DAISY T WYNN MD
Controlled Substance Registration for Practitioner


Address: 134 State Street, Meriden, CT 06450

DAISY T WYNN MD (Credential# 892442) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2013. The license expiration date date is February 28, 2015. The license status is INACTIVE.

Business Overview

DAISY T WYNN MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0046413. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2013. The expiration date is February 28, 2015. The business address is 134 State Street, Meriden, CT 06450. The current status is inactive.

Basic Information

Licensee Name DAISY T WYNN MD
Credential ID 892442
Credential Number CSP.0046413
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 134 State Street
Meriden
CT 06450
Business Type INDIVIDUAL
Status INACTIVE
Issue Date 2009-09-24
Effective Date 2013-03-01
Expiration Date 2015-02-28
Refresh Date 2016-01-29

Other licenses

ID Credential Code Credential Type Issue Term Status
565529 1.047947 Physician/Surgeon 2009-07-07 2013-04-01 - 2014-03-31 INACTIVE

Office Location

Street Address 134 STATE STREET
City MERIDEN
State CT
Zip Code 06450

Licenses in the same location

Licensee Name Office Address Credential Effective / Expiration
Jacqueline P Kirby Md 134 State Street, Meriden, CT 06450 Controlled Substance Registration for Practitioner 2017-03-01 ~ 2019-02-28
Michelle L Kunkle 134 State Street, Meriden, CT 06450 Advanced Practice Registered Nurse ~

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Competitor

Search similar business entities

City MERIDEN
Zip Code 06450
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + MERIDEN

Similar businesses

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Pe Shein Wynn Md 254 Willis Avenue, Hawthrone, NY 10532 Controlled Substance Registration for Practitioner 1998-01-02 ~ 1999-02-28
Joseph E Polino 7 Wynn Circle, East Lyme, CT 06333 Controlled Substance Registration for Practitioner 1997-01-03 ~ 1998-02-28
Arun Basu Md 4 Wynn Circle, East Lyme, CT 06333 Controlled Substance Registration for Practitioner 2019-03-01 ~ 2021-02-28
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Ronald E Podojil Pa 44 Daisy Hill Dr, Oakdale, CT 06370 Controlled Substance Registration for Practitioner 2011-03-01 ~ 2013-02-28
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Christopher E Haddad Md 12603 Daisy Pl, Bradenton, FL 34212 Controlled Substance Registration for Practitioner 2008-04-04 ~ 2009-02-28
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Dataset Information

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).

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