NAA A WILSON-KUMI (Credential# 1153610) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2019. The license expiration date date is February 28, 2021. The license status is ACTIVE.
NAA A WILSON-KUMI is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0054372. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2019. The expiration date is February 28, 2021. The business address is Wilkums Anesthesia PC, Southbury, CT 06488-3231. The current status is active.
| Licensee Name | NAA A WILSON-KUMI |
| Credential ID | 1153610 |
| Credential Number | CSP.0054372 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
Wilkums Anesthesia PC Southbury CT 06488-3231 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2013-03-15 |
| Effective Date | 2019-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2019-01-28 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1132957 | 10.109131 | Registered Nurse | 2012-11-27 | 2019-10-01 - 2020-09-30 | ACTIVE |
| 1132977 | 12.005239 | Advanced Practice Registered Nurse | 2012-12-05 | 2019-10-01 - 2020-09-30 | ACTIVE |
| Street Address | WILKUMS ANESTHESIA PC |
| City | SOUTHBURY |
| State | CT |
| Zip Code | 06488-3231 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Bohdan J Warycha | 82 Pleasant Dr, Southbury, CT 06488-3231 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Jillian Jung | 582 Patriot Rd, Southbury, CT 06488 | Radiographer | 2020-08-01 ~ 2021-07-31 |
| Mary E Kohler | 201 Old Highway, Southbury, CT 06488 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Theresa K Bobak | 266b Heritage Village, Southbury, CT 06488 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Kelly Watson | 800 Main Street South Suite 102, Southbury, CT 06488 | Medication Administration Certification | 2018-06-27 ~ 2020-06-26 |
| Mcdonald's Rest #2104 | 44 Division St, Derby, CT 06488 | Bakery | 2020-07-01 ~ 2021-06-30 |
| Shirley A Frager | 5 West View Rd, Southbury, CT 06488 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Maureen K Boyd | 77 Shane Drive, Southbury, CT 06488 | Physical Therapist | 2020-09-01 ~ 2021-08-31 |
| South Britain Oil LLC | 424 Old Field Rd, Southbury, CT 06488 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Won Ju Lee | 995 Old Field Rd, Southbury, CT 06488 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-26 ~ 2022-01-31 |
| Mcdonald's Rest #27001 | 652 New Haven Ave, Derby, CT 06488 | Bakery | 2020-07-01 ~ 2021-06-30 |
| Find all Licenses in zip 06488 | |||
| City | SOUTHBURY |
| Zip Code | 06488 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + SOUTHBURY |
| 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 |
| Wilson O Igbrude | 20 York St, New Haven, CT 06510-3220 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
| Kenneth M Forte | 52 Wilson St, Milford, CT 06461-2538 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Jemel Bingham | 212 Wilson St, Hackensack, NJ 07601-3046 | Controlled Substance Registration for Practitioner | 2019-08-19 ~ 2021-02-28 |
| Larissa A Tedesco | 10 Wilson Rd, Weston, CT 06883-1012 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Michael J Jaronczyk | 87 Wilson Cir W, Red Bank, NJ 07701-5862 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Leah Wilson | 57 Commonwealth Ave Apt 10, Boston, MA 02116-2394 | Controlled Substance Registration for Practitioner | 2017-08-30 ~ 2019-02-28 |
| Sean R Wilson | 750 Whitney Ave Apt A13, New Haven, CT 06511 | Controlled Substance Registration for Practitioner | 2005-03-01 ~ 2006-02-28 |
| Mark E Wilson | 10 Riggs Ave, W Hartford, CT 06107 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Please comment or provide details below to improve the information on NAA A WILSON-KUMI.
| 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).