WALTER MATHIS (Credential# 1330219) 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 APPROVED.
WALTER MATHIS is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.055314. The credential type is physician/surgeon. The effective date is July 1, 2020. The expiration date is June 30, 2021. The business address is 34 Park St., New Haven, CT 06519. The current status is approved.
| Licensee Name | WALTER MATHIS |
| Credential ID | 1330219 |
| Credential Number | 1.055314 |
| Credential Type | Physician/Surgeon |
| Business Address |
34 Park St. New Haven CT 06519 |
| Business Type | INDIVIDUAL |
| Status | APPROVED - CURRENT |
| Active | 1 |
| Issue Date | 2016-06-01 |
| Effective Date | 2020-07-01 |
| Expiration Date | 2021-06-30 |
| Refresh Date | 2020-06-26 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1361373 | CSP.0063200 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2016-06-18 | 2019-03-01 - 2021-02-28 | ACTIVE |
| Street Address | 34 Park St. |
| City | New Haven |
| State | CT |
| Zip Code | 06519 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Eartha O Henry | 34 Park St., New Haven, CT 06519 | Licensed Clinical Social Worker | 2019-07-01 ~ 2020-06-30 |
| Ronald S Duman · Yale University School of Medicine | 34 Park St., New Haven, CT 06508 | Controlled Substance Laboratory | 2020-02-01 ~ 2020-02-25 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Vinod H Srihari Md | 34 Park St Cmhc, New Haven, CT 06519 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
| Monica Brito Salinas | 111 Kimberly Ave., New Haven, CT 06519 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-27 ~ 2022-02-28 |
| Kimberly Pizza · Emmanuel Zorgias | 34 Kimberly Ave, New Haven, CT 06519 | Bakery | 2020-07-01 ~ 2021-06-30 |
| Slawomir Piascik | 51 Longhini Lane, New Haven, CT 06519 | Asbestos Abatement Supervisor | 2020-08-01 ~ 2021-07-31 |
| Margaret T Boron | 428 Columbus Ave, New Haven, CT 06519 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Laura Ann Dicola | Connecticut Mental Health Center Law & Psychiatry, New Haven, CT 06519 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Elizabeth Parson | 689 Congress Ave, New Haven, CT 06519 | Medication Administration Certification | 2020-08-05 ~ 2022-08-04 |
| Alejandra Lopez Cervantes | 10 Hedge St, New Haven, CT 06519 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-20 ~ 2021-08-31 |
| Deicy Alexandra Urena Dagua | 267 Howard Ave, New Haven, CT 06519 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-20 ~ 2021-10-31 |
| Carl M Wright Jr | 73 White Street, New Haven, CT 06519 | Licensed Practical Nurse | 2020-08-01 ~ 2021-07-31 |
| Find all Licenses in zip 06519 | |||
| City | New Haven |
| Zip Code | 06519 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + New Haven |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| 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 P Reyelt Jr | Po Box 206, Sharon, CT 06069-0206 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Otto Walter | 19 Donovan Dr, Framingham, MA 01701-3112 | Physician/surgeon | 2012-03-01 ~ 2013-02-28 |
| Walter Blumenfeld | Cbl Path Inc., Rye Brook, NY 10573 | Physician/surgeon | 2016-05-01 ~ 2017-04-30 |
| Walter H Short | 85 Jefferson St, Hartford, CT 06106-2601 | Physician/surgeon | 1980-07-02 ~ 1981-06-30 |
| Walter D Harris | 438 Main St, Old Saybrook, CT 06475 | Physician/surgeon | 2003-06-19 ~ 2004-06-30 |
| Walter Cholewczynski Md | 159 Grovers Ave, Bridgeport, CT 06605 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| 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 |
Please comment or provide details below to improve the information on WALTER MATHIS.
| 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).