LEIGH R WILSON DO (Credential# 564815) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is May 1, 2020. The license expiration date date is April 30, 2021. The license status is ACTIVE.
LEIGH R WILSON DO is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.047233-DO. The credential type is physician/surgeon. The effective date is May 1, 2020. The expiration date is April 30, 2021. The business address is 152 Millport Ave, New Canaan, CT 06840. The current status is active.
| Licensee Name | LEIGH R WILSON DO |
| Credential ID | 564815 |
| Credential Number | 1.047233-DO |
| Credential Type | Physician/Surgeon |
| Credential SubCategory | DO |
| Business Address |
152 Millport Ave New Canaan CT 06840 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2008-12-10 |
| Effective Date | 2020-05-01 |
| Expiration Date | 2021-04-30 |
| Refresh Date | 2020-04-17 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 889225 | CSP.0046151 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2009-08-13 | 2017-03-01 - 2019-02-28 | LAPSED |
| Street Address | 152 Millport Ave |
| City | New Canaan |
| State | CT |
| Zip Code | 06840 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| 49 Midwood LLC | 97 Dans Hwy, New Canaan, CT 06840 | New Home Construction Contractor | 2020-06-26 ~ 2021-09-30 |
| Hyun Park | 15 Locust Ave, New Canaan, CT 06840 | Esthetician | 2020-06-26 ~ 2022-04-30 |
| Guy R Mazzola | 1484 Oenoke Ridge, New Canaan, CT 06840 | Public Weigher | 2020-07-01 ~ 2021-06-30 |
| Mairin E Mara | 184 Lukes Wood Rd, New Canaan, CT 06840 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| Hannah Simpson | 33 Sleepy Hollow Road, New Canaan, CT 06840 | Esthetician | ~ |
| Susan Mcclellan Valk | 301 Oenoke Ridge Road, New Canaan, CT 06840 | Real Estate Salesperson | 2020-06-23 ~ 2021-05-31 |
| New Canaan Gulf · Haviland Ent Ltd Dba | 36 South Ave, New Canaan, CT 06840 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Claire Cheng | 226 Buttery Road, New Canaan, CT 06840 | Marital and Family Therapist Associate | 2020-06-24 ~ 2022-06-24 |
| Joes Pizza | 23 Locust Avenue, New Canaan, CT 06840 | Bakery | 2020-07-01 ~ 2021-06-30 |
| Kathleen Mary Berchelmann | 711 Silvermine Rd, New Canaan, Ct, CT 06840 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Find all Licenses in zip 06840 | |||
| City | New Canaan |
| Zip Code | 06840 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + New Canaan |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Amy Leigh Stark | 171 Grandeville Rd Sw, Rochester, MN 55902-2485 | Physician/surgeon | 2018-04-01 ~ 2019-03-31 |
| Diana Leigh Rowell | 375 Farmington Ave, New Britain, CT 06053-2356 | Physician/surgeon | 1991-05-31 ~ 1992-04-30 |
| Kathryn Leigh Sigalow | 46 Merriland Rd, Stamford, CT 06903-1717 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Leigh S Bergmann | 919 Conestoga Road, Rosemont, PA 19010 | Physician/surgeon | 2006-12-18 ~ 2007-10-31 |
| Hoyle Leigh | 12535 Moffatt Ln., Fresno, CA 93720 | Physician/surgeon | 2009-02-23 ~ 2010-03-31 |
| Leigh A Price | 2379 Boston Street, Baltimore, MD 21224 | Physician/surgeon | 2017-10-01 ~ 2018-09-30 |
| Leigh J Marcus | 7840 Oracle Place, Potomac, MD 20854 | Physician/surgeon | 2009-04-20 ~ 2010-06-30 |
| Leigh Sweet | 2222 Maroneal St Unit 1222, Houston, TX 77030-3265 | Physician/surgeon | 2014-09-01 ~ 2015-08-31 |
| Lawrence D Leigh | 14222 Reflection Lakes Drive, Ft. Myers, FL 33907 | Physician/surgeon | 2002-08-23 ~ 2003-05-31 |
| Marian Leigh St. Petery | 2228 Cahaba Valley Drive, Birmingham, AL 35242 | Physician/surgeon | 2020-01-01 ~ 2020-12-31 |
Please comment or provide details below to improve the information on LEIGH R WILSON DO.
| 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).