JONATHAN B WYNN MD (Credential# 562258) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is July 1, 2020. The license expiration date date is June 30, 2021. The license status is ACTIVE.
JONATHAN B WYNN MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.044676. The credential type is physician/surgeon. The effective date is July 1, 2020. The expiration date is June 30, 2021. The business address is Westmed Medical Group, West Harrison, NY 10604. The current status is active.
Licensee Name | JONATHAN B WYNN MD |
Credential ID | 562258 |
Credential Number | 1.044676 |
Credential Type | Physician/Surgeon |
Business Address |
Westmed Medical Group West Harrison NY 10604 |
Business Type | INDIVIDUAL |
Status | ACTIVE - CURRENT |
Active | 1 |
Issue Date | 2006-08-10 |
Effective Date | 2020-07-01 |
Expiration Date | 2021-06-30 |
Refresh Date | 2020-04-22 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
455149 | CSP.0040860 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2006-11-14 | 2019-03-01 - 2021-02-28 | ACTIVE |
Street Address | WESTMED MEDICAL GROUP |
City | WEST HARRISON |
State | NY |
Zip Code | 10604 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Stefania Maria Perez | 121 Macri Ave, West Harrison, NY 10604 | Registered Nurse | ~ |
Danielle Piacente | 56 Underhill Avenue, West Harrison, NY 10604 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
Kimberly Papachristou | 1 Golden Pond Road, West Harrison, NY 10604 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
Naixi Li | 83 Park Lane, West Harrison, NY 10604 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
Lee C Toterhi | 160 Gainsborg Ave E, West Harrison, NY 10604 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
Emanuel I Wurm Do | Westchester Medical Group PC, White Plains, NY 10604 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
Edward G Swaby | 25 Chadwick Rd, White Plains, NY 10604 | Architect | 2018-08-01 ~ 2019-07-31 |
Christina C Blanco | 210 Westchester Avenue, White Plains, NY 10604 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
Caleb K Charny Md | 210 Westchester Ave, White Plains, NY 10604 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
Paul C Moloney Jr · Paul C Moloney Inc | 12 High Ridge Road, West Harrison, NY 10604 | Swimming Pool Builder - In Ground | 2020-05-01 ~ 2021-04-30 |
Find all Licenses in zip 10604 |
City | WEST HARRISON |
Zip Code | 10604 |
License Type | Physician/Surgeon |
License Type + County | Physician/Surgeon + WEST HARRISON |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Jonathan Wynn Hemmert | 79 S. Spincaster Court, The Woodlands, TX 77389 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
Alan Wynn | 3 Robin Ln, Huntington, CT 06484-3510 | Physician/surgeon | 1986-03-27 ~ 1987-11-30 |
Wynn K Jackson | 110 North Street, Greenwich, CT 06830 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
Scott Wynn Hacking | 3542 Galleria Ave, Palm Harbor, FL 34683-0001 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
Wynn Imports Inc | 1266 E Main St Ste 700r, Stamford, CT 06902-3550 | Out of State Shipper Liquor | 2019-04-24 ~ 2020-04-23 |
Jason Wynn · Jason Wynn Carpentry | 55 Warren Hill Road, Cornwall Bridge, CT 06754 | Home Improvement Contractor | 2007-05-16 ~ 2007-11-30 |
Kathleen M Wynn · Wynn | 29 Burritt Ave, Norwalk, CT 06854-3727 | Licensed Clinical Social Worker | 2020-06-01 ~ 2021-05-31 |
Harold Wynn Lewis Jr · Wynn's Home Improvement | 3 Brookside Ln, Essex, CT 06426 | Home Improvement Contractor | 2007-02-06 ~ 2007-11-30 |
Jonathan Y Ko | Po Box 180, Goshen, CT 06756-0180 | Physician/surgeon | 2009-06-09 ~ 2014-04-30 |
Jonathan Ek | 306 W Griggs #209, Urbana, IL 61801 | Physician/surgeon | ~ |
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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).