KYLE D. WILSON
Optometrist


Address: 4223 Town Brooke, Middletown, CT 06457-6612

KYLE D. WILSON (Credential# 1174587) is licensed (Optometrist) with Connecticut Department of Consumer Protection. The license effective date is August 1, 2014. The license expiration date date is July 31, 2015. The license status is INACTIVE.

Business Overview

KYLE D. WILSON is licensed with the Department of Consumer Protection of Connecticut. The credential number is #3.002897. The credential type is optometrist. The effective date is August 1, 2014. The expiration date is July 31, 2015. The business address is 4223 Town Brooke, Middletown, CT 06457-6612. The current status is inactive.

Basic Information

Licensee Name KYLE D. WILSON
Credential ID 1174587
Credential Number 3.002897
Credential Type Optometrist
Business Address 4223 Town Brooke
Middletown
CT 06457-6612
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 2013-07-31
Effective Date 2014-08-01
Expiration Date 2015-07-31
Refresh Date 2015-11-10

Other licenses

ID Credential Code Credential Type Issue Term Status
1183846 CSP.0056085 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 2013-09-10 2013-09-10 - 2015-02-28 INACTIVE

Office Location

Street Address 4223 TOWN BROOKE
City MIDDLETOWN
State CT
Zip Code 06457-6612

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Jessica Freitas 4223 Town Brooke, Middletown, CT 06457 Registered Nurse 2019-08-01 ~ 2020-07-31

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Competitor

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City MIDDLETOWN
Zip Code 06457
License Type Optometrist
License Type + County Optometrist + MIDDLETOWN

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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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