ADAM WILSON
Controlled Substance Registration for Practitioner


Address: 18520 Van Aken Blvd, Shaker Heights, OH 44122-4830

ADAM WILSON (Credential# 1598440) 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.

Business Overview

ADAM WILSON is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0069486. 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 18520 Van Aken Blvd, Shaker Heights, OH 44122-4830. The current status is active.

Basic Information

Licensee Name ADAM WILSON
Credential ID 1598440
Credential Number CSP.0069486
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 18520 Van Aken Blvd
Shaker Heights
OH 44122-4830
Business Type INDIVIDUAL
Status ACTIVE - CURRENT
Active 1
Issue Date 2018-10-31
Effective Date 2019-03-01
Expiration Date 2021-02-28
Refresh Date 2018-12-27

Other licenses

ID Credential Code Credential Type Issue Term Status
1598286 10.155218 Registered Nurse 2018-10-12 2019-01-01 - 2019-12-31 INACTIVE
1598285 12.007917 Advanced Practice Registered Nurse 2018-10-31 2019-01-01 - 2019-12-31 INACTIVE
1601828 10.154267-TEMP Registered Nurse - Temporary 2018-09-14 2018-09-14 - 2019-01-11 INACTIVE

Office Location

Street Address 18520 VAN AKEN BLVD
City SHAKER HEIGHTS
State OH
Zip Code 44122-4830

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Daniel M Cutler 23457 Beachwood Blvd, Beachwood, OH 44122 Registered Nurse 2020-05-13 ~ 2021-04-30
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Melanie Lauren Coy 3870 Waterford Ct, Beachwood, OH 44122 Registered Nurse 2020-05-01 ~ 2021-04-30
Craig S Cohen 23424 Commerce Park Rd, Beachwood, OH 44122 Professional Engineer 2020-02-01 ~ 2021-01-31
Ancora Trust 2000 Auburn Drive, Cleveland, OH 44122 Investment Company - Open End 2019-12-31 ~ 2020-12-31
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Competitor

Search similar business entities

City SHAKER HEIGHTS
Zip Code 44122
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + SHAKER HEIGHTS

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Adam Cohen 1481 5th Ave Apt 9a, New York, NY 10035-2769 Controlled Substance Registration for Practitioner 2015-07-16 ~ 2017-02-28
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Dataset Information

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).

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