WALTER H GAJEWSKI
Physician/surgeon


Address: 101 Dudley Street, Providence, RI 02905

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.

Business Overview

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.

Basic Information

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

Other licenses

ID Credential Code Credential Type Issue Term Status
160259 CSP.0017447 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 2003-03-28 - 2004-02-28 INACTIVE

Office Location

Street Address 101 DUDLEY STREET
City PROVIDENCE
State RI
Zip Code 02905

Licenses in the same location

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

Licenses in the same zip code

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

Competitor

Search similar business entities

City PROVIDENCE
Zip Code 02905
License Type Physician/Surgeon
License Type + County Physician/Surgeon + PROVIDENCE

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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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