WALTER C BOUTWELL (Credential# 549047) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is September 1, 2011. The license expiration date date is August 31, 2012. The license status is INACTIVE.
WALTER C BOUTWELL is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.031274. The credential type is physician/surgeon. The effective date is September 1, 2011. The expiration date is August 31, 2012. The business address is 8160 Seaton Place, Montgomery, AL 36116. The current status is inactive.
| Licensee Name | WALTER C BOUTWELL |
| Credential ID | 549047 |
| Credential Number | 1.031274 |
| Credential Type | Physician/Surgeon |
| Business Address |
8160 Seaton Place Montgomery AL 36116 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 1990-12-21 |
| Effective Date | 2011-09-01 |
| Expiration Date | 2012-08-31 |
| Refresh Date | 2012-12-05 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 157943 | CSP.0019802 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 1996-03-01 - 1997-02-28 | INACTIVE |
| Street Address | 8160 Seaton Place |
| City | Montgomery |
| State | AL |
| Zip Code | 36116 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Christy D Jenkie | 6742 Volz Court, Montgomery, AL 36116 | Occupational Therapist | ~ 1997-07-31 |
| Veronica D Marshall | 309 Seaton Circle, Montgomery, AL 36116 | Registered Nurse | 2004-08-23 ~ 2005-09-30 |
| Philip Louder | 5916 Provost Ave., Montgomery, AL 36116 | Physical Therapist Assistant | 2004-04-28 ~ 2006-11-01 |
| Tracie M Merrill | 7054 Tournament Way, Montgomery, AL 36116 | Registered Nurse | 2000-12-01 ~ 2001-08-31 |
| Janet L Brooks | 6906 Shortline Circle, Montgomery, AL 36116 | Registered Nurse | 2006-06-12 ~ 2007-06-30 |
| Daniel W Brooks | 6906 Shore Line Circle, Montgomery, AL 36116 | Registered Nurse | 2006-04-07 ~ 2007-04-30 |
| Proethic Laboratories LLC | 5331 Perimeter Parkway Court, Montgomery, AL 36116 | Wholesaler of Drugs, Cosmetics & Medical Devices | ~ |
| Denise Annette Thomas | 6813 Willowick Rd, Montgomery, AL 36116-1325 | Registered Nurse | 2020-01-10 ~ 2020-09-30 |
| Kerri C Abernathy | 5201 Paddock Club Cir Apt M, Montgomery, AL 36116-4283 | Registered Nurse - Temporary | 2013-08-20 ~ 2013-12-17 |
| Yolanda L Atwater | 3790 Sawyer Ln, Montgomery, AL 36116-5607 | Registered Nurse | 2012-01-11 ~ 2012-06-30 |
| Find all Licenses in zip 36116 | |||
| City | Montgomery |
| Zip Code | 36116 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + Montgomery |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| James L Boutwell · Boutwell Home Improvement | 75 Laird Dr, Bristol, CT 06010 | Home Improvement Contractor | 2001-11-02 ~ 2002-11-30 |
| Walter A Castro | 282 Washington St, Hartford, CT 06106-3322 | Physician/surgeon | ~ |
| Walter P Reyelt Jr | Po Box 206, Sharon, CT 06069-0206 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Walter G Donnelly Jr | Po Box 679, Sharon, CT 06069-0679 | Physician/surgeon | 2014-08-01 ~ 2015-07-31 |
| Walter Pinsker | 649 Montauk Hwy, Bay Shore, NY 11706 | Physician/surgeon | 1992-04-24 ~ 1993-03-31 |
| Walter X Lehmann | Po Box 2136, So Londonderry, VT 05155 | Physician/surgeon | 1990-01-24 ~ 1990-10-31 |
| Scott D Walter | 85 Seymour St, Hartford, CT 06106 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Walter Blumenfeld | Cbl Path Inc., Rye Brook, NY 10573 | Physician/surgeon | 2016-05-01 ~ 2017-04-30 |
| Walter Cholewczynski Md | 159 Grovers Ave, Bridgeport, CT 06605 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Walter A Borden | 33 Bay Hill Dr, Bloomfield, CT 06002-2374 | Physician/surgeon | 2015-12-01 ~ 2016-11-30 |
Please comment or provide details below to improve the information on WALTER C BOUTWELL.
| 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).