MICHAEL WIEDER (Credential# 934945) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2011. The license expiration date date is February 28, 2013. The license status is INACTIVE.
MICHAEL WIEDER is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0047753. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2011. The expiration date is February 28, 2013. The business address is 1 Cross St, Gardner, MA 01440-2213. The current status is inactive.
| Licensee Name | MICHAEL WIEDER |
| Credential ID | 934945 |
| Credential Number | CSP.0047753 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
1 Cross St Gardner MA 01440-2213 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE |
| Issue Date | 2010-06-10 |
| Effective Date | 2011-03-01 |
| Expiration Date | 2013-02-28 |
| Refresh Date | 2014-01-29 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 916427 | 1.048709 | Physician/Surgeon | 2010-05-04 | 2012-01-01 - 2012-12-31 | INACTIVE |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Michael Wieder | 460 Capitol Avenue, Hartford, CT 06106 | Medication Administration Certification | 1992-04-02 ~ 1994-04-01 |
| Street Address | 1 CROSS ST |
| City | GARDNER |
| State | MA |
| Zip Code | 01440-2213 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Rcap Solutions Inc | 205 School Street, Suite 401, Gardner, MA 01440 | Public Charity | 2019-06-01 ~ 2020-05-31 |
| Colleen P Desai · Grogan | 116 High Street, Gardner, MA 01440 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Sarah Beth Flynn-savoie | 248 Park Street, Gardner, MA 01440 | Registered Nurse | 2020-04-01 ~ 2021-03-31 |
| Lesley B Martin | 62 Ash Street, Gardner, MA 01440 | Dental Hygienist | 2015-01-01 ~ 2015-12-31 |
| Joshua W Hall | 354 Leo Drive, Gardner, MA 01440 | Professional Engineer | 2010-01-28 ~ 2010-01-31 |
| Jason G Morgan | 57 Jackson Hill Road, Gardner, MA 01440 | Non-water Supply Driller | ~ |
| Tricia Lemieux | 34 Bancroft St, Gardner, MA 01440 | Pharmacy Intern | 2007-09-12 ~ 2011-09-30 |
| Melissa Shetrawski | 12 Chapman Park, Gardner, MA 01440 | Pharmacy Intern | 2005-09-14 ~ 2009-09-30 |
| Jennifer A Brooks · Kraskouskas | 118 Smith Street, Gardner, MA 01440 | Physical Therapist | 2009-01-28 ~ 2010-01-31 |
| Christopher S Brooks | 118 Smith St., Gardner, MA 01440 | Physician Assistant | 2008-03-17 ~ 2009-05-31 |
| Find all Licenses in zip 01440 | |||
| City | GARDNER |
| Zip Code | 01440 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + GARDNER |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Harriet E Wieder | 304 Grasslands Road, Valhalla, NY 10595 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Stacey C Michael Dmd | Michael Dental of Clinton, LLC, Clilnton, CT 06413 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Michael K Hwang Dmd | Michael K Hwang, Dmd, LLC, East Hartford, CT 06108 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Michael Ring Md | Hartford, CT 06105 | Controlled Substance Registration for Practitioner | 2006-03-01 ~ 2007-02-28 |
| Michael Yao | 132 Bell Rd, Scarsdale, NY 10583-5835 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Michael Blefeld | 495 Rt 184, Groton, CT 06340 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Michael S Green | P.o. Box 88, Brooksville, ME 04617 | Controlled Substance Registration for Practitioner | 2004-02-29 ~ 2005-02-28 |
| Michael B Schwartz | 30 Pin Oak Cir, Stamford, CT 06903-2828 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Michael J Lee Dds | 432 Main St, Danbury, CT 06810-4730 | Controlled Substance Registration for Practitioner | 2011-06-14 ~ 2013-02-28 |
| Michael J Lee Md | 1 Cooper Plz, Camden, NJ 08103-1461 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
Please comment or provide details below to improve the information on MICHAEL WIEDER.
| 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).