NATALIE WALTERS (Credential# 1039292) 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.
NATALIE WALTERS is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0051613. 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 1145 Poquonnock Rd, Groton, CT 06340. The current status is active.
| Licensee Name | NATALIE WALTERS |
| Credential ID | 1039292 |
| Credential Number | CSP.0051613 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
1145 Poquonnock Rd Groton CT 06340 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2011-11-02 |
| Effective Date | 2019-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2018-12-28 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1027629 | 12.004788 | Advanced Practice Registered Nurse | 2011-09-07 | 2020-01-01 - 2020-12-31 | ACTIVE |
| 649955 | 10.R50208 | Registered Nurse | 1994-08-12 | 2020-01-01 - 2020-12-31 | ACTIVE |
| Street Address | 1145 Poquonnock Rd |
| City | Groton |
| State | CT |
| Zip Code | 06340 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Groton Regency Center | 1145 Poquonnock Rd, Groton, CT 06340-4620 | Residential Care Facility | 2020-04-01 ~ 2023-03-31 |
| American Professional - Groton Regency · American Professional - Groton Regency Campus | 1145 Poquonnock Rd, Groton, CT 06340-4620 | Nurse Aide Training Program-private Occ School | 2016-05-05 ~ 2018-05-05 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Swatiben R. Patel | 81 Charlton Lane, Groton, CT 06340 | Pharmacy Technician | 2020-06-26 ~ 2021-03-31 |
| Susan E Mammone | 39 Chestnut Hill Sq, Groton, CT 06340 | Real Estate Salesperson | 2020-06-23 ~ 2021-05-31 |
| Jennifer L Lundie | 302b Meridian Street, Groton, CT 06340 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Jennifer Gauthier | 55 Fieldside Drive # B, Groton, CT 06340 | Master's Level Social Worker - Temporary Permit | ~ |
| Anthony Di Lullo Md | Thameside Ob/gyn Centre, Groton, CT 06340 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
| Carrien Williams | 186 Mirra Dr, Groton, CT 06340 | Nail Technician | ~ |
| Mustapha Kemal Md | 61 Leeward Lane, Groton, CT 06340 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Subway #309 | 967 Poquonnock Rd, Groton, CT 06340 | Bakery | 2020-07-01 ~ 2021-06-30 |
| Kathlene M Hunt | 75 Pleasant Street, Groton, CT 06340 | Notary Public Appointment | 2020-10-01 ~ 2025-09-30 |
| Paul A Morosky | 2 Cross Street, Groton, CT 06340 | Distribution System Operator - Class I | 2020-04-01 ~ 2023-03-31 |
| Find all Licenses in zip 06340 | |||
| City | Groton |
| Zip Code | 06340 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + Groton |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Irene Kay Walters | 515 N 5th St, Hamilton, MT 59840-2209 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Natalie Uy | 111 Park St Apt 9e, New Haven, CT 06511-5432 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Natalie S Uy | 78 Olive St Apt 323, New Haven, CT 06511-6986 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
| Natalie Galanina | 64 Robbins St, Waterbury, CT 06708-2600 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
| Natalie M Campo Md | 916 Gilmore Ave, Nashville, TN 37204-2613 | Controlled Substance Registration for Practitioner | 2010-03-12 ~ 2011-02-28 |
| Natalie Frey | 446 Old Whitfield St Apt K, Guilford, CT 06437-3468 | Controlled Substance Registration for Practitioner | 2019-06-10 ~ 2021-02-28 |
| Natalie P Pauli Md | 19 Hepburn Rd, Hamden, CT 06517 | Controlled Substance Registration for Practitioner | 2008-03-01 ~ 2009-02-28 |
| Natalie J Moore | 56 Cervens Rd, Tolland, CT 06084-2310 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Natalie Tumeniuk | 21 W Clark St, Milford, CT 06460-2517 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Natalie A Laucius | 227 Church St Apt 11h, New Haven, CT 06510-1823 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
Please comment or provide details below to improve the information on NATALIE WALTERS.
| 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).