BOOTH WAINSCOAT (Credential# 559359) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2020. The license expiration date date is February 28, 2021. The license status is ACTIVE.
BOOTH WAINSCOAT is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.041776-DO. The credential type is physician/surgeon. The effective date is March 1, 2020. The expiration date is February 28, 2021. The business address is 761 Main Avenue, Norwalk, CT 06851. The current status is active.
| Licensee Name | BOOTH WAINSCOAT |
| Credential ID | 559359 |
| Credential Number | 1.041776-DO |
| Credential Type | Physician/Surgeon |
| Credential SubCategory | DO |
| Business Address |
761 Main Avenue Norwalk CT 06851 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2003-08-15 |
| Effective Date | 2020-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2020-02-25 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 365124 | CSP.0034598 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2004-02-27 | 2019-03-01 - 2021-02-28 | ACTIVE |
| 348991 | CSP.0034017 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2003-08-29 - 2004-02-28 | INACTIVE |
| Street Address | 761 Main Avenue |
| City | Norwalk |
| State | CT |
| Zip Code | 06851 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Charles P Cochran Jr | 761 Main Avenue, Norwalk, CT 06851 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Michelle R Leonard | 761 Main Avenue, Norwalk, CT 06851 | Registered Nurse | 2020-05-01 ~ 2021-04-30 |
| Steven A Kolenik IIi | 761 Main Avenue, Norwalk, CT 06851 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Roberta Rose Md | 761 Main Avenue, Norwalk, CT 06851 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Joshua M Hurwitz | 761 Main Avenue, Norwalk, CT 06851 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Harvey L Riback | 761 Main Avenue, Norwalk, CT 06851 | Physician/surgeon | 2019-09-01 ~ 2020-08-31 |
| Melonie Atkins | 761 Main Avenue, Norwalk, CT 06854 | Master's Level Social Worker | 2019-08-01 ~ 2020-07-31 |
| Kerryann K. Isaacs | 761 Main Avenue, Norwalk, CT 6851 | Master's Level Social Worker | 2016-10-01 ~ 2017-09-30 |
| Anna Schilling | 761 Main Avenue, Norwalk, CT 06851 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
| Mid-fairfield Hospice Inc. · Mid-fairfield Hospice, Inc. | 761 Main Avenue, Norwalk, CT 06851 | Home Health Care | 2009-10-01 ~ 2011-09-30 |
| Find all Licenses in the same address | |||
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Louis A Diberardino | 5 Merrill Rd, Norwalk, CT 06851 | Architect | 2020-08-01 ~ 2021-07-31 |
| William N Andriopoulos | 21 Maurice St, Norwalk, CT 06851 | Architect | 2020-08-01 ~ 2021-07-31 |
| Donald D Overton | 5 Honey Hill Road, Norwalk, CT 06851 | Real Estate Salesperson | 2020-06-27 ~ 2021-05-31 |
| A & J Shoe Corporation · Hawley Lane Shoes | 499 Westport Ave, Norwalk, CT 06851 | Wholesaler of Drugs, Cosmetics & Medical Devices | 2020-07-01 ~ 2021-06-30 |
| Michael T Coppolo | 21 Morgan Avenue, Norwalk, CT 06851 | Real Estate Salesperson | ~ |
| Catherine Mills | 27c Aiken Street, Norwalk, CT 06851 | Real Estate Salesperson | 2020-06-24 ~ 2021-05-31 |
| Theresa B Ross-whitaker · Ross | 7 Disesa Court, Norwalk, CT 06851 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Michelle P Vincoli | 136 Newtown Ave, Norwalk, CT 06851 | Professional Counselor | 2020-07-01 ~ 2021-06-30 |
| Dunkin Donuts | 195 Main Street, Norwalk, CT 06851 | Bakery | 2020-07-01 ~ 2021-06-30 |
| Jungsoo Kim | 430 Main Ave R8, Norwalk, CT 06851 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-23 ~ 2022-05-31 |
| Find all Licenses in zip 06851 | |||
| City | Norwalk |
| Zip Code | 06851 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + Norwalk |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Mandy A Wainscoat Do | 46 Overlook Rd, Glastonbury, CT 06033 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
| Sam Mazj | 135-01 Booth Memorial Ave, Flushing, NY 11355 | Physician/surgeon | 2003-07-31 ~ 2004-03-31 |
| Karine Toumanian Md | 276 Booth Hill Rd, Trumbull, CT 06611-4943 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
| Niurka J Visconti | 168 Booth Hill Rd, Trumbull, CT 06611-4978 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Morris L Clark Md | Booth House, New Milford, CT 06776 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Deneene R. Booth | 420 N. Pinecrest Lane, Bristol, VA 24201 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Syed Z H Naqvi | Booth House, New Milford, CT 06776 | Physician/surgeon | 1995-04-03 ~ 1996-03-31 |
| Teekaram Persaud | 65-11 Booth Street, Rego Park, NY 11374 | Physician/surgeon | ~ |
| Richard A Booth · Booth Residential Construction | 10 Old Stamford Rd, New Canaan, CT 06840 | Home Improvement Contractor | 2020-02-26 ~ 2020-11-30 |
| Frank Booth · Frank Booth, Builder | 10 Old Stamford Rd, New Canaan, CT 06840 | Home Improvement Contractor | ~ 1995-07-01 |
Please comment or provide details below to improve the information on BOOTH WAINSCOAT.
| 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).