Adrian Wyllie Controlled Substance Registration for Practitioner
Yale New Haven Hospital, New Haven, CT 06510


Adrian Wyllie is licensed in the eLicensing system of Connecticut. The license credential ID is 1286674. The license type is CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER. The license status is ACTIVE. The address is Yale New Haven Hospital, New Haven, CT 06510. The zip code is 06510.


Adrian Wyllie · Yale New Haven Hospital, New Haven, CT 06510

Credential ID 1286674
Name ADRIAN WYLLIE
Type INDIVIDUAL
Address Yale New Haven Hospital
New Haven, CT 06510
License Credential CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Full Credential Code CSP.0060300
Credential Type CSP
Credential Number 60300
Status ACTIVE
Status Reason CURRENT
Active 1
Issue Date 07/15/2015
Effective Date 07/15/2015
Expiration Date 02/28/2017
Record Refresh Date 07/15/201

street_number: 20
route: York Street (York St)
neighborhood, political: The Hill
locality, political: New Haven
admin_level_2, political: New Haven County
admin_level_1, political: Connecticut (CT)
country, political: United States (US)
postal_code: 06510
postal_code_suffix: 3220
types : establishment, point_of_interest
latitude: 41.3037027
longitude: -72.9357982
latlng: (41.3037027, -72.9357982)


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