AMANDA L. WILSON (Credential# 977956) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is November 1, 2016. The license expiration date date is October 31, 2017. The license status is INACTIVE.
AMANDA L. WILSON is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.049592. The credential type is physician/surgeon. The effective date is November 1, 2016. The expiration date is October 31, 2017. The business address is 46 Sovereign Way, Florence, MA 01062-9615. The current status is inactive.
| Licensee Name | AMANDA L. WILSON |
| Credential ID | 977956 |
| Credential Number | 1.049592 |
| Credential Type | Physician/Surgeon |
| Business Address |
46 Sovereign Way Florence MA 01062-9615 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 2011-03-09 |
| Effective Date | 2016-11-01 |
| Expiration Date | 2017-10-31 |
| Refresh Date | 2018-02-03 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 995687 | CSP.0050048 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2011-05-05 | 2013-03-01 - 2015-02-28 | INACTIVE |
| Street Address | 46 SOVEREIGN WAY |
| City | FLORENCE |
| State | MA |
| Zip Code | 01062-9615 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Cathleen O'connell Wilson | 46 Sovereign Way, Florence, MA 01062-9615 | Advanced Practice Registered Nurse | 2014-03-01 ~ 2015-02-28 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Yvonne Ellisabeth Cruz | 56 Matthew Drive, Florence, MA 01062 | Architect | 2020-08-01 ~ 2021-07-31 |
| Insight Ventures LLC · Insight Solar | 89 Market St, Northampton, MA 01062 | Home Improvement Contractor | 2020-04-28 ~ 2020-11-30 |
| David S Matusko | 972 Park Hill Road, Florence, MA 01062 | Backflow Prevention Device Tester | 2017-07-01 ~ 2020-12-31 |
| Beverly G Park | 116 N Main St, Florence, MA 01062 | Real Estate Broker | 2020-04-01 ~ 2021-03-31 |
| Ilene K Gerhardt | 25 Drewsen Drive, Florence, MA 01062 | Respiratory Care Practitioner | 2020-02-01 ~ 2021-01-31 |
| Susan V. Lester | 185 N Maple St, Florence, MA 01062 | Professional Counselor Associate | ~ |
| Dawn L Brickell-bryant | 575 Bridge Road 9-3, Florence, MA 01062 | Certified Public Accountant License | 2019-01-01 ~ 2019-12-31 |
| Katherine Mullen | 124 Turkey Hill Rd, Northampton, MA 01062 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
| Richard E Hoeckh | 240 Brookside Circle, Florence, MA 01062 | Pharmacist | 2020-02-01 ~ 2022-01-31 |
| David E Koncki | 142 Woods Rd, Florence, MA 01062 | Pharmacist | 2020-02-01 ~ 2022-01-31 |
| Find all Licenses in zip 01062 | |||
| City | FLORENCE |
| Zip Code | 01062 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + FLORENCE |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Amanda S. Cuda | 701 5th Ave, Seattle, WA 98104 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
| Amanda R Ganem Md | 1 Theall Rd, Rye, NY 10580 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Amanda Medoro | 54 Republic Dr Apt 111, Bloomfield, CT 06002-5444 | Physician/surgeon | 2016-05-01 ~ 2017-04-30 |
| Amanda Ramos | 110 Beverly St Apt 636, Boston, MA 02114-2257 | Physician/surgeon | 2020-06-01 ~ 2021-06-30 |
| Amanda L Conti Md | 9 Piezzo Dr, Westerly, RI 02891 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Amanda M Meulenberg Md | 12 Avery Pl, Westport, CT 06880-3223 | Physician/surgeon | 2019-01-01 ~ 2019-12-31 |
| Amanda Stein Carmel | 437 Melbourne Ave, Mamaroneck, NY 10543-2730 | Physician/surgeon | ~ |
| Amanda M. Hedges | 852 Us Highway 1, Edison, NJ 08817 | Physician/surgeon | 2019-07-01 ~ 2020-06-30 |
| Jacques F Roux | Po Box 415, Wilson, WY 83014 | Physician/surgeon | 1993-01-25 ~ 1994-03-31 |
| Gabriella Wilson | 46 Old Mill Rd, Middletown, CT 06457-2415 | Physician/surgeon | ~ |
Please comment or provide details below to improve the information on AMANDA L. WILSON.
| 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).