AMANDA WILSON (Credential# 1440523) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2019. The license expiration date date is February 28, 2021. The license status is ACTIVE.
AMANDA WILSON is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0066483. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2019. The expiration date is February 28, 2021. The business address is 201 Chestnut Hill Rd, Stafford Springs, CT 06076. The current status is active.
| Licensee Name | AMANDA WILSON |
| Credential ID | 1440523 |
| Credential Number | CSP.0066483 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
201 Chestnut Hill Rd Stafford Springs CT 06076 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2017-08-03 |
| Effective Date | 2019-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2019-01-09 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1430410 | 23.003911 | Physician Assistant | 2017-08-01 | 2020-02-01 - 2021-01-31 | ACTIVE |
| Street Address | 201 Chestnut Hill Rd |
| City | Stafford Springs |
| State | CT |
| Zip Code | 06076 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Johnson Memorial Hospital, Inc. · Johnson Memorial Hospital | 201 Chestnut Hill Rd, Stafford Springs, CT 06076-4005 | General Hospital | 2020-01-01 ~ 2021-12-31 |
| Asha A Dhamija | 201 Chestnut Hill Rd, Stafford Springs, CT 06076-4005 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Shawn R Brady Pa-c | 201 Chestnut Hill Rd, Stafford Springs, CT 06076-4005 | Physician Assistant | 2020-03-01 ~ 2021-02-28 |
| Mahendra Patel | 201 Chestnut Hill Rd, Stafford Springs, CT 06076-4005 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
| Jonathan P Landry | 201 Chestnut Hill Rd, Stafford Springs, CT 06076 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Johnson Memorial Hospital | 201 Chestnut Hill Rd, Stafford Springs, CT 06076 | Frozen Dessert Retailer | 2020-01-24 ~ 2020-12-31 |
| Johnson Memorial Hospital Inc. · Johnson Memorial Hospital | 201 Chestnut Hill Rd, Stafford Springs, CT 06076-4005 | General Hospital | 2014-01-01 ~ 2015-12-31 |
| Johnson Memorial Medical Center | 201 Chestnut Hill Rd, Stafford Springs, CT 06076-4005 | Bazaar Permit Class 3 | 2014-08-25 ~ 2014-08-25 |
| Dawn R Gertson Md | 201 Chestnut Hill Rd, Stafford Springs, CT 06076-4005 | Controlled Substance Registration for Practitioner | 2009-03-11 ~ 2011-02-28 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Stacia M Yarrows | 105 Tolland Ave, Stafford Springs, CT 06076 | Hairdresser/cosmetician | 2020-07-01 ~ 2022-06-30 |
| Ct Canine Solutions | 403 Bigelow Hollow Rd, Union, CT 06076 | Training Facility | 2020-06-23 ~ 2021-12-31 |
| Jill A Bower | 134 W Stafford Road, Stafford Springs, CT 06076 | Hairdresser/cosmetician | 2020-09-01 ~ 2022-08-31 |
| Marcia B Lombardo | 53 A East Main Street, Stafford Springs, CT 06076 | Notary Public Appointment | 2020-07-01 ~ 2025-06-30 |
| Linsley S Mordasky | 40 Dunay Road, Stafford Springs, CT 06076 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Nancy L Kapplan · Zembko | 2 Webster Road, Union, CT 06076 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Daves Soda and Pet City | 97-cw Stafford Rd, Stafford Springs, CT 06076 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Connecticut Ready Mix LLC | 10 Meadow Ln 7 Yard Plant, Stafford Springs, CT 06076 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Stafford Springs Enterprises | 55 West St, Stafford Springs, CT 06076 | Bakery | 2020-07-01 ~ 2021-06-30 |
| Melissa J Lewis | 357 Monson Road, Stafford Springs, CT 06076 | Massage Therapist | 2020-08-01 ~ 2022-07-31 |
| Find all Licenses in zip 06076 | |||
| City | Stafford Springs |
| Zip Code | 06076 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + Stafford Springs |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Amanda M Wilson Md | 34 Woodland Park, Hartford, CT 06105-1219 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Amanda N Rea | 195 Broadmere Rd, Stratford, CT 06614 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Amanda Lu | 71 Haynes St, Manchester, CT 06040-4131 | Controlled Substance Registration for Practitioner | 2019-05-29 ~ 2021-02-28 |
| Amanda H Uva | 6 Chiltern St, Farmington, CT 06032-1533 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Lu Lu | 261 Wilson Ave Apt 1, Norwalk, CT 06854-4657 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Saadi Alhalbouni | 216 Amanda St Apt B, Russell, KY 41169-1313 | Controlled Substance Registration for Practitioner | ~ |
| Amanda Shreders | 772 Westover Rd, Stamford, CT 06902-1329 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
| Amanda L Ray | 44 Woodland Park, Hartford, CT 06105-1219 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
| Amanda L Wilmot | 24 Hospital Ave, Danbury, CT 06810-6099 | Controlled Substance Registration for Practitioner | 2015-03-20 ~ 2017-02-28 |
| Amanda Joy Pinkerton | 63 Chapman St, Newington, CT 06111-1702 | Controlled Substance Registration for Practitioner | 2020-05-26 ~ 2021-02-28 |
Please comment or provide details below to improve the information on AMANDA 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).