PETRA JEANNE WILSON (Credential# 1618610) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is December 5, 2018. The license expiration date date is February 28, 2021. The license status is ACTIVE.
PETRA JEANNE WILSON is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0069946. The credential type is controlled substance registration for practitioner. The effective date is December 5, 2018. The expiration date is February 28, 2021. The business address is 865 Daniels Farm Rd, Trumbull, CT 06611-2601. The current status is active.
| Licensee Name | PETRA JEANNE WILSON |
| Credential ID | 1618610 |
| Credential Number | CSP.0069946 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
865 Daniels Farm Rd Trumbull CT 06611-2601 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2018-12-05 |
| Effective Date | 2018-12-05 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2018-12-06 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1608050 | 12.007993 | Advanced Practice Registered Nurse | 2018-12-04 | 2020-01-01 - 2020-12-31 | ACTIVE |
| 1410490 | 10.142099 | Registered Nurse | 2017-05-10 | 2020-01-01 - 2020-12-31 | ACTIVE |
| Street Address | 865 DANIELS FARM RD |
| City | TRUMBULL |
| State | CT |
| Zip Code | 06611-2601 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Vilma Mally | 865 Daniels Farm Rd, Trumbull, CT 06611 | Pharmacist | 2014-02-10 ~ 2016-01-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Ashley S Balestriere | 7 Sutton Place, Trumbull, CT 06611 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Filomena L Ferraro · Nicolia | 35 Skating Pond Rd, Trumbull, CT 06611 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Alexis Grace Shaub | 58 Chestnut Hill Road, Trumbull, CT 06611 | Physician Assistant | 2020-08-01 ~ 2021-07-31 |
| Maria Bivona | 5302 Main Street, Trumbull, CT 06611 | Notary Public Appointment | 2020-10-01 ~ 2025-09-30 |
| Gina M Gallo · Liquigli | 20 Red Maple Lane, Trumbull, CT 06611 | Hairdresser/cosmetician | 2020-09-01 ~ 2022-08-31 |
| Xuehuan Zhang | 31 Asbury Rd, Trumbull, CT 06611 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Antoinette D Senior | 38 Tanager Lane, Trumbull, CT 06611 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Solution Construction LLC | 3 Stonewall Lane, Trumbull, CT 06611 | New Home Construction Contractor | 2020-06-18 ~ 2021-09-30 |
| Gary T Sorge | 63 Limerick Road, Trumbull, CT 06611 | Landscape Architect | 2020-08-01 ~ 2021-07-31 |
| Melodie T Noga | 55 Moose Hill Road, Trumbull, CT 06611 | Real Estate Salesperson | 2020-06-19 ~ 2021-05-31 |
| Find all Licenses in zip 06611 | |||
| City | TRUMBULL |
| Zip Code | 06611 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + TRUMBULL |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Petra J Razdan | 2800 Main St, Bridgeport, CT 06606 | Controlled Substance Registration for Practitioner | 2009-03-01 ~ 2011-02-28 |
| Petra Marie Anne Pilgrim | 208 Valley Rd, New Canaan, CT 06840-3812 | Controlled Substance Registration for Practitioner | 2019-11-06 ~ 2021-02-28 |
| Jeanne Franza | 222 Williams St E Apt 228, Glastonbury, CT 06033-2325 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Jeanne P Strathearn | Po Box 832, Lake Wales, FL 33859-0832 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Jeanne Kuslis Md | 392 Kensington Rd, Southington, CT 06489 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Jeanne Jackson Md | 60 Washington Ave #203, Hamden, CT 06518 | Controlled Substance Registration for Practitioner | 2015-09-20 ~ 2017-02-28 |
| Jeanne E Hendrickson | 144 Driftwood Ln, Guilford, CT 06437-1950 | Controlled Substance Registration for Practitioner | 2019-09-11 ~ 2021-02-28 |
| Dale Jeanne Lacroix | 70 Dunbar Dr, Essex Jct, VT 05452-4436 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Jeanne Hunter | 854 Mcchord St, Colorado Springs, CO 80916-5171 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Jeanne E Capasse | 148 East Avenue, Norwalk, CT 06851 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Please comment or provide details below to improve the information on PETRA JEANNE 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).