JAMES DEREK WYLIE (Credential# 1345252) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2017. The license expiration date date is February 28, 2019. The license status is LAPSED.
JAMES DEREK WYLIE is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0062429. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2017. The expiration date is February 28, 2019. The business address is 2609 Cottage Loop, Park City, UT 84098-8227. The current status is lapsed.
| Licensee Name | JAMES DEREK WYLIE |
| Credential ID | 1345252 |
| Credential Number | CSP.0062429 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
2609 Cottage Loop Park City UT 84098-8227 |
| Business Type | INDIVIDUAL |
| Status | LAPSED |
| Active | 1 |
| Issue Date | 2016-04-26 |
| Effective Date | 2017-03-01 |
| Expiration Date | 2019-02-28 |
| Refresh Date | 2019-03-06 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1354782 | 1.055564 | Physician/Surgeon | 2016-07-28 | 2017-04-01 - 2018-03-31 | INACTIVE |
| Street Address | 2609 COTTAGE LOOP |
| City | PARK CITY |
| State | UT |
| Zip Code | 84098-8227 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Jill A Jones | 7364 Tall Oaks Cir, Park City, UT 84098 | Architect | 2018-08-01 ~ 2019-07-31 |
| Christina N Van Atta | 1684 Fox Hollow Ln Apt H8, Park City, UT 84098 | Registered Nurse | 2020-05-01 ~ 2020-12-31 |
| Jeffrey J Jonas | 229 Parleys Road, Park City, UT 84098 | Real Estate Broker | 2020-04-01 ~ 2021-03-31 |
| Raouf A. Hussain | 2712 Cottage Loop, Park City, UT 84098 | Pharmacist | 2020-02-01 ~ 2022-01-31 |
| Nicholas G Miller | 1576 Little Lake Drive, Park City, UT 84098 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
| Dw Healthcare Affiliates V., Lp | 1413 Center Drive, Park City, UT 84098 | Securities - Exemptions | 2019-11-14 ~ |
| John J Fahey | 5950 North Kingsford Avenue, Park City, UT 84098 | Notary Public Appointment | 2003-04-10 ~ 2008-04-30 |
| John S Montgomery Md | 3073 Fawn Dr, Park City, UT 84098 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Matthew David Hammond | 6875 North Earl Stree, Park City, UT 84098 | Physician/surgeon | ~ |
| Ralph M Stanislaw | Po Box 980055, Park City, UT 84098 | Architect | 2012-08-01 ~ 2013-07-31 |
| Find all Licenses in zip 84098 | |||
| City | PARK CITY |
| Zip Code | 84098 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + PARK CITY |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Wylie A Slagel | 6759 Gard Rd, Waynesville, OH 95068 | Controlled Substance Registration for Practitioner | 1995-01-27 ~ 1996-02-28 |
| Wylie D Hosmer Md | 39 Hickory Ln, West Hartford, CT 06107-1133 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Stacy M Marsh | 498 Wylie School Rd, Voluntown, CT 06384 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Derek Y. Obayashi | 282 Washington St Ste 2b, Hartford, CT 06106-3322 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Derek R Corporon | 56 Franklin St, Waterbury, CT 06706-1253 | Controlled Substance Registration for Practitioner | 2019-06-18 ~ 2021-02-28 |
| Derek H Cheng | 266 Seymour Ave, Derby, CT 06418-1332 | Controlled Substance Registration for Practitioner | 2013-06-27 ~ 2015-02-28 |
| Derek S. Shia | 9 Washington Ave, Hamden, CT 06518 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Derek L Isenberg Md | 464 Congress Ave., Suite 260, New Haven, CT 06517 | Controlled Substance Registration for Practitioner | 2009-03-01 ~ 2011-02-28 |
| Derek A Sanders | 185 Florence St, West Hartford, CT 06110 | Controlled Substance Registration for Practitioner | 2006-07-31 ~ 2007-02-28 |
| Derek William Donovan | 484 Middletown Rd, Colchester, CT 06415-2230 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
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| 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).