WALLACE BLAKE MCKINNEY (Credential# 1520623) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is December 1, 2019. The license expiration date date is November 30, 2020. The license status is ACTIVE.
WALLACE BLAKE MCKINNEY is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.061604. The credential type is physician/surgeon. The effective date is December 1, 2019. The expiration date is November 30, 2020. The business address is 3513 Brighton Blvd, Denver, CO 80216. The current status is active.
| Licensee Name | WALLACE BLAKE MCKINNEY |
| Credential ID | 1520623 |
| Credential Number | 1.061604 |
| Credential Type | Physician/Surgeon |
| Business Address |
3513 Brighton Blvd Denver CO 80216 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2018-07-09 |
| Effective Date | 2019-12-01 |
| Expiration Date | 2020-11-30 |
| Refresh Date | 2019-11-21 |
| Street Address | 3513 Brighton Blvd |
| City | Denver |
| State | CO |
| Zip Code | 80216 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Matthew Scott Muller | 3513 Brighton Blvd, Denver, CO 80216 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Anna Ngoc Nguyen | 3513 Brighton Blvd, Denver, CO 80216 | Physician/surgeon | 2019-11-01 ~ 2020-10-31 |
| Jason M Hogan | 3513 Brighton Blvd, Denver, CO 80216 | Physician/surgeon | 2020-02-06 ~ 2020-09-30 |
| John P Dutton | 3513 Brighton Blvd, Denver, CO 80216 | Physician/surgeon | 2019-09-01 ~ 2020-08-31 |
| Donna Margaret Baldwin | 3513 Brighton Blvd, Denver, CO 80216-3605 | Physician/surgeon | ~ |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Dispatchhealth Holdings, Inc. | 3455 Ringsby Ct, Ste 101c, Denver, CO 80216 | Securities - Exemptions | 2020-04-17 ~ |
| Matthew Joseph Boren | 3513 Brighton Blvd., Ste 230, Denver, CO 80216 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
| Jonathon Steven Belaus | 1859 28th St, Denver, CO 80216 | Certified Public Accountant License | 2020-01-01 ~ 2020-12-31 |
| Basic Comfort Inc | 5151 Franklin St, Denver, CO 80216 | Manufacturer of Bedding & Upholstered Furniture | 2009-05-26 ~ 2010-04-30 |
| Columbine Beverage Company · Robert Mcnamera | 4301 Broadway, Denver, CO 80216 | Non-alcoholic Beverage & Water Bottlers | 1999-09-09 ~ 2000-06-30 |
| Safeway Inc | 6405 Stapleton North Drive, Denver, CO 80216 | Non-alcoholic Beverage & Water Bottlers | 2006-03-07 ~ 2006-06-30 |
| Kristine S Gisoni | 4100 Albion Street, Unit 112, Denver, CO 80216 | Registered Nurse | 2009-05-07 ~ 2010-06-30 |
| Watersaver Co Inc · Gco.00206 | Po Box 16465, Denver, CO 80216 | Major Contractor | ~ 1995-06-30 |
| Safeway Beverage · Susi Perry | 6405 Stapleton North Drive, Denver, CO 80216 | Non-alcoholic Beverage & Water Bottlers | 2000-08-17 ~ 2001-06-30 |
| Wedontwaste Inc | 5971 Broadway, Denver, CO 80216-1026 | Public Charity | 2020-04-08 ~ 2020-11-30 |
| Find all Licenses in zip 80216 | |||
| City | Denver |
| Zip Code | 80216 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + Denver |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Justine Aj Magurno | 1178 Mckinney Hill Rd, Athens, PA 18810-7833 | Physician/surgeon | 2019-11-01 ~ 2020-10-31 |
| Frank W Crast | 825 Chapel Hill Lane, Mckinney, TX 75069 | Physician/surgeon | 2006-09-08 ~ 2007-09-30 |
| Edward P Wallace Md | 285 Broad St, Meriden, CT 06450 | Physician/surgeon | 1999-02-11 ~ 2000-02-29 |
| Max L Wallace Jr | 383 Rockwood Drive, Southington, CT 06489 | Physician/surgeon | 2017-09-01 ~ 2018-08-31 |
| Michael Lloyd Wallace | 875 Greentree Rd, Pittsburgh, PA 15220-3508 | Physician/surgeon | ~ |
| Ellen C Wallace | 25 Stearns Rd, Watertown, MA 02172 | Physician/surgeon | 1994-11-02 ~ 1995-12-31 |
| Keri A Wallace Md | Ct Pediatrics At Chc, Hartford, CT 06106 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Christopher A Wallace | 6 Charlotte Ct, Avon, CT 06001-2257 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Tomasz E Debowski | 856-c Blake St, Indianapolis, IN 46202 | Physician/surgeon | 1992-01-23 ~ 1992-12-31 |
| Robert D Black Md | 330 Blake Cir, Hamden, CT 06517 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
Please comment or provide details below to improve the information on WALLACE BLAKE MCKINNEY.
| 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).