PRESTON WILES MD JR (Credential# 155906) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is October 21, 2011. The license expiration date date is February 28, 2013. The license status is INACTIVE.
PRESTON WILES MD JR is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0015407. The credential type is controlled substance registration for practitioner. The effective date is October 21, 2011. The expiration date is February 28, 2013. The business address is 4612 Edmondson Ave, Dallas, TX 75209-6010. The current status is inactive.
| Licensee Name | PRESTON WILES MD JR |
| Credential ID | 155906 |
| Credential Number | CSP.0015407 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
4612 Edmondson Ave Dallas TX 75209-6010 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE |
| Issue Date | 2005-03-31 |
| Effective Date | 2011-10-21 |
| Expiration Date | 2013-02-28 |
| Refresh Date | 2014-01-29 |
| Street Address | 4612 EDMONDSON AVE |
| City | DALLAS |
| State | TX |
| Zip Code | 75209-6010 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| C Preston Wiles Jr | 4612 Edmondson Ave, Dallas, TX 75209 | Physician/surgeon | 2020-01-01 ~ 2020-12-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Timothy Crombleholme | 4619 W Amherst Ave, Dallas, TX 75209 | Physician/surgeon | ~ |
| Kara Elizabeth O'neil | 8206 Inwood Road, Dallas, TX 75209 | Pharmacist | 2014-02-01 ~ 2016-01-31 |
| Hubert R Hawkins | 5006 Shadywood Lane, Dallas, TX 75209 | Architect | 2014-08-01 ~ 2015-07-31 |
| Thomas J Huie | 4616 W Lovers Ln Apt 229, Dallas, TX 75209-3158 | Respiratory Care Practitioner | 2017-12-04 ~ 2018-08-31 |
| Jennifer F Bloomgarden | 5002 Stanford Ave, Dallas, TX 75209-3320 | Registered Nurse | 2016-04-01 ~ 2017-03-31 |
| Feng Jiang | 6481 Bordeaux Ave, Dallas, TX 75209-5703 | Resident Physician | 2018-07-01 ~ 2019-06-30 |
| Jennifer Anne Robason | 6451 Oriole Dr, Dallas, TX 75209-5780 | Registered Nurse | 2020-02-01 ~ 2021-01-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Baylor Health Care System Foundation | 2001 Bryan St Ste 2200, Dallas, TX 75201-3024 | Public Charity | 2019-06-01 ~ 2020-05-31 |
| Task Force Dagger Foundation | 12655 N Central Expy Ste 330, Dallas, TX 75243-3779 | Public Charity | 2019-12-09 ~ 2020-05-31 |
| Sherri Arnise Patrick | 181 Aberdeen Way, Dallas, GA 30132 | Registered Nurse | ~ |
| Jacobs Engineering Group Inc | 1999 Bryan Street, Dallas, TX 75201 | Professional Engineering Corporation | 2020-08-31 ~ 2021-08-30 |
| Susan Margaret Hernandez | 350 N Saint Paul St, Dallas, TX 75201 | Registered Nurse | ~ |
| Publishing Concepts Lp | 4835 Lbj Fwy Ste 1100, Dallas, TX 75244-6057 | Paid Solicitor | 2020-06-26 ~ 2021-02-02 |
| Rockpoint Real Estate Fund Vi, L.p. | 3953 Maple Ave, Ste 300, Dallas, TX 75219 | Securities - Exemptions | 2020-06-16 ~ |
| Mattia J Flabiano IIi | 6714 Talmadge Lane, Dallas, TX 75230 | Architect | 2020-08-01 ~ 2021-07-31 |
| Humphreys & Partners Architects Connecticut LLC | 5339 Alpha Rd Ste 300, Dallas, TX 75240-7307 | Architecture Corporation | 2020-08-01 ~ 2021-07-31 |
| Marc W Brundige | 8951 Cypress Waters Blvd, Dallas, TX 75019 | Architect | 2020-08-01 ~ 2021-07-31 |
| Find all Licenses in DALLAS | |||
| City | DALLAS |
| Zip Code | 75209 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + DALLAS |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Tracey J Wiles Do | 334 Beach St, Litchfield, CT 06759 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| John C Wiles Md | 127 Glenwood Ave, New London, CT 06320-4302 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Nicholas Preston Md | 101 Hamilton Ave, Watertown, CT 06795 | Controlled Substance Registration for Practitioner | 2007-03-01 ~ 2008-02-29 |
| Jennifer L Dodge Pa | 219 Route 164, Preston, CT 06365-8726 | Controlled Substance Registration for Practitioner | 2009-04-16 ~ 2011-02-28 |
| Preston J Phillips Md | 17 Treadwell St, Hamden, CT 06517 | Controlled Substance Registration for Practitioner | 1997-03-01 ~ 1998-02-28 |
| Joel R Melamed | 6 Preston Ln, Taconic, CT 06079-8017 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Mark R Preston Md | 60 Westwood Ave., Ste 200, Waterbury, CT 06708 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Nagireddy Kamireddy | 15 Mains Way, Preston, CT 06365-8839 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Raphaella V Daggett | 251 Krug Rd, Preston, CT 06365-8004 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Rachel L Waldron | 10 Preston Ave, Sea Cliff, NY 11579-1925 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
Please comment or provide details below to improve the information on PRESTON WILES MD JR.
| 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).