WILTON C CALDERON
Controlled Substance Registration for Practitioner


Address: 80 Rogers Lake Trl, Old Lyme, CT 06371-1261

WILTON C CALDERON (Credential# 1248490) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2015. The license expiration date date is February 28, 2017. The license status is INACTIVE.

Business Overview

WILTON C CALDERON is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0058820. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2015. The expiration date is February 28, 2017. The business address is 80 Rogers Lake Trl, Old Lyme, CT 06371-1261. The current status is inactive.

Basic Information

Licensee Name WILTON C CALDERON
Credential ID 1248490
Credential Number CSP.0058820
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 80 Rogers Lake Trl
Old Lyme
CT 06371-1261
Business Type INDIVIDUAL
Status INACTIVE - SURRENDERED
Issue Date 2014-10-03
Effective Date 2015-03-01
Expiration Date 2017-02-28
Refresh Date 2017-05-02

Other licenses

ID Credential Code Credential Type Issue Term Status
1221886 1.053480-DO Physician/Surgeon 2014-08-26 2015-06-01 - 2016-05-31 INACTIVE

Office Location

Street Address 80 ROGERS LAKE TRL
City OLD LYME
State CT
Zip Code 06371-1261

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Competitor

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City OLD LYME
Zip Code 06371
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + OLD LYME

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Dataset Information

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).

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