DUANE CHARLES WILSON (Credential# 1610028) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is December 1, 2019. The license expiration date date is November 30, 2020. The license status is ACTIVE.
DUANE CHARLES WILSON is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.062189. The credential type is physician/surgeon. The effective date is December 1, 2019. The expiration date is November 30, 2020. The business address is 11995 Singletree Lane, Suite 500, Eden Prairie, MN 55344. The current status is active.
| Licensee Name | DUANE CHARLES WILSON |
| Credential ID | 1610028 |
| Credential Number | 1.062189 |
| Credential Type | Physician/Surgeon |
| Business Address |
11995 Singletree Lane, Suite 500 Eden Prairie MN 55344 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2018-12-21 |
| Effective Date | 2019-12-01 |
| Expiration Date | 2020-11-30 |
| Refresh Date | 2019-10-11 |
| Street Address | 11995 Singletree Lane, Suite 500 |
| City | Eden Prairie |
| State | MN |
| Zip Code | 55344 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Michael Wallace Sentome | 11995 Singletree Lane, Suite 500, Eden Prairie, MN 55344 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Kay Denise Spong Lozano | 11995 Singletree Lane, Suite 500, Eden Prairie, MN 55344 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Cynthia L Tortorelli | 11995 Singletree Lane, Suite 500, Eden Prairie, MN 55344 | Physician/surgeon | 2020-02-01 ~ 2021-01-31 |
| Barbara M Mccorvey | 11995 Singletree Lane, Suite 500, Eden Prairie, MN 55344 | Physician/surgeon | 2020-02-01 ~ 2021-01-31 |
| Kenton Edward Kagy | 11995 Singletree Lane, Suite 500, Eden Prairie, MN 55344 | Physician/surgeon | 2019-10-01 ~ 2020-09-30 |
| Mark A Ziemba | 11995 Singletree Lane, Suite 500, Eden Prairie, MN 55344 | Physician/surgeon | 2019-12-03 ~ 2020-04-30 |
| Jamie Alexandra Aminsharifi | 11995 Singletree Lane, Suite 500, Eden Prairie, MN 55344 | Physician/surgeon | 2018-06-01 ~ 2019-05-31 |
| Phoebe H Dann Md | 11995 Singletree Lane, Suite 500, Eden Prairie, MN 55344 | Physician/surgeon | 2017-10-01 ~ 2018-09-30 |
| Adina Sonners Md | 11995 Singletree Lane, Suite 500, Eden Prairie, MN 55344 | Physician/surgeon | 2012-10-01 ~ 2013-09-30 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Donald T Nicell | 11995 Singletree Lane, Eden Prairie, MN 55344 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
| Neuroone Medical Technologies Corp | 7599 Anagram Dr, Eden Prairie, MN 55344 | Securities - Exemptions | 2020-05-15 ~ |
| Robert Edward Stone | 11995 Singletree Lane, Ste 500, Eden Prairie, MN 55344 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Daniel James Tangert | 6400 Fallbrook Rd., Eden Prairie, MN 55344 | Registered Nurse | 2020-05-01 ~ 2021-04-30 |
| Dmitry Bolkhovets | 11995 Singletree Ln, Eden Prairie, MN 55344 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Zinpro | 104000 Vikings Drive, Suite 240, Eden Prairie, MN 55344 | Commercial Feed | 2020-03-05 ~ 2020-12-31 |
| Stephanie Denise Johnson | 8423 Cortland Rd, Eden Prairie, MN 55344 | Registered Nurse | 2020-06-01 ~ 2021-05-31 |
| Ashley Nicole Ingram | 11000 Optum Circle, Eden Prairie, MN 55344 | Registered Nurse | 2020-01-16 ~ 2020-08-31 |
| Colleen M Steven | 13900 Chestnut Drive # 208, Eden Prarie, MN 55344 | Registered Nurse | 2019-12-01 ~ 2020-11-30 |
| Rebecca Dipofi Rogers | 13625 Technology Dr, Eden Prairie, MN 55344 | Registered Nurse | 2019-09-01 ~ 2020-08-31 |
| Find all Licenses in zip 55344 | |||
| City | Eden Prairie |
| Zip Code | 55344 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + Eden Prairie |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Duane E Dixon Md | 25 Bateau Way, Plattsburgh, NY 24502 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Duane J Dyson Md | 6 Slayback Ter, West Orange, NJ 07052-2272 | Physician/surgeon | 2018-06-01 ~ 2019-05-31 |
| Duane F Austin | 639 Park Rd Ste 100, West Hartford, CT 06107-3443 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Duane W Ebaugh | 1703 West Main St., Willimantic, CT 06226 | Physician/surgeon | ~ 1995-06-30 |
| Jaron Duane Ross | 1603 Portola St, Davis, CA 95616 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Jacques F Roux | Po Box 415, Wilson, WY 83014 | Physician/surgeon | 1993-01-25 ~ 1994-03-31 |
| Gabriella Wilson | 46 Old Mill Rd, Middletown, CT 06457-2415 | Physician/surgeon | ~ |
| Wilson O Igbrude | 477 Prospect St, New Haven, CT 06511 | Physician/surgeon | 2012-08-02 ~ 2013-08-31 |
| Terrence J Wilson | 5501 Lbj Fwy Ste 700, Dallas, TX 75240-2304 | Physician/surgeon | 2019-06-01 ~ 2020-05-31 |
| Leigh R Wilson Do | 152 Millport Ave, New Canaan, CT 06840 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
Please comment or provide details below to improve the information on DUANE CHARLES WILSON.
| 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).