WALTER H GAJEWSKI (Credential# 545751) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is December 18, 2003. The license expiration date date is December 31, 2004. The license status is INACTIVE.
WALTER H GAJEWSKI is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.025979. The credential type is physician/surgeon. The effective date is December 18, 2003. The expiration date is December 31, 2004. The business address is 101 Dudley Street, Providence, RI 02905. The current status is inactive.
Licensee Name | WALTER H GAJEWSKI |
Credential ID | 545751 |
Credential Number | 1.025979 |
Credential Type | Physician/Surgeon |
Business Address |
101 Dudley Street Providence RI 02905 |
Business Type | INDIVIDUAL |
Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
Issue Date | 1984-10-15 |
Effective Date | 2003-12-18 |
Expiration Date | 2004-12-31 |
Refresh Date | 2009-07-08 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
160259 | CSP.0017447 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2003-03-28 - 2004-02-28 | INACTIVE |
Street Address | 101 DUDLEY STREET |
City | PROVIDENCE |
State | RI |
Zip Code | 02905 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Deborah L Myers | 101 Dudley Street, Providence, RI 02905 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
Wendy B Young | 101 Dudley Street, Providence, RI 02905 | Registered Nurse | 2020-03-01 ~ 2021-02-28 |
Rebecca H Allen | 101 Dudley Street, Providence, RI 02905 | Controlled Substance Registration for Practitioner | 2020-02-26 ~ 2021-02-28 |
James F Padbury | 101 Dudley Street, Providence, RI 02905 | Physician/surgeon | 2016-09-01 ~ 2017-08-31 |
Margaret M Steinhoff | 101 Dudley Street, Providence, RI 02905 | Physician/surgeon | 2016-08-01 ~ 2017-07-31 |
Trevor Tejada-berges | 101 Dudley Street, Providence, RI 02905 | Physician/surgeon | 2013-03-01 ~ 2014-02-28 |
Balasubramanian Bhagavath | 101 Dudley Street, Providence, RI 02905 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
David Frankfurter Md | 101 Dudley Street, Providence, RI 02905 | Controlled Substance Registration for Practitioner | 2002-03-01 ~ 2003-02-28 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Martha L Werenfels | 66 Fort Avenue, Cranston, RI 02905 | Architect | 2020-08-01 ~ 2021-07-31 |
Peter M Scotti | 18 Hudson Place, Cranston, RI 02905 | Certified General Real Estate Appraiser | 2020-05-01 ~ 2021-04-30 |
Paul H Dyer | 19 Henry St, Cranston, RI 02905 | Casino Class I Employee | 2019-12-11 ~ 2020-10-31 |
Tammie W Sutton | 43 Colfax St., Providence, RI 02905 | Casino Class I Employee | 2019-12-11 ~ 2020-10-31 |
Mark A Caruso | 9 Rhodes Avenue, Cranston, RI 02905 | Casino Class I Employee | 2019-12-11 ~ 2020-10-31 |
Stephen Paul Tippe | 1972 Broad Street, Cranston, RI 02905 | Casino Class I Employee | 2019-12-11 ~ 2020-10-31 |
Michael T Parker | 139 Babcock Street, Providence, RI 02905 | Casino Class I Employee | 2019-12-11 ~ 2020-10-31 |
Jacquelyn Nicole Fellows | 198 Armington St Apt 8, Cranston, RI 02905 | Casino Class I Employee | 2019-12-03 ~ 2020-10-31 |
David Duarte | 48 Harbor View Terrace, Stonington, CT 02905 | Casino Class I Employee | 2019-12-11 ~ 2020-10-31 |
Szu Ching Wu | 1185 Narragansett Blvd Apt 206, Cranston, RI 02905 | Casino Class I Employee | 2019-12-03 ~ 2020-10-31 |
Find all Licenses in zip 02905 |
City | PROVIDENCE |
Zip Code | 02905 |
License Type | Physician/Surgeon |
License Type + County | Physician/Surgeon + PROVIDENCE |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Walter P Reyelt Jr | Po Box 206, Sharon, CT 06069-0206 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
Walter A Castro | 282 Washington St, Hartford, CT 06106-3322 | Physician/surgeon | ~ |
Walter G Donnelly Jr | Po Box 679, Sharon, CT 06069-0679 | Physician/surgeon | 2014-08-01 ~ 2015-07-31 |
Walter T Mcphee | Po Box 67, Mansfield Center, CT 06250-0067 | Physician/surgeon | 2019-02-01 ~ 2020-01-31 |
Sara N Tischer | 19 Walter Dr, Griswold, CT 06351-3541 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
Walter H Short | 85 Jefferson St, Hartford, CT 06106-2601 | Physician/surgeon | 1980-07-02 ~ 1981-06-30 |
Gregory W Walter | 22 Monticello Key, Papamoa Tauranga, 3118 | Physician/surgeon | ~ |
Walter Blumenfeld | Cbl Path Inc., Rye Brook, NY 10573 | Physician/surgeon | 2016-05-01 ~ 2017-04-30 |
Walter A Borden | 33 Bay Hill Dr, Bloomfield, CT 06002-2374 | Physician/surgeon | 2015-12-01 ~ 2016-11-30 |
Walter J Hierholzer Jr | 210 Dromara Rd, Guilford, CT 06437 | Physician/surgeon | 2009-06-01 ~ 2010-05-31 |
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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).