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.
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.
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 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
1221886 | 1.053480-DO | Physician/Surgeon | 2014-08-26 | 2015-06-01 - 2016-05-31 | INACTIVE |
Street Address | 80 ROGERS LAKE TRL |
City | OLD LYME |
State | CT |
Zip Code | 06371-1261 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
E Russell Learned | 82 Norwich-salem Rd, Lyme, CT 06371 | Architect | 2020-08-01 ~ 2021-07-31 |
Joann M Reis | 75 Swan Ave, Old Lyme, CT 06371 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
Michele K Griswold | 7 Osprey Road, Old Lyme, CT 06371 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
Brenda A Moriarty | 53 Brown's Lane, Old Lyme, CT 06371 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
Olaf J Ogland | 17 Jericho Drive, Old Lyme, CT 06371 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
Anne Burns | 60 Saltaire Drive, Old Lyme, CT 06371 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
Lori A Volles | 67 Sterling Hill Rd, Lyme, CT 06371 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
Derek J Lachance | 7 Sunset Drive, Old Lyme, CT 06371 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
Vincenzo Jerome Marafito | 14-1 Bailey Rd, Old Lyme, CT 06371 | Master's Level Social Worker | ~ |
All Pro Automotive | 147 Boston Post Rd, Old Lyme, CT 06371 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
Find all Licenses in zip 06371 |
City | OLD LYME |
Zip Code | 06371 |
License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + OLD LYME |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Juan S Calderon Md | Po Box 208029, New Haven, CT 06520-8029 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
Jose Calderon Md | 401 Copse Rd, Madison, CT 06443 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
Andrea Calderon Odewald Pa | Psc 482 Box 2946, Fpo Ap, 96362 | Controlled Substance Registration for Practitioner | 2007-03-01 ~ 2008-02-29 |
Yvette Calderon Md | 420 East 23rd St, New York, NY 10010 | Controlled Substance Registration for Practitioner | 2001-03-12 ~ 2002-02-28 |
Sung H Lee | 58 Wilton Crest, Wilton, CT 06897-4054 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Jennifer George | 39 Wilton Crest, Wilton, CT 06897-4053 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Wilton Surgery Center LLC | 195 Danbury Rd, Wilton, CT 06897 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Josephine D Quinn | Wilton Family Eye Care, Wilton, CT 06897 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Varshapriya A Iyer Md | Wilton Internal Medicine, Wilton, CT 06897 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Nancy R Gade Md | Wilton Internal Medicine LLC, Wilton, CT 06897 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
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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).