CHRISTOPHER WILES
Resident Physician


Address: 127 Glenwood Ave, New London, CT 06320-4302

CHRISTOPHER WILES (Credential# 1653275) is licensed (Resident Physician) with Connecticut Department of Consumer Protection. The license effective date is June 28, 2019. The license expiration date date is June 30, 2023. The license status is ACTIVE.

Business Overview

CHRISTOPHER WILES is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.062918-RES. The credential type is resident physician. The effective date is June 28, 2019. The expiration date is June 30, 2023. The business address is 127 Glenwood Ave, New London, CT 06320-4302. The current status is active.

Basic Information

Licensee Name CHRISTOPHER WILES
Credential ID 1653275
Credential Number 1.062918-RES
Credential Type Resident Physician
Credential SubCategory RES
Business Address 127 Glenwood Ave
New London
CT 06320-4302
Business Type INDIVIDUAL
Status ACTIVE - CURRENT
Active 1
Issue Date 2019-06-28
Effective Date 2019-06-28
Expiration Date 2023-06-30
Refresh Date 2019-05-01

Other licenses

ID Credential Code Credential Type Issue Term Status
1654105 CSP.0070750 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 2019-06-18 2019-06-18 - 2021-02-28 ACTIVE
1124051 70.015567 Emergency Medical Technician 2012-10-03 2012-10-03 - 2015-06-30 INACTIVE

Office Location

Street Address 127 GLENWOOD AVE
City NEW LONDON
State CT
Zip Code 06320-4302

Licenses in the same location

Licensee Name Office Address Credential Effective / Expiration
John C Wiles Md 127 Glenwood Ave, New London, CT 06320-4302 Controlled Substance Registration for Practitioner 2015-03-01 ~ 2017-02-28

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Paul R Bourguignon Nemg, New London, CT 06320 Physician/surgeon 2020-07-01 ~ 2021-06-30
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Yuhua Han 18 Anthony Rd Apt H, New London, CT 06320 Massage Therapist ~
Empire Pizza · Empire Pizza LLC 150 Broad St, New London, CT 06320 Bakery 2020-07-01 ~ 2021-06-30
Irene C Besser 19 Hawthorne Dr, New London, CT 06320 Licensed Nurse Midwife 2020-09-01 ~ 2021-08-31
Robert F Gardner 241 Crystal Ave, New London, CT 06320 Home Improvement Salesperson 2020-06-26 ~ 2020-11-30
Angie Alejandra Botero Castro 14 Concord Court, Groton, CT 06320 Master's Level Social Worker ~
Kevin J O'reilly 20 Parkway South, New London, CT 06320 Psychologist 2020-09-01 ~ 2021-08-31
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Competitor

Search similar business entities

City NEW LONDON
Zip Code 06320
License Type Resident Physician
License Type + County Resident Physician + NEW LONDON

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David Christopher Gay 47 Emerson St, Cresskill, NJ 07626 Resident Physician 2018-07-01 ~ 2019-06-30
Christopher Ke Arkfeld 139 Orange St Ste 201, New Haven, CT 06510-3140 Resident Physician 2020-07-01 ~ 2021-06-30
Christopher Munoz 71 Haynes Street, Manchester, CT 06040 Resident Physician 2018-07-01 ~ 2019-06-30
Christopher A Kerantzas 20 York Street, New Haven, CT 06450 Resident Physician 2020-07-01 ~ 2021-06-30
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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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