HEIDI MICHELLE WALBERG
Physician Assistant


Address: 105 Avon St, New Haven, CT 06511-2422

HEIDI MICHELLE WALBERG (Credential# 1687749) is licensed (Physician Assistant) 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 ACTIVE.

Business Overview

HEIDI MICHELLE WALBERG is licensed with the Department of Consumer Protection of Connecticut. The credential number is #23.004630. The credential type is physician assistant. The effective date is July 1, 2020. The expiration date is June 30, 2021. The business address is 105 Avon St, New Haven, CT 06511-2422. The current status is active.

Basic Information

Licensee Name HEIDI MICHELLE WALBERG
Credential ID 1687749
Credential Number 23.004630
Credential Type Physician Assistant
Business Address 105 Avon St
New Haven
CT 06511-2422
Business Type INDIVIDUAL
Status ACTIVE - CURRENT
Active 1
Issue Date 2019-10-07
Effective Date 2020-07-01
Expiration Date 2021-06-30
Refresh Date 2020-05-11

Other licenses

ID Credential Code Credential Type Issue Term Status
1791857 CSP.0072560 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 2019-10-08 2019-10-08 - 2021-02-28 ACTIVE

Office Location

Street Address 105 AVON ST
City NEW HAVEN
State CT
Zip Code 06511-2422

Licenses in the same zip code

Licensee Name Office Address Credential Effective / Expiration
Robin B Goldberg 73 Avon St, New Haven, CT 06511-2422 Controlled Substance Registration for Practitioner 2019-03-01 ~ 2021-02-28
Benjamin T Galen 95 Avon St, New Haven, CT 06511-2422 Controlled Substance Registration for Practitioner 2013-03-01 ~ 2015-02-28
Nicole Veilleux 97 Avon St, New Haven, CT 06511-2422 Registered Nurse 2018-06-01 ~ 2019-05-31

Licenses in the same zip code

Licensee Name Office Address Credential Effective / Expiration
Montessori School On Edgewood Inc. 230 Edgewood Avenue, New Haven, CT 06511 Public Charity 2019-06-01 ~ 2020-05-31
Therese Parks · Visel Drug Store 264 Munson St, New Haven, CT 06511 Registered Nurse 2020-07-01 ~ 2021-06-30
Dazjia Monet Green 115 Edgewood Ave Apt 64, New Haven, CT 06511 Registered Nurse 2020-06-27 ~ 2021-05-31
Carol Yam 343 Humphrey St, New Haven, CT 06511 Registered Nurse ~
Marwan S Haddad 38 Lincoln Street, New Haven, CT 06511 Physician/surgeon 2020-07-01 ~ 2021-06-30
Mary Lou Gaeta Md 558 Chapel Street, New Haven, CT 06511 Physician/surgeon 2020-07-01 ~ 2021-06-30
Cary M Tucker 64 Bishop St, New Haven, CT 06511 Architect 2020-08-01 ~ 2021-07-31
Frank J Pannenborg 505 Ellsworth Ave, New Haven, CT 06511 Architect 2020-08-01 ~ 2021-07-31
Crystal E Gooding 26 Woodland Street, New Haven, CT 06511 Notary Public Appointment 2020-07-01 ~ 2025-06-30
Kieran Jones 260 Crown St Unit 1f, New Haven, CT 06511 Registered Nurse ~
Find all Licenses in zip 06511

Competitor

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City NEW HAVEN
Zip Code 06511
License Type Physician Assistant
License Type + County Physician Assistant + NEW HAVEN

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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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