JASON M WILDER DO (Credential# 557508) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2020. The license expiration date date is February 28, 2021. The license status is ACTIVE.
JASON M WILDER DO is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.039925-DO. The credential type is physician/surgeon. The effective date is March 1, 2020. The expiration date is February 28, 2021. The business address is 160 Hawley Lane, Trumbull, CT 06611. The current status is active.
| Licensee Name | JASON M WILDER DO |
| Credential ID | 557508 |
| Credential Number | 1.039925-DO |
| Credential Type | Physician/Surgeon |
| Credential SubCategory | DO |
| Business Address |
160 Hawley Lane Trumbull CT 06611 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2001-10-09 |
| Effective Date | 2020-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2019-12-13 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 302919 | CSP.0031791 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2002-01-31 | 2019-03-01 - 2021-02-28 | ACTIVE |
| Street Address | 160 HAWLEY LANE |
| City | TRUMBULL |
| State | CT |
| Zip Code | 06611 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Laura Ridgely Hatch | 160 Hawley Lane, Trumbull, CT 06611 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Robert P Weinstein Md | 160 Hawley Lane, Trumbull, CT 06611 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Edward A Pulice | 160 Hawley Lane, Trumbull, CT 06611 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Wendy A Klein | 160 Hawley Lane, Trumbull, CT 06611 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
| Mark Conlon | 160 Hawley Lane, Trumbull, CT 06611 | Controlled Substance Registration for Practitioner | 2019-08-02 ~ 2021-02-28 |
| Michael P Noonan | 160 Hawley Lane, Trumbull, CT 06611 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Mark I Oestreicher | 160 Hawley Lane, Trumbull, CT 06611 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Jenna M Mcdonald Pa | 160 Hawley Lane, Trumbull, CT 06611-5387 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Jessica V. Martins Pa-c | 160 Hawley Lane, Trumbull, CT 06611 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Ophthalmic Associates PC | 160 Hawley Lane, Trumbull, CT 06611 | Optical Selling Permit | 2019-09-01 ~ 2020-08-31 |
| Find all Licenses in the same address | |||
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Ashley S Balestriere | 7 Sutton Place, Trumbull, CT 06611 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Filomena L Ferraro · Nicolia | 35 Skating Pond Rd, Trumbull, CT 06611 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Alexis Grace Shaub | 58 Chestnut Hill Road, Trumbull, CT 06611 | Physician Assistant | 2020-08-01 ~ 2021-07-31 |
| Maria Bivona | 5302 Main Street, Trumbull, CT 06611 | Notary Public Appointment | 2020-10-01 ~ 2025-09-30 |
| Gina M Gallo · Liquigli | 20 Red Maple Lane, Trumbull, CT 06611 | Hairdresser/cosmetician | 2020-09-01 ~ 2022-08-31 |
| Xuehuan Zhang | 31 Asbury Rd, Trumbull, CT 06611 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Antoinette D Senior | 38 Tanager Lane, Trumbull, CT 06611 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Solution Construction LLC | 3 Stonewall Lane, Trumbull, CT 06611 | New Home Construction Contractor | 2020-06-18 ~ 2021-09-30 |
| Gary T Sorge | 63 Limerick Road, Trumbull, CT 06611 | Landscape Architect | 2020-08-01 ~ 2021-07-31 |
| Melodie T Noga | 55 Moose Hill Road, Trumbull, CT 06611 | Real Estate Salesperson | 2020-06-19 ~ 2021-05-31 |
| Find all Licenses in zip 06611 | |||
| City | TRUMBULL |
| Zip Code | 06611 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + TRUMBULL |
| 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 |
| Gail A Wilder | 10 Coolridge Rd, Milford, CT 06460-7620 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Thomas Smith | 76 Wilder Rd S, Stamford, CT 06905 | Physician/surgeon | 2018-03-01 ~ 2019-02-28 |
| Jack F Wilder | 363 Shore Rd, Greenwich, CT 06830 | Physician/surgeon | 1998-01-30 ~ 1999-01-31 |
| Svetlana Lvovich | 1318 Aspen Pines Drive, Wilder, KY 41071 | Physician/surgeon | 2004-08-23 ~ 2005-08-31 |
| Jason T Pickerill | 46 Wilder Road, Stamford, CT 06905 | Occupational Therapist | 2007-09-18 ~ 2009-07-31 |
| Jason O Wilder · Snet | 532 Newfield Ave, Stamford, CT 06905 | Public Service Technician - Telephone | 2002-10-01 ~ 2003-09-30 |
| M Wilder & Son Inc | 569 North Colony St, Meriden, CT 06450 | Operator of Weighing & Measuring Devices | 2000-08-14 ~ 2001-07-31 |
| Carmelita Wallace Wilder · Wilder | Po Box 2613, Hartford, CT 06112 | Speech and Language Pathologist | 1996-06-06 ~ 1997-07-31 |
| Jason D Beck | 207 Sunset Dr, Lucedale, MS 39452-3620 | Physician/surgeon | ~ |
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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).