JOHN R WALKER DO
Controlled Substance Registration for Practitioner


Address: 766 Bounty Square Dr, Charleston, SC 29492-8070

JOHN R WALKER DO (Credential# 1034089) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is September 20, 2011. The license expiration date date is February 28, 2013. The license status is INACTIVE.

Business Overview

JOHN R WALKER DO is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0051431. The credential type is controlled substance registration for practitioner. The effective date is September 20, 2011. The expiration date is February 28, 2013. The business address is 766 Bounty Square Dr, Charleston, SC 29492-8070. The current status is inactive.

Basic Information

Licensee Name JOHN R WALKER DO
Credential ID 1034089
Credential Number CSP.0051431
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 766 Bounty Square Dr
Charleston
SC 29492-8070
Business Type INDIVIDUAL
Status INACTIVE
Issue Date 2011-09-20
Effective Date 2011-09-20
Expiration Date 2013-02-28
Refresh Date 2014-07-24

Other licenses

ID Credential Code Credential Type Issue Term Status
1025725 1.050303-DO Physician/Surgeon 2011-09-12 2011-09-12 - 2012-07-31 INACTIVE

Office Location

Street Address 766 BOUNTY SQUARE DR
City CHARLESTON
State SC
Zip Code 29492-8070

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William L Coleman IIi 115 Fairchild Street, Charleston, SC 29492 Professional Engineer 2020-02-01 ~ 2021-01-31
Christine M Seminara-suarez 481 Seven Farms Drive, Charleston, SC 29492 Physician/surgeon 2018-06-01 ~ 2019-05-31
Katharine M Sands 250 Island Park Dr. Unit # 102, Charleston, SC 29492 Registered Nurse 2019-09-01 ~ 2020-08-31
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Jenna M Stephens 282 Delahow Street, Daniel Island, SC 29492 Psychologist 2018-01-01 ~ 2018-12-31
Morgan Blythe Helms 650 Enterprise Blvd., Charleston, SC 29492 Registered Nurse 2019-03-01 ~ 2020-02-29
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Competitor

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City CHARLESTON
Zip Code 29492
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + CHARLESTON

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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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