WILSON F BERNALES (Credential# 1275343) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2017. The license expiration date date is February 28, 2019. The license status is LAPSED.
WILSON F BERNALES is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0059775. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2017. The expiration date is February 28, 2019. The business address is 3202 Dewar Dr Apt 2, Rock Springs, WY 82901-5586. The current status is lapsed.
| Licensee Name | WILSON F BERNALES |
| Credential ID | 1275343 |
| Credential Number | CSP.0059775 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
3202 Dewar Dr Apt 2 Rock Springs WY 82901-5586 |
| Business Type | INDIVIDUAL |
| Status | LAPSED |
| Active | 1 |
| Issue Date | 2015-04-01 |
| Effective Date | 2017-03-01 |
| Expiration Date | 2019-02-28 |
| Refresh Date | 2019-03-06 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1248648 | 1.053942 | Physician/Surgeon | 2015-03-23 | 2016-07-01 - 2017-06-30 | INACTIVE |
| Street Address | 3202 DEWAR DR APT 2 |
| City | ROCK SPRINGS |
| State | WY |
| Zip Code | 82901-5586 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Roger S Stamper | 3579 Madison Dr, Rock Springs, WY 82901 | Heating, Piping & Cooling Limited Journeyperson | ~ |
| Karl O Mann | 75 Western Hills, Rock Sprinsg, WY 82901 | Heating, Piping & Cooling Limited Journeyperson | ~ |
| Avangeleena Cusulos | 6105 Wild Buffalo Ct, Rock Springs, WY 82901-6849 | Registered Nurse | 2020-06-01 ~ 2021-05-31 |
| Mohammed Majeed | 2613 Smarty Jones Ln, Rock Springs, WY 82901-7710 | Physician/surgeon | 2015-04-01 ~ 2016-03-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Carol Dana | Po Box 2324, Rock Springs, WY 82902-2324 | Registered Nurse | 2016-10-01 ~ 2017-09-30 |
| Sheri L Mounteer | P.o. Box 1707, Rock Springs, WY 82902 | Physical Therapist | 2000-08-01 ~ 2001-08-31 |
| City | ROCK SPRINGS |
| Zip Code | 82901 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + ROCK SPRINGS |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Lu Lu | 261 Wilson Ave Apt 1, Norwalk, CT 06854-4657 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Wilson B Altmeyer | Madison, CT 06443 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
| Leah Wilson | 57 Commonwealth Ave Apt 10, Boston, MA 02116-2394 | Controlled Substance Registration for Practitioner | 2017-08-30 ~ 2019-02-28 |
| Thomas B Wilson Md | 23 Maple Ave, Greenwich, CT 06830-5620 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Mark E Wilson | 10 Riggs Ave, W Hartford, CT 06107 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Millicent C Mccarren | 301 Wilson Ave, Butler, PA 16001-5407 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Michael J Jaronczyk | 87 Wilson Cir W, Red Bank, NJ 07701-5862 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| James R Wilson Jr | 2 Glenville Rd, Greenwich, CT 06831 | Controlled Substance Registration for Practitioner | 2009-03-01 ~ 2011-02-28 |
| Larissa A Tedesco | 10 Wilson Rd, Weston, CT 06883-1012 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Kenneth M Forte | 52 Wilson St, Milford, CT 06461-2538 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Please comment or provide details below to improve the information on WILSON F BERNALES.
| 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).