WALTER J CLARK (Credential# 1117250) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is August 1, 2020. The license expiration date date is July 31, 2021. The license status is ACTIVE.
WALTER J CLARK is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.051368. The credential type is physician/surgeon. The effective date is August 1, 2020. The expiration date is July 31, 2021. The business address is 4700 Ellsworth Avenue Apt 4, Pittsburgh, PA 15213. The current status is active.
| Licensee Name | WALTER J CLARK |
| Credential ID | 1117250 |
| Credential Number | 1.051368 |
| Credential Type | Physician/Surgeon |
| Business Address |
4700 Ellsworth Avenue Apt 4 Pittsburgh PA 15213 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2012-09-06 |
| Effective Date | 2020-08-01 |
| Expiration Date | 2021-07-31 |
| Refresh Date | 2020-06-24 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Walter J Clark | Chestnut Hill Road, Colchester, CT 06415 | Crane Operator | ~ |
| Street Address | 4700 Ellsworth Avenue Apt 4 |
| City | Pittsburgh |
| State | PA |
| Zip Code | 15213 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Tmd Holdings LLC | 461 Melwood Ave, Pittsburgh, PA 15213 | Manufacturer of Bedding & Upholstered Furniture | 2016-12-13 ~ 2017-04-30 |
| Magee Womens Research Institute and Foundation | 3240 Craft Place, Pittsburgh, PA 15213 | Public Charity | 2020-06-01 ~ 2021-05-31 |
| Evan T Deng | 4500 Centre Avenue, Pittsburgh, PA 15213 | Pharmacy Technician | 2019-04-01 ~ 2020-03-31 |
| Matthew J Chinman | Rand., Pittsburgh, PA 15213 | Psychologist | 2019-12-01 ~ 2020-11-30 |
| Nikunj Kamlesh Mehta | 240 Melwood Ave Apt #c2, Pittsburgh, PA 15213 | Physical Therapist | ~ |
| Joseph I Boonsiri | 200 Holmes Place Apt 9, Pittsburgh, PA 15213 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
| Adrian D West | 475 Garner Court, Pittsburgh, PA 15213 | Engineer-in-training | 2011-06-14 ~ 2021-06-14 |
| Emad Almusa | 4936 Wallingford St., Pittsburgh, PA 15213 | Physician/surgeon | 2008-12-01 ~ 2009-12-31 |
| Genora Connor | 375 N Craig St, Pittsburgh, PA 15213 | Hairdresser/cosmetician | 1996-06-17 ~ 1997-06-30 |
| Sejal S Patel | 120 Ruskin Ave., Pittsburgh, PA 15213 | Dental Hygienist | 2003-12-22 ~ 2004-12-31 |
| Find all Licenses in zip 15213 | |||
| City | Pittsburgh |
| Zip Code | 15213 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + Pittsburgh |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Walter P Reyelt Jr | Po Box 206, Sharon, CT 06069-0206 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Walter G Donnelly Jr | Po Box 679, Sharon, CT 06069-0679 | Physician/surgeon | 2014-08-01 ~ 2015-07-31 |
| Walter A Castro | 282 Washington St, Hartford, CT 06106-3322 | Physician/surgeon | ~ |
| Walter A Borden | 33 Bay Hill Dr, Bloomfield, CT 06002-2374 | Physician/surgeon | 2015-12-01 ~ 2016-11-30 |
| S Walter Witryol | 29 Haynes St Ste D, Manchester, CT 06040-4139 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
| Walter J Lentz | 46 Wells St, Westerly, RI 02891 | Physician/surgeon | 2008-12-26 ~ 2009-11-30 |
| Walter D Lehnhoff | 7 Orchard Ln, Simsbury, CT 06070 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Walter Kulczycky Md | 24 Mulberry Rd, Woodbridge, CT 06525 | Physician/surgeon | 2006-02-13 ~ 2007-04-30 |
| Walter Mathis | 34 Park St., New Haven, CT 06519 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Otto Walter | 19 Donovan Dr, Framingham, MA 01701-3112 | Physician/surgeon | 2012-03-01 ~ 2013-02-28 |
Please comment or provide details below to improve the information on WALTER J CLARK.
| 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).