DANIEL P WALSH PA (Credential# 423822) 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.
DANIEL P WALSH PA is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0038615. 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 122 Vernon Branch Rd, Coventry, CT 06238. The current status is inactive.
| Licensee Name | DANIEL P WALSH PA |
| Credential ID | 423822 |
| Credential Number | CSP.0038615 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
122 Vernon Branch Rd Coventry CT 06238 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE |
| Issue Date | 2005-12-12 |
| Effective Date | 2011-03-01 |
| Expiration Date | 2013-02-28 |
| Refresh Date | 2014-01-29 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 743476 | 23.001727 | Physician Assistant | 2005-11-07 | 2011-05-01 - 2012-04-30 | INACTIVE |
| 571405 | 10.067398 | Registered Nurse | 2001-10-15 | 2011-05-01 - 2012-04-30 | INACTIVE |
| Street Address | 122 VERNON BRANCH RD |
| City | COVENTRY |
| State | CT |
| Zip Code | 06238 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Elizabeth Walsh | 122 Vernon Branch Rd, Coventry, CT 06238 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
| Anita M Tevelde | 122 Vernon Branch Rd, Coventry, CT 06238-1027 | Registered Nurse | 1996-04-01 ~ 1997-02-28 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Parul S Shah · Bidwell Spirit Shoppe | 1220 Main St, Coventry, CT 06238 | Package Store Liquor | 2020-08-02 ~ 2021-08-01 |
| Mary A Manton | 28 Armstrong Rd Unit B-9, Coventry, CT 06238 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
| Barbara J Dillon | 93 Alice Drive, Coventry, CT 06238 | Public Weigher | 2020-07-01 ~ 2021-06-30 |
| Cody Adam Kirschbaum | 83 Daly Rd, Coventry, CT 06238 | Emergency Medical Technician | ~ |
| Stephanie A Simmons | 878 Silver St, Coventry, CT 06238 | Licensed Practical Nurse | 2020-02-01 ~ 2021-01-31 |
| Mellissa U Carroll | 349 Ripley Hill Rd, Coventry, CT 06238 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Kristin D'alfonso | 43 Windy Hill Road, Coventry, CT 06238 | Physician Assistant | 2020-07-01 ~ 2021-06-30 |
| Dawn Trudeau | 46 Flanders River Road, Coventry, CT 06238 | Medication Administration Certification | 2020-06-28 ~ 2022-06-27 |
| Bryan Trudel | 3505 South St., Coventry, CT 06238 | Backflow Prevention Device Tester | 2020-05-27 ~ 2023-03-31 |
| Christopher Dean | 545 Flanders Rd., Coventry, CT 06238 | Backflow Prevention Device Tester | 2020-05-27 ~ 2023-03-31 |
| Find all Licenses in zip 06238 | |||
| City | COVENTRY |
| Zip Code | 06238 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + COVENTRY |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Ana L Altarriba-walsh Dds | 21 Jonathan Dr, Bayville, NJ 08721-1279 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
| Christina K Walsh | 333 Cedar St, New Haven, CT 06510-3206 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| 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 |
| Jessica A Walsh | 52 Beach Rd, Fairfield, CT 06824 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Balakrishnan Sathishchandar | 287 Walsh Ave, Newington, CT 06111 | Controlled Substance Registration for Practitioner | 2019-03-06 ~ 2021-02-28 |
| Pamela J Walsh | 5 Perryridge Rd, Greenwich, CT 06830-4608 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
| Susan A Walsh Md | 18 Middle Rd, Hamden, CT 06517-1517 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Francis X Walsh | 70 Parsonage Rd, Greenwich, CT 06830-3941 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Brooks M Walsh | 168 Linden Street C2, New Haven, CT 06511 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
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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).