GENEVIEVE VON WALSTROM (Credential# 1525987) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2019. The license expiration date date is February 28, 2021. The license status is ACTIVE.
GENEVIEVE VON WALSTROM is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0068791. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2019. The expiration date is February 28, 2021. The business address is 1 Linden Place, Hartford, CT 06106. The current status is active.
| Licensee Name | GENEVIEVE VON WALSTROM |
| Credential ID | 1525987 |
| Credential Number | CSP.0068791 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
1 Linden Place Hartford CT 06106 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2018-06-25 |
| Effective Date | 2019-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2019-02-08 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1394922 | 1.057243 | Physician/Surgeon | 2017-12-08 | 2019-09-01 - 2020-08-31 | ACTIVE |
| Street Address | 1 Linden Place |
| City | Hartford |
| State | CT |
| Zip Code | 06106 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Rebecca E Lindholm | 1 Linden Place, Hartford, CT 06106 | Massage Therapist | 2020-06-01 ~ 2022-05-31 |
| Yasmin N Lynch | 1 Linden Place, Hartford, CT 06106 | Occupational Therapist Assistant | 2019-08-01 ~ 2021-07-31 |
| Edward J Roberts | 1 Linden Place, Hartford, CT 06106 | Registered Nurse | 2020-04-01 ~ 2021-03-31 |
| Kristen Michele Marcroft | 1 Linden Place, Hartford, CT 06106 | Notary Public Appointment | 2012-08-21 ~ 2017-08-31 |
| Johanna T Ierna | 1 Linden Place, Hartford, CT 06106 | Registered Nurse | 2012-10-01 ~ 2013-09-30 |
| Judith A Vargo | 1 Linden Place, Hartford, CT 06106 | Real Estate Salesperson | 2004-08-27 ~ 2005-05-31 |
| Mario Leicach Md | 1 Linden Place, Hartford, CT 06106 | Physician/surgeon | 1998-12-08 ~ 2000-02-29 |
| Irene V Petit | 1 Linden Place, Hartford, CT 06106 | Notary Public Appointment | 1985-03-19 ~ 1990-03-31 |
| Marilyn G. Schulz | 1 Linden Place, Hartford, CT 06106 | Certified Public Accountant Certificate | ~ |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Connpirg Education Fund Inc | 2074 Park St #210, Hartford, CT 06106 | Public Charity | 2019-06-01 ~ 2020-05-31 |
| Environment Connecticut Research & Policy Center Inc | 2074 Park St, #210, Hartford, CT 06106 | Public Charity | 2019-06-01 ~ 2020-05-31 |
| Douglas Laing Rock Oyster | Statewide, Hartford, CT 06106 | Liquor Brand Label | 2016-08-03 ~ 2019-08-02 |
| Randall S Luther | 146 Wyllys St 1-203, Hartford, CT 06106 | Architect | 2020-08-01 ~ 2021-07-31 |
| Guillermina Gonzalez | 97 Amity St., Hartford, CT 06106 | Hairdresser/cosmetician | 2020-09-01 ~ 2022-08-31 |
| Keyonni Jones | 54 Grafton St, Hartford, CT 06106 | Medication Administration Certification | ~ |
| Amber Nicole Perretta | 125 Zion St 2n, Hartford, CT 06106 | Hairdresser/cosmetician | ~ |
| Jose B. Jiminian · Danny's Market Grocery Store | 33 Park Street, Hartford, CT 06106 | Grocery Beer | 2020-08-01 ~ 2021-07-31 |
| Alice G Nieto | 29 Kelsey Street, Hartford, CT 06106 | Licensed Clinical Social Worker | 2020-07-01 ~ 2021-06-30 |
| Malinda M Rodriguez | 27 Amity Street #3, Hartford, CT 06106 | Notary Public Appointment | ~ |
| Find all Licenses in zip 06106 | |||
| City | Hartford |
| Zip Code | 06106 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + Hartford |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Genevieve T Chu | 967 Asylum Ave Apt 2q, Hartford, CT 06105-2412 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Genevieve C O'connell | 11 Brookfield Ct, Cheshire, CT 06410-4303 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Genevieve Estilo Md | 435 Whitney Ave #b6, New Haven, CT 06511 | Controlled Substance Registration for Practitioner | 2004-02-29 ~ 2005-02-28 |
| Genevieve N Dinh | 2640 Moon Chase Ln, Buford, GA 30519-5363 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Genevieve Mack Aprn | 180 West Rock Avenue, New Haven, CT 06515 | Controlled Substance Registration for Practitioner | 2002-03-14 ~ 2003-02-28 |
| Genevieve Gin | Connecticut Brand Registration, Hartford, CT 06106 | Liquor Brand Label | 2015-09-24 ~ 2018-09-22 |
| Genevieve | Connecticut Brand Registration, Hartford, CT 06106 | Liquor Brand Label | 2014-08-26 ~ 2017-08-25 |
| Steven Kassels Md · Community Substance Abuse Center | Comm. Physicians PC/125 North Elm Street, Westfield, MA 01085 | Controlled Substance Registration for Practitioner | 2018-06-15 ~ 2019-02-28 |
| Shu-i Lin | CT | Controlled Substance Registration for Practitioner | 2017-06-12 ~ 2019-02-28 |
| Hae J Kim Pa | New Haven, CT 06511 | Controlled Substance Registration for Practitioner | 2008-03-31 ~ 2009-02-28 |
Please comment or provide details below to improve the information on GENEVIEVE VON WALSTROM.
| 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).