ROBERT W WILTSHIRE (Credential# 549918) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is January 1, 1981. The license expiration date date is January 31, 1993. The license status is INACTIVE.
ROBERT W WILTSHIRE is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.032303. The credential type is physician/surgeon. The effective date is January 1, 1981. The expiration date is January 31, 1993. The business address is 910 Cherokee Rd, Deridder, LA 70634. The current status is inactive.
Licensee Name | ROBERT W WILTSHIRE |
Credential ID | 549918 |
Credential Number | 1.032303 |
Credential Type | Physician/Surgeon |
Business Address |
910 Cherokee Rd Deridder LA 70634 |
Business Type | INDIVIDUAL |
Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
Issue Date | 1992-05-22 |
Effective Date | 1981-01-01 |
Expiration Date | 1993-01-31 |
Refresh Date | 2009-07-08 |
Street Address | 910 CHEROKEE RD |
City | DERIDDER |
State | LA |
Zip Code | 70634 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Karen T Wiltshire | 910 Cherokee Rd, Deridder, LA 70634 | Registered Nurse | 1994-10-04 ~ 1995-10-31 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Heather Melissa Longmore | 1409 Meadow Brook St, Deridder, LA 70634 | Registered Nurse | 2019-12-01 ~ 2020-11-30 |
Christoph R Damon | 58 Greenbriar St, Deridder, LA 70634 | Physician/surgeon | 1992-05-27 ~ 1993-06-30 |
Liliane E Abdel-hay · Haddad | 402 Somerset Dr #e, Deridder, LA 70634 | Physician/surgeon | ~ 1996-01-31 |
City | DERIDDER |
Zip Code | 70634 |
License Type | Physician/Surgeon |
License Type + County | Physician/Surgeon + DERIDDER |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
David Ching-wei Lee | 6368 Wiltshire St., Vancouver, BC V6M3M4 | Physician/surgeon | ~ |
Bernard Cohen | 95 Wiltshire Rd, Scarsdale, NY 10583-4561 | Physician/surgeon | 2006-07-07 ~ 2007-08-31 |
Megan Schmidt | 11 Wiltshire Ln, West Hartford, CT 06117-2747 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
Michael F Mccollum | 608 Wiltshire Lane, Newtown Square, PA 19073 | Physician/surgeon | 2020-02-01 ~ 2021-01-31 |
Kristine M Trotter | 10 Wiltshire Drive, Sewell, NJ 08080 | Physician Assistant | 2006-10-18 ~ 2007-01-31 |
Brent Robert Jacobson | Envision Physician Services, Dallas, TX 75240 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
Robert J Gionfriddo | CT | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
Robert Nordness | 141 Elm St, Stonington, CT 06378-1163 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
Robert Nekrich | Po Box 316, New City, NY 10956 | Physician/surgeon | 2019-12-01 ~ 2020-11-30 |
Robert P Conlen | Po Box 447, Farmington, CT 06034-0447 | Physician/surgeon | 2013-05-01 ~ 2014-04-30 |
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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).