PATRICE O'NEILL WILHELM
Controlled Substance Registration for Practitioner


Address: 25 Arrowhead Ln, Branford, CT 06405-3905

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.

Business Overview

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.

Basic Information

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

Other licenses

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

Office Location

Street Address 25 ARROWHEAD LN
City BRANFORD
State CT
Zip Code 06405-3905

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Competitor

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City BRANFORD
Zip Code 06405
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + BRANFORD

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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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