JOHN M WILSON JR
Physician/surgeon


Address: 8 Cross Road, Darien, CT 06820

JOHN M WILSON JR (Credential# 538646) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is December 1, 2009. The license expiration date date is November 30, 2010. The license status is INACTIVE.

Business Overview

JOHN M WILSON JR is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.006284. The credential type is physician/surgeon. The effective date is December 1, 2009. The expiration date is November 30, 2010. The business address is 8 Cross Road, Darien, CT 06820. The current status is inactive.

Basic Information

Licensee Name JOHN M WILSON JR
Credential ID 538646
Credential Number 1.006284
Credential Type Physician/Surgeon
Business Address 8 Cross Road
Darien
CT 06820
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL; PRIOR DISCIPLINE
Issue Date 1949-11-23
Effective Date 2009-12-01
Expiration Date 2010-11-30
Refresh Date 2011-03-02

Other licenses

ID Credential Code Credential Type Issue Term Status
151203 CSP.0002599 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 1997-01-01 - 1998-02-28 INACTIVE

Office Location

Street Address 8 CROSS ROAD
City DARIEN
State CT
Zip Code 06820

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Competitor

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City DARIEN
Zip Code 06820
License Type Physician/Surgeon
License Type + County Physician/Surgeon + DARIEN

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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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