JUAN N WALTERSPIEL MD
Controlled Substance Registration for Practitioner


Address: 2311 Wooster Ave, Belmont, CA 94002

JUAN N WALTERSPIEL MD (Credential# 216578) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2011. The license expiration date date is February 28, 2013. The license status is INACTIVE.

Business Overview

JUAN N WALTERSPIEL MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0028467. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2011. The expiration date is February 28, 2013. The business address is 2311 Wooster Ave, Belmont, CA 94002. The current status is inactive.

Basic Information

Licensee Name JUAN N WALTERSPIEL MD
Credential ID 216578
Credential Number CSP.0028467
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 2311 Wooster Ave
Belmont
CA 94002
Business Type INDIVIDUAL
Status INACTIVE
Effective Date 2011-03-01
Expiration Date 2013-02-28
Refresh Date 2011-10-27

Other licenses

ID Credential Code Credential Type Issue Term Status
553026 1.035433 Physician/Surgeon 1996-07-19 2008-06-13 - 2009-06-30 INACTIVE

Office Location

Street Address 2311 WOOSTER AVE
City BELMONT
State CA
Zip Code 94002

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Linda R Flood 723 C Old County Rd, Belmont, CA 94002 Dental Hygienist 1992-06-25 ~ 1993-06-30
Kristine Maxwell 1737 Valley View Ave, Belmont, CA 94002 Massage Therapist 1998-03-16 ~ 1999-02-28
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Jonathan K Raymond 1240 Elmer St Apt D, Belmont, CA 94002-2871 Home Improvement Salesperson 2012-01-31 ~ 2012-11-30
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Competitor

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City BELMONT
Zip Code 94002
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + BELMONT

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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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