JAMES F WALSH III
Physician/surgeon


Address: 169 Twin Lanes Road, Fairfield, CT 06824

JAMES F WALSH III (Credential# 538970) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is December 1, 2009. The license expiration date date is November 30, 2010. The license status is INACTIVE.

Business Overview

JAMES F WALSH III is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.007753. The credential type is physician/surgeon. The effective date is December 1, 2009. The expiration date is November 30, 2010. The business address is 169 Twin Lanes Road, Fairfield, CT 06824. The current status is inactive.

Basic Information

Licensee Name JAMES F WALSH III
Credential ID 538970
Credential Number 1.007753
Credential Type Physician/Surgeon
Business Address 169 Twin Lanes Road
Fairfield
CT 06824
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 1954-11-17
Effective Date 2009-12-01
Expiration Date 2010-11-30
Refresh Date 2011-03-02

Other licenses

ID Credential Code Credential Type Issue Term Status
153045 CSP.0002785 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 2001-03-01 - 2002-02-28 INACTIVE

Office Location

Street Address 169 Twin Lanes Road
City Fairfield
State CT
Zip Code 06824

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Competitor

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City Fairfield
Zip Code 06824
License Type Physician/Surgeon
License Type + County Physician/Surgeon + Fairfield

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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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