ANNEMIEKE WILCOX
Resident Physician


Address: 12332 Zig Zag Way, Tustin, CA 92780-2438

ANNEMIEKE WILCOX (Credential# 1488925) is licensed (Resident Physician) with Connecticut Department of Consumer Protection. The license effective date is July 1, 2017. The license expiration date date is June 30, 2021. The license status is ACTIVE.

Business Overview

ANNEMIEKE WILCOX is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.058320-RES. The credential type is resident physician. The effective date is July 1, 2017. The expiration date is June 30, 2021. The business address is 12332 Zig Zag Way, Tustin, CA 92780-2438. The current status is active.

Basic Information

Licensee Name ANNEMIEKE WILCOX
Credential ID 1488925
Credential Number 1.058320-RES
Credential Type Resident Physician
Credential SubCategory RES
Business Address 12332 Zig Zag Way
Tustin
CA 92780-2438
Business Type INDIVIDUAL
Status ACTIVE - CURRENT
Active 1
Issue Date 2017-07-01
Effective Date 2017-07-01
Expiration Date 2021-06-30
Refresh Date 2018-05-07

Other licenses

ID Credential Code Credential Type Issue Term Status
1425331 CSP.0065547 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 2017-05-22 2019-03-01 - 2021-02-28 ACTIVE

Office Location

Street Address 12332 ZIG ZAG WAY
City TUSTIN
State CA
Zip Code 92780-2438

Licenses in the same zip code

Licensee Name Office Address Credential Effective / Expiration
Judith A Northrop 14221 Cherrywood La, Tustin, CA 92780 Registered Nurse 2019-12-01 ~ 2020-11-30
Matthew M Molsberry 17741 Anglin Lane, Tustin, CA 92780 Architect 2019-08-01 ~ 2020-07-31
Bunge Foods California · Bunge Foods Corp 15601 Mosher Ave, Tustin, CA 92780 Bakery 2004-07-13 ~ 2005-06-30
Adele Lynas 1341 W. San Juan, Tustin, CA 92780 Hairdresser/cosmetician 2012-03-01 ~ 2014-02-28
Gary L Bastien 15661 Red Hill Ave., Tustin, CA 92780 Architect 2010-08-01 ~ 2011-07-31
Hmwc Cpa's & Business Partners 335 Centennial Way, Tustin, CA 92780 Certified Public Accountant Firm Permit 2001-04-03 ~ 2001-12-31
Hmwc Cpas & Business Advisors 17501 East 17th Street, Suite, Tustin, CA 92780 Certified Public Accountant Firm Permit 2005-01-01 ~ 2005-12-31
Robert J Hornacek 195 S C St #200, Tustin, CA 92780 Architect 2007-08-01 ~ 2008-07-31
Dansk Specialty Foods 15601 Mosher Ave, Tustin, CA 92780 Bakery 1997-07-01 ~ 1998-06-30
World Spine Care 17602 17th St Ste 102-263, Tustin, CA 92780-1961 Public Charity 2015-12-01 ~ 2016-11-30
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Competitor

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City TUSTIN
Zip Code 92780
License Type Resident Physician
License Type + County Resident Physician + TUSTIN

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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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