MARK REYNOLDS WILSON MD (Credential# 555564) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is March 20, 2000. The license expiration date date is April 30, 2001. The license status is INACTIVE.
MARK REYNOLDS WILSON MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.037974. The credential type is physician/surgeon. The effective date is March 20, 2000. The expiration date is April 30, 2001. The business address is 10121 Town Walk Dr, Hamden, CT 06518-3719. The current status is inactive.
| Licensee Name | MARK REYNOLDS WILSON MD |
| Credential ID | 555564 |
| Credential Number | 1.037974 |
| Credential Type | Physician/Surgeon |
| Business Address |
10121 Town Walk Dr Hamden CT 06518-3719 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 1999-07-16 |
| Effective Date | 2000-03-20 |
| Expiration Date | 2001-04-30 |
| Refresh Date | 2009-07-11 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 219424 | CSP.0028670 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2000-02-29 - 2001-02-28 | INACTIVE |
| Street Address | 10121 TOWN WALK DR |
| City | HAMDEN |
| State | CT |
| Zip Code | 06518-3719 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Ilyana Rochelle Gonzalez | 10122 Town Walk Dr, Hamden, CT 06518-3719 | Registered Nurse | 2020-01-01 ~ 2020-12-31 |
| Rowena F Calalang | 10113 Town Walk Dr, Hamden, CT 06518-3719 | Registered Nurse | 2013-04-01 ~ 2014-03-31 |
| Samantha S Stone | 10114 Town Walk Dr, Hamden, CT 06518-3719 | Respiratory Care Practitioner | 2010-11-01 ~ 2011-10-31 |
| Christian Gonzalez | 10122 Town Walk Dr, Hamden, CT 06518-3719 | Registered Nurse | 2019-01-01 ~ 2019-12-31 |
| Sonny Diaz | 10113 Town Walk Dr, Hamden, CT 06518-3719 | Licensed Practical Nurse | 2012-09-01 ~ 2013-08-31 |
| Justin M Stone | 10114 Town Walk Dr, Hamden, CT 06518-3719 | Respiratory Care Practitioner | 2010-07-01 ~ 2011-06-30 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Barbara Esposito Aprn | 209 Todd St, Hamden, CT 06518 | Advanced Practice Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Sorrentos Brick Oven Pizzeria | 244 Skiff St, Hamden, CT 06518 | Bakery | 2020-07-01 ~ 2021-06-30 |
| Jenna Bump | 61 Cannon St, Hamden, CT 06518 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Jennifer E Pohl | 70 Norwood Avenue, Hamden, CT 06518 | Speech and Language Pathologist | 2020-07-01 ~ 2021-06-30 |
| Nicole O Miller-tyson | 648 Evergreen Ave, Hamden, CT 06518 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Nancy D Anderson | 399 Hillfield Road, Hamden, CT 06518 | Speech and Language Pathologist | 2020-08-01 ~ 2021-07-31 |
| Flowers From The Farm | 1035 Shepard Avenue, Hamden, CT 06518 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Lynda Burke | 68 Linden Avenue, Hamden, CT 06518 | Notary Public Appointment | 2011-12-08 ~ 2016-12-31 |
| Kelly Lynn Huppert | 1334 Town Walk Dr, Hamden, CT 06518 | Master's Level Social Worker | ~ |
| Robert L Engengro | 365 Forest Street, Hamden, CT 06518 | Real Estate Salesperson | 2020-06-23 ~ 2021-05-31 |
| Find all Licenses in zip 06518 | |||
| City | HAMDEN |
| Zip Code | 06518 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + HAMDEN |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Mark E Reynolds Md | 741 Broad St Ext, Waterford, CT 06385 | Physician/surgeon | 2002-02-01 ~ 2003-03-31 |
| Xinyue Liu-chen Md | 54 Reynolds St, Danielson, CT 06239 | Physician/surgeon | 2006-04-18 ~ 2007-05-31 |
| Elizabeth I Reynolds | Chs- 500 Albany Avenue, Hartford, CT 06120 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Christopher R Reynolds | 898 Ethan Allen Hwy, Ridgefield, CT 06877 | Physician/surgeon | 2019-07-01 ~ 2020-06-30 |
| Paul Chu | 10 Gideon Reynolds Road, Cross River, NY 10518 | Physician/surgeon | 2019-11-01 ~ 2020-10-31 |
| Diedre A Reynolds Md | 8134 Cedar Rd, Elkins Park, PA 19027-2137 | Physician/surgeon | 2018-03-01 ~ 2019-02-28 |
| David Andrew Reynolds | 13507 Carlton Oaks, San Antonio, TX 78232 | Physician/surgeon | 2019-11-01 ~ 2020-10-31 |
| Jacques F Roux | Po Box 415, Wilson, WY 83014 | Physician/surgeon | 1993-01-25 ~ 1994-03-31 |
| Gabriella Wilson | 46 Old Mill Rd, Middletown, CT 06457-2415 | Physician/surgeon | ~ |
| Robert K Wilson | 19 Harbor St, Branford, CT 06405-4408 | Physician/surgeon | 2016-09-01 ~ 2017-08-31 |
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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).