KELLY M. WILSON (Credential# 1118136) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2015. The license expiration date date is February 28, 2017. The license status is INACTIVE.
KELLY M. WILSON is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0053518. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2015. The expiration date is February 28, 2017. The business address is 134 Washington Road, Goshen, NH 03752. The current status is inactive.
| Licensee Name | KELLY M. WILSON |
| Credential ID | 1118136 |
| Credential Number | CSP.0053518 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
134 Washington Road Goshen NH 03752 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE |
| Issue Date | 2012-08-17 |
| Effective Date | 2015-03-01 |
| Expiration Date | 2017-02-28 |
| Refresh Date | 2018-01-29 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 937652 | 47.003646 | Veterinarian | 2011-08-03 | 2014-10-01 - 2015-09-30 | INACTIVE |
| Street Address | 134 Washington Road |
| City | Goshen |
| State | NH |
| Zip Code | 03752 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Robert K Blackwood | Hcr 66 Box 102, Goshen, NH 03752 | Pharmacist | 1996-02-01 ~ 1997-01-31 |
| Bernadette P Maher-hines | 12 Cross Road, Goshen, NH 03752 | Registered Nurse - Temporary | 2015-03-10 ~ 2015-07-07 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Peter C Herbst | 6 Cornwall Drive, Goshen, CT 06756 | Notary Public Appointment | 2020-08-01 ~ 2025-07-31 |
| Emily E Phalen | 40 Tyler Lake Hts, Goshen, CT 06756-1319 | Veterinarian | 2020-07-01 ~ 2021-06-30 |
| Janice Caroline Connor | 20 Dresden Court West, Goshen, CT 06756 | Notary Public Appointment | 2016-01-01 ~ 2020-12-31 |
| Matthew Milnamow | 16 Parkway, Goshen, NY 10924-2110 | Architect | 2020-06-25 ~ 2021-07-31 |
| Northwest Contracting LLC | 34 Tamarack Ln, Goshen, CT 06756-1007 | New Home Construction Contractor | 2020-06-24 ~ 2021-09-30 |
| James Adelbert Johnson | 316 Sharon Tpke, Goshen, CT 06756 | Real Estate Salesperson | 2020-06-23 ~ 2021-05-31 |
| Jesse W Willis | 152 Hageman Shean Road, Goshen, CT 06756 | Crane Operator | ~ |
| Miranda L. Pilkington | 26 Whist Pond Rd, Goshen, CT 06756-1133 | Embalmer Apprentice | 2020-06-23 ~ 2021-06-23 |
| William G Colby | 4 Brynmoor Court, Goshen, CT 06756 | Sub-surface Sewage Installer | 2020-06-01 ~ 2021-05-31 |
| Kevin C Rush | 115 West St, Goshen, CT 06756-1522 | Respiratory Care Practitioner | 2020-09-01 ~ 2021-08-31 |
| Find all Licenses in Goshen | |||
| City | Goshen |
| Zip Code | 03752 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + Goshen |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Lu Lu | 261 Wilson Ave Apt 1, Norwalk, CT 06854-4657 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Wilson B Altmeyer | Madison, CT 06443 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
| James R Wilson Jr | 2 Glenville Rd, Greenwich, CT 06831 | Controlled Substance Registration for Practitioner | 2009-03-01 ~ 2011-02-28 |
| Leah Wilson | 57 Commonwealth Ave Apt 10, Boston, MA 02116-2394 | Controlled Substance Registration for Practitioner | 2017-08-30 ~ 2019-02-28 |
| Paul Wilson | 24 Hospital Ave, Danbury, CT 06810-6099 | Controlled Substance Registration for Practitioner | 2009-09-09 ~ 2011-02-28 |
| Kenneth M Forte | 52 Wilson St, Milford, CT 06461-2538 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Wilson O Igbrude | 20 York St, New Haven, CT 06510-3220 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
| Michael J Jaronczyk | 87 Wilson Cir W, Red Bank, NJ 07701-5862 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Larissa A Tedesco | 10 Wilson Rd, Weston, CT 06883-1012 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Sean R Wilson | 750 Whitney Ave Apt A13, New Haven, CT 06511 | Controlled Substance Registration for Practitioner | 2005-03-01 ~ 2006-02-28 |
Please comment or provide details below to improve the information on KELLY M. WILSON.
| 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).