SUSAN A WALSH MD (Credential# 321131) 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.
SUSAN A WALSH MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0032729. 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 18 Middle Rd, Hamden, CT 06517-1517. The current status is active.
Licensee Name | SUSAN A WALSH MD |
Credential ID | 321131 |
Credential Number | CSP.0032729 |
Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
Business Address |
18 Middle Rd Hamden CT 06517-1517 |
Business Type | INDIVIDUAL |
Status | ACTIVE - CURRENT |
Active | 1 |
Issue Date | 2002-09-13 |
Effective Date | 2019-03-01 |
Expiration Date | 2021-02-28 |
Refresh Date | 2019-02-19 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
558138 | 1.040555 | Physician/Surgeon | 2002-06-20 | 2020-02-01 - 2021-01-31 | ACTIVE |
Street Address | 18 MIDDLE RD |
City | HAMDEN |
State | CT |
Zip Code | 06517-1517 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Briggs V Harlan | 30 Middle Rd, Hamden, CT 06517-1517 | Emergency Medical Technician | ~ |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Timothy J Freer | 33 Norris Street, Hamden, CT 06517 | Physical Therapist | 2020-09-01 ~ 2021-08-31 |
Juan Ignacio Zurita-castilla | 43 Merritt St, Hamden, CT 06517 | Master's Level Social Worker - Temporary Permit | 2020-06-25 ~ 2020-09-13 |
Elizabeth Alberico | 58 Hesse Road, Hamden, CT 06517 | Notary Public Appointment | 2020-06-01 ~ 2025-05-31 |
Stephen M Grossman | 17 Greenway St, Hamden, CT 06517 | Architect | 2020-08-01 ~ 2021-07-31 |
James E Laposta Jr | 66 Laurel Road, Hamden, CT 06517 | Architect | 2020-08-01 ~ 2021-07-31 |
Judith M Rothstein | 11 Dadio Road, Hamden, CT 06517 | Licensed Alcohol and Drug Counselor | 2020-04-01 ~ 2021-03-31 |
Keleann T Tamaki | 165 Ridge Road, Hamden, CT 06517 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
Robin L Esposito | 191 Thornton St, Hamden, CT 06517 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
Michele R Abrams | 114 Wakefield St, Hamden, CT 06517 | Audiologist | 2020-09-01 ~ 2021-08-31 |
Catherine E Tesluk | 215 Hartford Tpke, Hamden, CT 06517 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
Find all Licenses in zip 06517 |
City | HAMDEN |
Zip Code | 06517 |
License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + HAMDEN |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Pamela J Walsh | 5 Perryridge Rd, Greenwich, CT 06830-4608 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
Jessica A Walsh | 52 Beach Rd, Fairfield, CT 06824 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Christina K Walsh | 333 Cedar St, New Haven, CT 06510-3206 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
Balakrishnan Sathishchandar | 287 Walsh Ave, Newington, CT 06111 | Controlled Substance Registration for Practitioner | 2019-03-06 ~ 2021-02-28 |
Francis X Walsh | 70 Parsonage Rd, Greenwich, CT 06830-3941 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Erin Kelly Walsh | 20 W End, Old Greenwich, CT 06870 | Controlled Substance Registration for Practitioner | 2020-06-25 ~ 2021-02-28 |
Deanne Walsh | 19 Knollcrest Dr, Trumbull, CT 06611-5332 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Ana L Altarriba-walsh Dds | 21 Jonathan Dr, Bayville, NJ 08721-1279 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
Heather A Walsh | 2314 Ontario Rd Nw, Washington, DC 20009 | Controlled Substance Registration for Practitioner | 2011-04-01 ~ 2013-02-28 |
Joseph A Walsh Md | 27 Maple Ridge Dr, Farmington, CT 06032 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2015-02-28 |
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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).