WILHELMINA JACKSON (Credential# 163238) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2017. The license expiration date date is February 28, 2019. The license status is LAPSED.
WILHELMINA JACKSON is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0023851. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2017. The expiration date is February 28, 2019. The business address is 226 Mill Hill Ave., Bridgeport, CT 06610-2805. The current status is lapsed.
Licensee Name | WILHELMINA JACKSON |
Credential ID | 163238 |
Credential Number | CSP.0023851 |
Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
Business Address |
226 Mill Hill Ave. Bridgeport CT 06610-2805 |
Business Type | INDIVIDUAL |
Status | LAPSED |
Active | 1 |
Issue Date | 1999-03-01 |
Effective Date | 2017-03-01 |
Expiration Date | 2019-02-28 |
Refresh Date | 2019-03-06 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Wilhelmina Jackson · Thomas | 172 Court D, Bridgeport, CT 06610 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
Street Address | 226 Mill Hill Ave. |
City | BRIDGEPORT |
State | CT |
Zip Code | 06610-2805 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Audrey L Martens | 226 Mill Hill Ave., Bridgeport, CT 06610 | Physical Therapist Assistant | ~ 2006-11-01 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Lauren Roth | 267 Grant St, Bridgeport, CT 06610-2805 | Resident Physician | 2020-06-22 ~ 2024-06-30 |
Gilead I Lancaster Md | 267 Grant St Fl 10, Bridgeport, CT 06610-2805 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
Nabil A Atweh | 267 Grant St Fl 8, Bridgeport, CT 06610-2805 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
Edwin Jin Su Lee | 297 Grant St, Bridgeport, CT 06610-2805 | Controlled Substance Registration for Practitioner | 2017-08-11 ~ 2019-02-28 |
Joanna Zolkowski-wynne | 267 Grant St # 5000, Bridgeport, CT 06610-2805 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Mohammad A Younus | 287 Grant St, Bridgeport, CT 06610-2805 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
Madeline Carmain | 267 Grant St, Bridgeport, CT 06610-2805 | Resident Physician | 2020-06-22 ~ 2024-06-30 |
Aishwariya S Vegunta | 267 Grant St, Bridgeport, CT 06610-2805 | Resident Physician | 2020-07-01 ~ 2024-06-30 |
Rasha T Ismail | 267 Grant St, Bridgeport, CT 06610-2805 | Resident Physician | 2020-07-01 ~ 2024-06-30 |
Mark Steven Mcfarland | 267 Grant St, Bridgeport, CT 06610-2805 | Resident Physician | 2018-07-01 ~ 2023-06-30 |
Find all Licenses in zip 06610-2805 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Nilca Janice Cardenales | 66 Rose St, Bridgeport, CT 06610 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
Kiara Lizbeth Corporan | 10 Sturtevant Pl, Bridgeport, CT 06610 | Eyelash Technician | ~ |
Alisha Garcia | 65 Berkeley Place, Bridgeport, CT 06610 | Notary Public Appointment | 2020-06-26 ~ 2025-06-30 |
Pauline Parkes | 96 Virginia Avenue, Bridgeport, CT 06610 | Licensed Clinical Social Worker | ~ |
Denise Reyes | 1125 Huntington Turnpike, Bridgeport, CT 06610 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
Avery M Rilley | 80 Granfield Avenue, Bridgeport, CT 06610 | Pharmacy Technician | 2020-06-25 ~ 2021-03-31 |
Bozena K. Malyszko | Bridgeport Hospital, Bridgeport, CT 06610 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
Amy Espinosa | 146 Court D, Bridgeport, CT 06610 | Notary Public Appointment | 2020-07-01 ~ 2025-06-30 |
Wilhelmina Jackson · Thomas | 172 Court D, Bridgeport, CT 06610 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
Emma Agyeiwaa Vaczek | P.o Box 5223, Bridgeport, CT 06610 | Licensed Practical Nurse | 2020-08-01 ~ 2021-07-31 |
Find all Licenses in zip 06610 |
City | BRIDGEPORT |
Zip Code | 06610 |
License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + BRIDGEPORT |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Wilhelmina P Garrison Md | 130 Nicole Dr, Milford, CT 06460 | Controlled Substance Registration for Practitioner | 1998-03-01 ~ 1999-02-28 |
Carla Wilhelmina Schnitzlein | 11 Dog Hill Rd, Dayville, CT 06241 | Controlled Substance Registration for Practitioner | 2020-05-20 ~ 2021-02-28 |
Wilhelmina D. S. Cabalona | 263 Farmington Ave, Farmington, CT 06030-0002 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
Elizabeth Tateoka | 27 Jackson St Apt 405, Lowell, MA 01852-2144 | Controlled Substance Registration for Practitioner | 2020-02-05 ~ 2021-02-28 |
Dowin H Boatright | 105 Jackson Rd, Hamden, CT 06517 | 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 |
Kimberly K Lett | 141 Edenwood Dr, Jackson, TN 38301-3826 | Controlled Substance Registration for Practitioner | 2012-05-08 ~ 2013-02-28 |
Debra L Brand Md | Po Box 9212, Jackson, WY 83002-9212 | Controlled Substance Registration for Practitioner | 2009-03-01 ~ 2011-02-28 |
Peter D Jackson | 20 York St Tmp 209, New Haven, CT 06510-3220 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
Richard E Jackson Md | 45 W Main St Po Box 738, Avon, CT 06001 | Controlled Substance Registration for Practitioner | 2008-03-01 ~ 2009-02-28 |
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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).