DAVID S WALLACE (Credential# 1285885) is licensed (Emergency Medical Technician) with Connecticut Department of Consumer Protection. The license effective date is July 15, 2016. The license expiration date date is April 1, 2018. The license status is INACTIVE.
DAVID S WALLACE is licensed with the Department of Consumer Protection of Connecticut. The credential number is #70.020687. The credential type is emergency medical technician. The effective date is July 15, 2016. The expiration date is April 1, 2018. The business address is 39 Allen Pl, Staten Island, NY 10312-5901. The current status is inactive.
| Licensee Name | DAVID S WALLACE |
| Credential ID | 1285885 |
| Credential Number | 70.020687 |
| Credential Type | Emergency Medical Technician |
| Business Address |
39 Allen Pl Staten Island NY 10312-5901 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 2016-07-15 |
| Effective Date | 2016-07-15 |
| Expiration Date | 2018-04-01 |
| Refresh Date | 2018-07-05 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1295868 | 54.001076 | Athletic Trainer | 2015-09-01 | 2016-10-01 - 2017-09-30 | INACTIVE |
| 1372113 | 70 | Emergency Medical Technician | - | PENDING | |
| 1367714 | 70 | Emergency Medical Technician | - | PENDING |
| Street Address | 39 ALLEN PL |
| City | STATEN ISLAND |
| State | NY |
| Zip Code | 10312-5901 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| David Wallace | 39 Allen Pl, Staten Island, NY 10312-5901 | Controlled Substance Registration for Practitioner | 2019-06-28 ~ 2021-02-28 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Biana Volfinzon | 187 Arbutus Ave., Staten Island, NY 10312 | Physician/surgeon | ~ |
| Laren Encarnacion | 482 Wilson Avenue, Staten Island, NY 10312 | Registered Nurse | ~ |
| Joseph J Aliotta | 74 Robinson Ave, Staten Island, NY 10312 | Architect | 2020-08-01 ~ 2021-07-31 |
| David P Suarez | 3733 Richmond Avenue, Staten Island, NY 10312 | Physician/surgeon | 2018-11-01 ~ 2019-10-31 |
| Raven Devincenzo Md | 59 Van Brunt St, Staten Island, NY 10312 | Physician/surgeon | 2020-02-01 ~ 2021-01-31 |
| Yanina Gleyzer | 246 Hillcrest Street, Staten Island, NY 10312 | Master's Level Social Worker | 2019-10-01 ~ 2020-09-30 |
| Richard Louis Sosa | 15 Osage Lane, Staten Island, NY 10312 | Registered Nurse | 2019-09-01 ~ 2020-08-31 |
| Janice Riso | 241 Kinghorn St, Staten Island, NY 10312 | Resident Physician | 2015-07-01 ~ 2019-06-30 |
| Bedzet Vejselovski · E. V. Masonry | 169 Rathbun Ave, Staten Island, NY 10312 | Home Improvement Contractor | 2006-01-25 ~ 2006-11-30 |
| Frederick A Barbieri | 62 Covington Circle, Staten Island, NY 10312 | Professional Engineer | 2012-02-01 ~ 2013-01-31 |
| Find all Licenses in zip 10312 | |||
| City | STATEN ISLAND |
| Zip Code | 10312 |
| License Type | Emergency Medical Technician |
| License Type + County | Emergency Medical Technician + STATEN ISLAND |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| David E Wallace | 298 South Street, Bristol, CT 06010 | Advanced Emergency Medical Technician | 2007-06-14 ~ 2013-10-01 |
| Lindsay Wallace | 66 Line St, Glastonbury, CT 06033-1502 | Emergency Medical Technician | ~ |
| Angela C Serrano | 238 Wallace St., Newhaven, CT 06511 | Emergency Medical Technician | ~ |
| Alisha Marie Giglio | 72 Wallace Row, Wallingford, CT 06492 | Emergency Medical Technician | ~ |
| Lauren Wallace | 6 Sejon Dr, Sayville, NY 11782-3227 | Emergency Medical Technician | 2013-12-17 ~ 2016-10-01 |
| John H Wallace | 364 Thames St., Groton, CT 06340 | Emergency Medical Technician | 2008-03-31 ~ 2009-10-01 |
| Bernie J Wallace | 130 Sargeant St Fl 2, Hartford, CT 06105-1451 | Emergency Medical Technician | 2012-06-12 ~ 2014-10-01 |
| Christopher M Wallace | 44 Secor Rd, Brookfield, CT 06804-3938 | Emergency Medical Technician | 2019-02-08 ~ 2021-12-31 |
| Deborah Deltoro | 35a Wallace Ave, Auburn, MA 01501-1135 | Emergency Medical Technician | 2013-07-09 ~ 2016-04-01 |
| Brian W Wallace | 4 Pebble Rd, Monroe, CT 06468-1614 | Emergency Medical Technician | 2009-06-24 ~ 2014-10-01 |
Please comment or provide details below to improve the information on DAVID S WALLACE.
| 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).