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.
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.
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 |
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 |
Street Address | 127 GLENWOOD AVE |
City | NEW LONDON |
State | CT |
Zip Code | 06320-4302 |
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 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Paul R Bourguignon | Nemg, New London, CT 06320 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
Stephan Nousiopoulos | 27 Alger Place, New London, CT 06320 | Architect | 2020-08-01 ~ 2021-07-31 |
Diana Elisabeth Cabrera-mora | 327 Montauk Avenue, New London, CT 06320 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-27 ~ 2022-03-31 |
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 |
Sonny's Market LLC | 324 Jefferson Ave, New London, CT 06320 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
Find all Licenses in zip 06320 |
City | NEW LONDON |
Zip Code | 06320 |
License Type | Resident Physician |
License Type + County | Resident Physician + NEW LONDON |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Terry Wiles · Wiles Contruction | 1492 Silver Lane, East Hartford, CT 06118 | Home Improvement Contractor | 2003-12-10 ~ 2004-11-30 |
Christopher Gal | 34 Maple St, Norwalk, CT 06850-3815 | Resident Physician | 2017-07-01 ~ 2020-06-30 |
Christopher S Kinne | 991 S Cedar St, Galesburg, IL 61401-5921 | Resident Physician | 2018-07-01 ~ 2021-06-30 |
Christopher Seaton | 20 York St, New Haven, CT 06510-3220 | Resident Physician | 2020-07-01 ~ 2021-06-30 |
Christopher J Dipollina | 6 Quarry Rd, Waterford, CT 06385-3711 | Resident Physician | 2020-06-28 ~ 2023-06-30 |
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 |
Christopher Bentley Traner | 111 Park St Apt 12k, New Haven, CT 06511-5462 | Resident Physician | 2020-07-01 ~ 2021-06-30 |
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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).