmington, DE 19803 | Physician/surgeon | 2004-05-07 ~ 2005-05-31 |
| Dilek Iris Avci | 2875 Decker Lake Dr Ste 300, Salt Lake City, UT 84119-2382 | Physician/surgeon | ~ |
| Chad Iris · Iris Construction | 81 Bemis St, Terryville, CT 06786 | Home Improvement Contractor | 1997-11-07 ~ 1998-11-30 |
| Iris Marin Rivera | 24 Hospital Ave, Danbury, CT 06810-6099 | Resident Physician | 2020-06-22 ~ 2021-06-30 |
Please comment or provide details below to improve the information on IRIS WERTHEIM MD.
| 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).