TRACEY J WILES DO (Credential# 159430) 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.
TRACEY J WILES DO is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0018250. 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 334 Beach St, Litchfield, CT 06759. The current status is active.
| Licensee Name | TRACEY J WILES DO |
| Credential ID | 159430 |
| Credential Number | CSP.0018250 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
334 Beach St Litchfield CT 06759 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 1999-03-01 |
| Effective Date | 2019-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2019-02-25 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 538015 | 1.000270-DO | Physician/Surgeon | 1988-12-12 | 2020-01-01 - 2020-12-31 | ACTIVE |
| Street Address | 334 BEACH ST |
| City | LITCHFIELD |
| State | CT |
| Zip Code | 06759 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Hillary A Wiles-lafayette | 334 Beach St, Litchfield, CT 06759-2313 | Pharmacy Technician | 2015-04-01 ~ 2016-03-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Marisa Concilio | 138 South Lake St, Litchfield, CT 06759 | Occupational Therapist Temporary Permit | ~ |
| True Value of Litchfield | 348 Bantam Rd, Litchfield, CT 06759 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Jeanne M Sandrib | 22 Minerva Lane, Litchfield, CT 06759 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Albreada Refuse & Sweeping LLC | 14 Iffland Pond Rd, Litchfield, CT 06759 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Theresa M. Spalletta | 470 Pumping Station Rd., Litchfield, CT 06759 | Distribution System Operator In Training | 2020-04-01 ~ 2023-03-31 |
| Lisa Ann Partrick | 190 West Street, Litchfield, CT 06759 | Notary Public Appointment | 2020-07-01 ~ 2025-06-30 |
| Debra A Majeske · Cooper | 230 Blue Swamp Road, Litchfield, CT 06759 | Licensed Clinical Social Worker | 2020-08-01 ~ 2021-07-31 |
| Tilden Seafood LLC | 174 West St, Litchfield, CT 06759 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Cassandra Leigh Ganio | 93 Headquarters Road, Litchfield, CT 06759 | Master's Level Social Worker | 2020-06-01 ~ 2021-05-31 |
| Denise Konnik | 344 Milton Rd, Litchfield, CT 06759 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Find all Licenses in zip 06759 | |||
| City | LITCHFIELD |
| Zip Code | 06759 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + LITCHFIELD |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| John C Wiles Md | 127 Glenwood Ave, New London, CT 06320-4302 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Preston Wiles Md Jr | 4612 Edmondson Ave, Dallas, TX 75209-6010 | Controlled Substance Registration for Practitioner | 2011-10-21 ~ 2013-02-28 |
| Tracey Brink | 24 Hospital Ave, Danbury, CT 06810 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Edward J Tracey Md | 124 East Ave, Norwalk, CT 06851 | Controlled Substance Registration for Practitioner | 2001-03-01 ~ 2002-02-28 |
| Tracey A. Viola Do | 30 Dunning Rd, Malta, NY 12020-4299 | Controlled Substance Registration for Practitioner | 2011-09-14 ~ 2013-02-28 |
| Tracey M Modeste | 64 Robbins St # 3304, Waterbury, CT 06708-2613 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Tracey J Jablonski Md | 9 Clear Brook, Farmington, CT 06032 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Tracey Boss Od | 154 Bronx Avenue, Bridgeport, CT 06606 | Controlled Substance Registration for Practitioner | 1998-07-24 ~ 1999-02-28 |
| Edward Tracey Md | 124 East Avenue, Norwalk, CT 06855 | Controlled Substance Registration for Practitioner | 1994-10-14 ~ 1996-11-01 |
| Tracey S Maurer Md | 41 Alpine Drive, Jericho, VT 05465 | Controlled Substance Registration for Practitioner | 2002-03-01 ~ 2003-02-28 |
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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).