JACK F WILDER (Credential# 539598) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is January 30, 1998. The license expiration date date is January 31, 1999. The license status is INACTIVE.
JACK F WILDER is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.010015. The credential type is physician/surgeon. The effective date is January 30, 1998. The expiration date is January 31, 1999. The business address is 363 Shore Rd, Greenwich, CT 06830. The current status is inactive.
| Licensee Name | JACK F WILDER |
| Credential ID | 539598 |
| Credential Number | 1.010015 |
| Credential Type | Physician/Surgeon |
| Business Address |
363 Shore Rd Greenwich CT 06830 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 1960-09-08 |
| Effective Date | 1998-01-30 |
| Expiration Date | 1999-01-31 |
| Refresh Date | 2009-07-08 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 163012 | CSP.0023807 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 1997-03-01 - 1998-02-28 | INACTIVE |
| Street Address | 363 SHORE RD |
| City | GREENWICH |
| State | CT |
| Zip Code | 06830 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Junior League of Greenwich Conn Inc. | 231 East Putnam Ave., Greenwich, CT 06830 | Public Charity | 2019-06-01 ~ 2020-05-31 |
| Michelle Yoo | 35 Putnam Green, Greenwich, CT 06830 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-27 ~ 2022-01-31 |
| Michele S Bergen | Greenwich Medical Building, Greenwich, CT 06830 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Black Forest Pastry | 52 Lewis Street, Greenwich, CT 06830 | Bakery | 2020-07-01 ~ 2021-06-30 |
| Maurasaca Pallchisaca Gloria Veronica | 103 Greenwich Ave, Greenwich, CT 06830 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Deborah B Huffard | 107 Maple Ave, Greenwich, CT 06830 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| Joann H Alexander | 157 Stanwich Road, Greenwich, CT 06830 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| Dandan Tu | 24 Byfield Ln, Greenwich, CT 06830 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Mohamed Akli Zetchi | 2 Perryridge Road, Greenwich, CT 06830 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
| Gateway Classical Music Society Inc | 292 Stanwich Road, Greenwich, CT 06830 | Public Charity | 2020-12-01 ~ 2021-11-30 |
| Find all Licenses in zip 06830 | |||
| City | GREENWICH |
| Zip Code | 06830 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + GREENWICH |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Richard C Antonelli Md | 53 Wilder Rd, Sterling, MA 01564 | Physician/surgeon | 2008-08-14 ~ 2009-09-30 |
| Thomas Smith | 76 Wilder Rd S, Stamford, CT 06905 | Physician/surgeon | 2018-03-01 ~ 2019-02-28 |
| Gail A Wilder | 10 Coolridge Rd, Milford, CT 06460-7620 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Jason M Wilder Do | 160 Hawley Lane, Trumbull, CT 06611 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
| Svetlana Lvovich | 1318 Aspen Pines Drive, Wilder, KY 41071 | Physician/surgeon | 2004-08-23 ~ 2005-08-31 |
| Jack Liu | 1345 Rxr Plz, Uniondale, NY 11556-1301 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Jack M Charney | Cblpath, Inc., Rye Brook, NY 10573 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
| Jack A Miller | 384 West Rd, Alford, MA 01266 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
| Jack L Baldasar | 220 Oxford Dr, Tenafly, NJ 07670-3118 | Physician/surgeon | 2015-09-01 ~ 2016-08-31 |
| Jack M Dodick | 535 Park Ave, New York, NY 10021 | Physician/surgeon | 2018-04-26 ~ 2019-03-31 |
Please comment or provide details below to improve the information on JACK F WILDER.
| 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).