SAMUEL EARL WILSON (Credential# 1387037) 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.
SAMUEL EARL WILSON is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0064284. 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 Po Box 21117, South Euclid, OH 44121-0117. The current status is lapsed.
| Licensee Name | SAMUEL EARL WILSON |
| Credential ID | 1387037 |
| Credential Number | CSP.0064284 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
Po Box 21117 South Euclid OH 44121-0117 |
| Business Type | INDIVIDUAL |
| Status | LAPSED |
| Active | 1 |
| Issue Date | 2016-11-01 |
| Effective Date | 2017-03-01 |
| Expiration Date | 2019-02-28 |
| Refresh Date | 2019-03-06 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1367109 | 1.055844 | Physician/Surgeon | 2016-10-21 | 2017-05-01 - 2018-04-30 | INACTIVE |
| Street Address | PO BOX 21117 |
| City | SOUTH EUCLID |
| State | OH |
| Zip Code | 44121-0117 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Kirk A Fry | 1303 Argonne Rd, S Euclid, OH 44121 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
| Isaac A Lewin | 4110 Mayfield Road, Cleveland, OH 44121 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
| Yvette Walker | 4605 Greenwold Rd, South Euclid, OH 44121 | Registered Nurse | 2016-04-01 ~ 2017-03-31 |
| Nicholas James Zielinski | 231 S Belvior Blvd, South Euclid, OH 44121 | Physician Assistant | ~ |
| Ronald J Mancini | 1089 S Belvoir, S Euclid, OH 44121 | Professional Engineer | 1997-02-01 ~ 1998-01-31 |
| Thomas B Pavlock | 3755 Fairoaks Road, South Euclid, OH 44121 | Architect | 2009-08-01 ~ 2010-07-31 |
| Christine Johnson | 848 Cambridge Raod, Cleveland Heights, OH 44121 | Registered Nurse | 2010-06-01 ~ 2011-05-31 |
| David L Cannon | 4373 Lucille Ave, South Euclid, OH 44121 | Hairdresser/cosmetician | 2004-09-23 ~ 2006-11-30 |
| Alborz Alali | 1577 Oakmount Road, Cleveland, OH 44121 | Physician/surgeon | 1998-12-08 ~ 1999-12-31 |
| Emma L Dobson | 270 South Green Rd, South Euclid, OH 44121 | Licensed Practical Nurse | 1992-03-24 ~ 1993-02-28 |
| Find all Licenses in zip 44121 | |||
| City | SOUTH EUCLID |
| Zip Code | 44121 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + SOUTH EUCLID |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Eui Seop Kim | 910 N Earl Rudder Fwy Ste 100, Bryan, TX 77802-2930 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Earl P Webster Md | 637 Wildflower Trl, Lexington, NC 27295-8234 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Earl S Patterson | Po Box 333, East Berlin, CT 06023-0333 | Controlled Substance Registration for Practitioner | 2005-03-01 ~ 2006-02-28 |
| Lawrence Earl | 71 Collis Ln, Chester, NJ 07930-2204 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Earl Vendryes Campbell | 20 York St, New Haven, CT 06510-3220 | Controlled Substance Registration for Practitioner | 2019-09-05 ~ 2021-02-28 |
| Earl A Bueno Md | 64 Watertown Road, Middlebury, CT 06762 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Earl Curry Dds | 719 Cottage Grove Rd, Bloomfield, CT 06002 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Earl L Giller Jr | 88 River Edge Farms, Madison, CT 06443 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
| Earl Youngelson | 300 Cold Spring Rd Apt 219, Rocky Hill, CT 06067-3126 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
| Farshad Elmi Md | 1903 Earl Rd, Iowa City, IA 52246-4331 | Controlled Substance Registration for Practitioner | 2009-03-18 ~ 2011-02-28 |
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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).