PATRICE O'NEILL WILHELM (Credential# 367652) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2019. The license expiration date date is February 28, 2021. The license status is ACTIVE.
PATRICE O'NEILL WILHELM is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0034721. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2019. The expiration date is February 28, 2021. The business address is 25 Arrowhead Ln, Branford, CT 06405-3905. The current status is active.
Licensee Name | PATRICE O'NEILL WILHELM |
Credential ID | 367652 |
Credential Number | CSP.0034721 |
Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
Business Address |
25 Arrowhead Ln Branford CT 06405-3905 |
Business Type | INDIVIDUAL |
Status | ACTIVE - CURRENT |
Active | 1 |
Issue Date | 2004-04-01 |
Effective Date | 2019-03-01 |
Expiration Date | 2021-02-28 |
Refresh Date | 2019-01-04 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
643739 | 10.R41887 | Registered Nurse | 1987-09-01 | 2019-11-01 - 2020-10-31 | ACTIVE |
681161 | 12.002983 | Advanced Practice Registered Nurse | 2003-11-24 | 2019-11-01 - 2020-10-31 | ACTIVE |
Street Address | 25 ARROWHEAD LN |
City | BRANFORD |
State | CT |
Zip Code | 06405-3905 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Michael J Stackpole | 21 Arrowhead Ln, Branford, CT 06405-3905 | Paramedic | 2020-06-01 ~ 2021-05-31 |
Laurie S Hanchuruck | 1 Arrowhead Ln, Branford, CT 06405-3905 | Pharmacist | 2020-02-01 ~ 2022-01-31 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Raymond M Johnson | 39 Bayberry Lane, Branford, CT 06405 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
Kirsten M Ranciato | 288 East Main Street, Branford, CT 06405 | Licensed Clinical Social Worker | 2020-08-01 ~ 2021-07-31 |
Bimala Khadka Thapa | 726 Robert Frost Dr., Branford, CT 06405 | Nail Technician | ~ |
Paul E Basile | 42 Valley Brook Road South, Branford, CT 06405 | Perfusionist | 2020-08-01 ~ 2021-07-31 |
Lupe Monica Placencia-muy | 100 East Main Street 2nd Fl, Branford, CT 06405 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-27 ~ 2022-02-28 |
Bridget J Jennings | 159 Queach Road, Branford, CT 06405 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
Ujeli Acharya | 21 Burban Drive, Branford, CT 06405 | Nail Technician | ~ |
Cathleen Smith | 50 First Avenue, Branford, CT 06405 | Radiographer | 2020-07-01 ~ 2021-06-30 |
Gita Thapa | 94 Village Lane, Branford, CT 06405 | Nail Technician | ~ |
Cycle Venture Partners Fund I Lp - Lumeda Series 1 | 50 Limewood Avenue, Branford, CT 06405 | Securities - Exemptions | 2020-06-17 ~ |
Find all Licenses in zip 06405 |
City | BRANFORD |
Zip Code | 06405 |
License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + BRANFORD |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Michael H Wilhelm | 622 Jacob Rd, Southbury, CT 06488-2768 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Wilhelm Woolery Md | 4500 Beckonridge Loop Se, Lacey, WA 98513-2217 | Controlled Substance Registration for Practitioner | 2008-03-01 ~ 2009-02-28 |
Christopher Vincent Wilhelm | 1245 Chapel St Apt 421, New Haven, CT 06511-4655 | Controlled Substance Registration for Practitioner | 2019-06-05 ~ 2021-02-28 |
Patrice A Whittington Dvm | P.o. Box 928, Greenwich, CT 06836 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Patrice Jones Pa | 21 Greenwood Dr, Southington, CT 06489-4040 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Patrice Foudy Dds | 1701 Fence Row Dr, Fairfield, CT 06824-7008 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
Patrice Clor Aprn | 9 Rossie St, Mystic, CT 06355 | Controlled Substance Registration for Practitioner | 1995-09-19 ~ 1996-02-28 |
Patrice Thornton | 108 Flintlock Rd, Manchester Center, VT 05255-9843 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Patrice J Holmes | 20348 E 42nd Pl S, Broken Arrow, OK 74014-1575 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Marjorie L O'neill Dvm | 490 Cornwall Ave Ste 5, Cheshire, CT 06410-2650 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
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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).