CHARLES C WALCOTT (Credential# 1265366) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is July 1, 2020. The license expiration date date is June 30, 2021. The license status is ACTIVE.
CHARLES C WALCOTT is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.054219-DO. The credential type is physician/surgeon. The effective date is July 1, 2020. The expiration date is June 30, 2021. The business address is 248 Glenwood Dr, Guilford, CT 06437. The current status is active.
| Licensee Name | CHARLES C WALCOTT |
| Credential ID | 1265366 |
| Credential Number | 1.054219-DO |
| Credential Type | Physician/Surgeon |
| Credential SubCategory | DO |
| Business Address |
248 Glenwood Dr Guilford CT 06437 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2015-06-10 |
| Effective Date | 2020-07-01 |
| Expiration Date | 2021-06-30 |
| Refresh Date | 2020-06-24 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1293650 | CSP.0060582 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2015-06-12 | 2019-03-01 - 2021-02-28 | ACTIVE |
| 755406 | 28.004620 | Radiographer | 2005-03-23 | 2008-05-14 - 2009-06-30 | INACTIVE |
| Street Address | 248 Glenwood Dr |
| City | Guilford |
| State | CT |
| Zip Code | 06437 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Jane E Olsen | Po Box 601, Guilford, CT 06437 | Real Estate Salesperson | 2020-06-27 ~ 2021-05-31 |
| Alanna Munzenmaier | 81 Saw Mill Rd, Guilford, CT 06437 | Veterinarian | 2020-07-01 ~ 2021-06-30 |
| Sandra L Lion | 84 Granite Road, Guilford, CT 06437 | Notary Public Appointment | 2020-08-01 ~ 2025-07-31 |
| Nimet H Memik-moavero | 110 Cherry Street, Guilford, CT 06437 | Real Estate Salesperson | ~ |
| Jacklyn Nicole Basilicato | 345 Saw Mill Road, Guilford, CT 06437 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Alissa Bailey | 5 Streamview Circle, Guilford, CT 06437 | Notary Public Appointment | 2020-09-01 ~ 2025-08-31 |
| The Marketplace Emporia LLC · The Marketplace Emporia, LLC | 77-79 Whitfield Street, Guilford, CT 06437 | Bakery | 2020-07-01 ~ 2021-06-30 |
| Deborah Ackles | 46clear Lake Manor Road, Guilford, CT 06437 | Veterinarian | 2020-08-01 ~ 2021-07-31 |
| Bruce D Mccann | 200 State St, Guilford, CT 06437 | Architect | 2020-08-01 ~ 2021-07-31 |
| Stephanie J Jacobs | 130 Winthrop Rd, Guilford, CT 06437 | Real Estate Salesperson | 2020-06-25 ~ 2021-05-31 |
| Find all Licenses in zip 06437 | |||
| City | Guilford |
| Zip Code | 06437 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + Guilford |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| L Walcott LLC | 493 Wethersfield Ave, Hartford, CT 06114-1939 | Home Improvement Contractor | 2019-12-01 ~ 2020-11-30 |
| Neishelle Walcott | 644 Leland Ave, Bronx, NY 10473-2912 | Physician Assistant | ~ |
| Sheron N Walcott | 2052 E 60th St, Brooklyn, NY 11234-4110 | Physician Assistant | 2016-12-01 ~ 2017-11-30 |
| Miles P Walcott · Walcott Home Improvement Co (the) | 15 Boylston St Fl 1, West Haven, CT 06516-3308 | Home Improvement Contractor | 2020-03-09 ~ 2020-11-30 |
| Christopher El Khuri | 218 N Charles St, Baltimore, MD 21201-4021 | Physician/surgeon | ~ |
| Charles Flack | Ohs 3rd Fl, San Bernadino, CA 92415 | Physician/surgeon | 1993-09-23 ~ 1994-07-31 |
| Charles M Dickson | 95 Day St, Granby, CT 06035 | Physician/surgeon | 2010-04-01 ~ 2011-03-31 |
| Charles L Larkin Jr | Box 177, Middlebury, CT 06762 | Physician/surgeon | 2006-05-04 ~ 2007-05-31 |
| Charles F Stroebel IIi | Po Box 279, Andover, CT 06232-0279 | Physician/surgeon | 1998-03-16 ~ 1999-05-31 |
| Charles W Boren | Rt 2 Box 106, Pecos, NM 87552 | Physician/surgeon | 1993-05-25 ~ 1994-06-30 |
Please comment or provide details below to improve the information on CHARLES C WALCOTT.
| 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).