KATHARINE D. WENSTROM (Credential# 928191) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is October 1, 2016. The license expiration date date is September 30, 2017. The license status is PENDING.
KATHARINE D. WENSTROM is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.049169. The credential type is physician/surgeon. The effective date is October 1, 2016. The expiration date is September 30, 2017. The business address is 127 Arlington Ave, Providence, RI 02906-2337. The current status is pending.
| Licensee Name | KATHARINE D. WENSTROM |
| Credential ID | 928191 |
| Credential Number | 1.049169 |
| Credential Type | Physician/Surgeon |
| Business Address |
127 Arlington Ave Providence RI 02906-2337 |
| Business Type | INDIVIDUAL |
| Status | PENDING - REINSTATEMENT APPLICATION PENDING |
| Issue Date | 2010-09-01 |
| Effective Date | 2016-10-01 |
| Expiration Date | 2017-09-30 |
| Refresh Date | 2019-03-18 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 954280 | CSP.0049018 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2010-09-27 | 2015-03-06 - 2017-02-28 | INACTIVE |
| Street Address | 127 ARLINGTON AVE |
| City | PROVIDENCE |
| State | RI |
| Zip Code | 02906-2337 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| The Stephen C. Rose Legacy Foundation · The Steve Fund | 138 Governor Street, Providence, RI 02906 | Public Charity | 2020-06-12 ~ 2021-11-30 |
| Moriah Connor | 211 Waterman Street, Unit 20, Providence, RI 02906 | Behavior Analyst | ~ |
| Elizabeth Burns | 198 Camp Street, Providence, RI 02906 | Licensed Clinical Social Worker | ~ |
| Christine Montross | 345 Blackstone Blvd, Providence, RI 02906 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
| Susan Dickstein | 196 Freeman Parkway, Providence, RI 02906 | Psychologist | 2020-07-01 ~ 2021-06-30 |
| Victoria S Karlsen | 415 Angell St, Providence, RI 02906 | Behavior Analyst | ~ |
| John W O'bell Md | 14 Rose Ct., Providence, RI 02906 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Alexandria Hanul Simon | 323 Angell Street, Providence, RI 02906 | Emergency Medical Technician | ~ |
| Molly A Moran | 202 Sixth Street, Providence, RI 02906 | Advanced Practice Registered Nurse | 2020-06-01 ~ 2021-05-31 |
| Simon M Cornelissen | 45 Balton Rd, Providence, RI 02906 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Find all Licenses in zip 02906 | |||
| City | PROVIDENCE |
| Zip Code | 02906 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + PROVIDENCE |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Katharine H Martin | 709 A Heritage, Southbury, CT 06488 | Physician/surgeon | 1995-03-23 ~ 1996-05-31 |
| Katharine Cronk | 11 Wolcott Road Ext, Brookline, Ma, MA 02467 | Physician/surgeon | ~ |
| Katharine N Woods | Po Box 26916, Tucson, AZ 85726-6916 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
| Katharine S Cox | 250 Arbor Commons Circle, Memphis, TN 38120 | Physician/surgeon | 2010-04-01 ~ 2011-03-31 |
| Katharine E Van Patten | 392 State St Apt 18l, North Haven, CT 06473-3129 | Physician/surgeon | 2010-10-01 ~ 2011-09-30 |
| Katharine Clapham | Yale New Haven Hospital, New Haven, CT 06510 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Nancy J Wenstrom | 154 Summerfield Gardens, Huntington, CT 06484 | Physical Therapist | 2010-07-01 ~ 2011-06-30 |
| Katharine A. Beers | 584 Remicks Rd, Condon, MT 59826 | Certified Public Accountant Firm Permit | 2002-01-01 ~ 2002-12-31 |
| Katharine P Ijams · Katharine Ijams | 1 Bis Katydid Lane, Weston, CT 06883 | Warehouse Storage Liquor | ~ |
| Wayne Wenstrom | 76 Wildflower Drive, Milford, CT 06460 | Notary Public Appointment | 1997-09-01 ~ 2002-08-31 |
Please comment or provide details below to improve the information on KATHARINE D. WENSTROM.
| 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).