CONSTANCE T WALKER MD
Controlled Substance Registration for Practitioner


Address: 111 North 12th Street, Tampa, FL 33602

CONSTANCE T WALKER MD (Credential# 153030) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2015. The license expiration date date is February 28, 2017. The license status is INACTIVE.

Business Overview

CONSTANCE T WALKER MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0011194. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2015. The expiration date is February 28, 2017. The business address is 111 North 12th Street, Tampa, FL 33602. The current status is inactive.

Basic Information

Licensee Name CONSTANCE T WALKER MD
Credential ID 153030
Credential Number CSP.0011194
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 111 North 12th Street
Tampa
FL 33602
Business Type INDIVIDUAL
Status INACTIVE
Effective Date 2015-03-01
Expiration Date 2017-02-28
Refresh Date 2018-01-29

Other licenses

ID Credential Code Credential Type Issue Term Status
544874 1.024160 Physician/Surgeon 1982-10-06 2016-03-01 - 2017-02-28 INACTIVE

Office Location

Street Address 111 North 12th Street
City Tampa
State FL
Zip Code 33602

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Kristin Lauren Ingram 2808 N Morgan St, Tampa, FL 33602 Registered Nurse 2020-03-02 ~ 2021-03-31
Camille Renshaw 313 W Frances Ave, Tampa, FL 33602 Real Estate Broker 2020-04-01 ~ 2021-03-31
Jessica Wild Reed 201 E Kennedy Blvd, Tampa, FL 33602 Advanced Practice Registered Nurse ~
Caldwell & Orkin Funds, Inc. 100 South Ashley Drive, Tampa, FL 33602 Filing Company (icoe) 2019-12-31 ~ 2020-12-31
Bradley T Flom 1449 Harbour Walk Rd., Tampa, FL 33602 Professional Engineer 2018-02-01 ~ 2019-01-31
Immersive Tech, Inc. 220 West 7th Avenue, Tampa, FL 33602 Securities - Exemptions 2019-10-15 ~
Nicholas M Bradford 206 E Ross Ave, Tampa, FL 33602 Professional Engineer 2001-02-01 ~ 2002-01-31
Ashley E Literski 1190 E Washington St., Tampa, FL 33602 Registered Nurse 2013-11-01 ~ 2014-10-31
Hoon Yu 1175 E Kennedy Blvd, Tampa, FL 33602 Physician/surgeon ~
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Competitor

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City Tampa
Zip Code 33602
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + Tampa

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Dataset Information

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).

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