CHARMAINE WILSON (Credential# 1664987) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is May 31, 2019. The license expiration date date is February 28, 2021. The license status is ACTIVE.
CHARMAINE WILSON is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0071321. The credential type is controlled substance registration for practitioner. The effective date is May 31, 2019. The expiration date is February 28, 2021. The business address is 101 Quartz Dr Ste 103, Villa Rica, GA 30180-3255. The current status is active.
| Licensee Name | CHARMAINE WILSON |
| Credential ID | 1664987 |
| Credential Number | CSP.0071321 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
101 Quartz Dr Ste 103 Villa Rica GA 30180-3255 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2019-05-31 |
| Effective Date | 2019-05-31 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2019-06-04 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1631690 | 1.063539 | Physician/Surgeon | 2019-05-30 | 2019-10-01 - 2020-09-30 | ACTIVE |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Charmaine Wilson | 185 Asylum St, Hartford, CT 06103-3408 | Advanced Practice Registered Nurse | 2020-04-01 ~ 2021-03-31 |
| Street Address | 101 QUARTZ DR STE 103 |
| City | VILLA RICA |
| State | GA |
| Zip Code | 30180-3255 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Flowers Bakery of Villa Rica LLC | 134 Doyle Mccain Dr, Villa Rica, GA 30180 | Bakery | 2020-07-01 ~ 2021-06-30 |
| Debra D Furr | 1187 Ray Lee Rd., Villa Rica, GA 30180 | Registered Nurse | 2020-05-01 ~ 2021-04-30 |
| Monica E Garner | 9063 River Bend Court, Villa Rica, GA 30180 | Registered Nurse | 2019-12-01 ~ 2020-11-30 |
| Thomas W Guerra · Cile Decker Associates Inc | 10198 Tall Pine Court, Villa Rica, GA 30180 | Real Estate Salesperson | 1999-06-01 ~ 2000-05-31 |
| Robin Jenise Williams | 600 Meadows Court, Villa Rica, GA 30180 | Registered Nurse | 2016-08-09 ~ 2017-05-31 |
| Paul J Kucsera | 1165 Plantation Dr, Villa Rica, GA 30180 | Professional Engineer | 2000-02-01 ~ 2001-01-31 |
| Thomas S Proctor | 556 Leslie Drive, Villa Rica, GA 30180 | Physical Therapist | 2003-08-04 ~ 2004-08-31 |
| Mary K Harrison | 302 N Lassiter Ct, Villa Rica, GA 30180 | Registered Nurse | 1994-05-16 ~ 1995-04-30 |
| Diane M Cloutier | 3025 Catamaran Cove, Villa Rica, GA 30180 | Registered Nurse | 2003-05-19 ~ 2004-07-31 |
| Susan L Grizzard · Steeves | 9037 Woodlake Place, Villa Rica, GA 30180 | Radiographer | 2006-09-25 ~ 2007-11-30 |
| Find all Licenses in zip 30180 | |||
| City | VILLA RICA |
| Zip Code | 30180 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + VILLA RICA |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Charmaine B Stephens | 57 Biltmore St, Springfield, MA 01108-2613 | Controlled Substance Registration for Practitioner | 2019-12-31 ~ 2021-02-28 |
| Lu Lu | 261 Wilson Ave Apt 1, Norwalk, CT 06854-4657 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Wilson B Altmeyer | Madison, CT 06443 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
| Mark E Wilson | 10 Riggs Ave, W Hartford, CT 06107 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Larissa A Tedesco | 10 Wilson Rd, Weston, CT 06883-1012 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Thomas B Wilson Md | 23 Maple Ave, Greenwich, CT 06830-5620 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Michael J Jaronczyk | 87 Wilson Cir W, Red Bank, NJ 07701-5862 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Millicent C Mccarren | 301 Wilson Ave, Butler, PA 16001-5407 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Leah Wilson | 57 Commonwealth Ave Apt 10, Boston, MA 02116-2394 | Controlled Substance Registration for Practitioner | 2017-08-30 ~ 2019-02-28 |
| Kenneth M Forte | 52 Wilson St, Milford, CT 06461-2538 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Please comment or provide details below to improve the information on CHARMAINE 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).