PARKER CALLAWAY WILSON (Credential# 1491046) is licensed (Resident Physician) with Connecticut Department of Consumer Protection. The license effective date is July 1, 2017. The license expiration date date is June 30, 2020. The license status is ACTIVE.
PARKER CALLAWAY WILSON is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.059148-RES. The credential type is resident physician. The effective date is July 1, 2017. The expiration date is June 30, 2020. The business address is 10 Marshall Rd, Hamden, CT 06517-3505. The current status is active.
| Licensee Name | PARKER CALLAWAY WILSON |
| Credential ID | 1491046 |
| Credential Number | 1.059148-RES |
| Credential Type | Resident Physician |
| Credential SubCategory | RES |
| Business Address |
10 Marshall Rd Hamden CT 06517-3505 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2017-07-01 |
| Effective Date | 2017-07-01 |
| Expiration Date | 2020-06-30 |
| Refresh Date | 2019-05-16 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1379799 | 1.055831 | Physician/Surgeon | 2016-10-14 | 2018-03-01 - 2019-02-28 | INACTIVE |
| 1170909 | CSP.0055070 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2013-07-03 | 2013-07-03 - 2015-02-28 | INACTIVE |
| Street Address | 10 MARSHALL RD |
| City | HAMDEN |
| State | CT |
| Zip Code | 06517-3505 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Juliana N Dafonseca | 10 Marshall Rd, Hamden, CT 06517-3505 | Registered Nurse | 2017-10-01 ~ 2018-09-30 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Barrie H Drazen | 4 Marshall Rd, Hamden, CT 06517-3505 | Real Estate Salesperson | 2014-06-01 ~ 2015-05-31 |
| Joan M Veillette | 4 Marshall Rd, Hamden, CT 06517-3505 | Real Estate Broker | 2014-04-01 ~ 2015-03-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Timothy J Freer | 33 Norris Street, Hamden, CT 06517 | Physical Therapist | 2020-09-01 ~ 2021-08-31 |
| Juan Ignacio Zurita-castilla | 43 Merritt St, Hamden, CT 06517 | Master's Level Social Worker - Temporary Permit | 2020-06-25 ~ 2020-09-13 |
| Elizabeth Alberico | 58 Hesse Road, Hamden, CT 06517 | Notary Public Appointment | 2020-06-01 ~ 2025-05-31 |
| Stephen M Grossman | 17 Greenway St, Hamden, CT 06517 | Architect | 2020-08-01 ~ 2021-07-31 |
| James E Laposta Jr | 66 Laurel Road, Hamden, CT 06517 | Architect | 2020-08-01 ~ 2021-07-31 |
| Judith M Rothstein | 11 Dadio Road, Hamden, CT 06517 | Licensed Alcohol and Drug Counselor | 2020-04-01 ~ 2021-03-31 |
| Keleann T Tamaki | 165 Ridge Road, Hamden, CT 06517 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Robin L Esposito | 191 Thornton St, Hamden, CT 06517 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Michele R Abrams | 114 Wakefield St, Hamden, CT 06517 | Audiologist | 2020-09-01 ~ 2021-08-31 |
| Catherine E Tesluk | 215 Hartford Tpke, Hamden, CT 06517 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
| Find all Licenses in zip 06517 | |||
| City | HAMDEN |
| Zip Code | 06517 |
| License Type | Resident Physician |
| License Type + County | Resident Physician + HAMDEN |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Victoria Parker | CT | Resident Physician | 2015-06-23 ~ 2021-06-30 |
| Virginia S Parker | 56 Franklin St, Waterbury, CT 06706-1253 | Resident Physician | 2015-07-01 ~ 2021-06-30 |
| Virginia Parker | 56 Franklin Street, Waterbury, CT 06706 | Resident Physician | 2019-07-01 ~ 2021-06-30 |
| Adam Justin Parker | 300 George St Ste 901, New Haven, CT 06511-6662 | Resident Physician | 2019-06-24 ~ 2021-06-30 |
| Meghan A Wilson Frost | 48 Pleasant Dr, Cheshire, CT 06410-2240 | Resident Physician | 2020-07-01 ~ 2021-06-30 |
| Robert Wilson | 40 Prospect Ave Bldg 2 Apt 4l, Norwalk, CT 06850-3737 | Resident Physician | 2019-06-20 ~ 2021-06-20 |
| Kevin Wilson | 20 York Street, New Haven, CT 06510 | Resident Physician | 2020-07-01 ~ 2021-06-30 |
| James E Aiello | 13357 Callaway Road, Callaway, VA 24067 | Registered Nurse | 1997-10-14 ~ 1998-12-31 |
| Elizabeth A Gilbert · Zingo | 13357 Callaway Road, Callaway, VA 24067 | Registered Nurse | 1998-01-05 ~ 1999-03-31 |
| Parker Wilson · Wilson's Carpentry Service | 9 Meadow Park Ave West, Stamford, CT 06905 | Home Improvement Contractor | 2017-04-26 ~ 2017-11-30 |
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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).