RAELENE M WALKER MD (Credential# 555123) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is June 17, 2002. The license expiration date date is July 31, 2003. The license status is INACTIVE.
RAELENE M WALKER MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.037533. The credential type is physician/surgeon. The effective date is June 17, 2002. The expiration date is July 31, 2003. The business address is 746d Nobel Dr, Santa Cruz, CA 95060. The current status is inactive.
Licensee Name | RAELENE M WALKER MD |
Credential ID | 555123 |
Credential Number | 1.037533 |
Credential Type | Physician/Surgeon |
Business Address |
746d Nobel Dr Santa Cruz CA 95060 |
Business Type | INDIVIDUAL |
Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
Issue Date | 1999-02-19 |
Effective Date | 2002-06-17 |
Expiration Date | 2003-07-31 |
Refresh Date | 2009-07-11 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
211803 | CSP.0028057 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2002-03-01 - 2003-02-28 | INACTIVE |
Street Address | 746D NOBEL DR |
City | SANTA CRUZ |
State | CA |
Zip Code | 95060 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
New Teacher Center | 1205 Pacific Avenue, Santa Cruz, CA 95060 | Public Charity | 2020-06-01 ~ 2021-05-31 |
Tyler B Evans | 1080 Emeline Ave, Santa Cruz, CA 95060 | Physician/surgeon | 2019-10-01 ~ 2020-09-30 |
Vanessa C Little Do | 314 Palm Street, Santa Cruz, CA 95060 | Controlled Substance Registration for Practitioner | 2009-03-01 ~ 2011-02-28 |
Susan Bearman | 146 Chrystal Terr, Santa Cruz, CA 95060 | Registered Nurse | 2009-06-01 ~ 2010-06-30 |
Jessica Volke | 1110 King Street, Santa Cruz, CA 95060 | Physical Therapist | 1998-07-17 ~ 1999-08-31 |
Jordan A Larson | 502 Van Ness Avenue, Santa Cruz, CA 95060 | Physical Therapist | 1997-12-26 ~ 1999-01-31 |
Lillian A Eklof | 143 Spring St, Santa Cruz, CA 95060-2519 | Emergency Medical Technician | 2011-01-25 ~ 2013-10-01 |
Organic Farming Research Foundation | 303 Potrero St Ste 29-203, Santa Cruz, CA 95060-2759 | Public Charity | 2014-12-01 ~ 2015-11-30 |
Save The Frogs! | 303 Potrero St Ste 51, Santa Cruz, CA 95060-2760 | Public Charity | 2012-06-01 ~ 2013-05-31 |
Dale A Hendsbee | 224 Walnut Ave Ste B, Santa Cruz, CA 95060-3836 | Professional Engineer | 2014-02-01 ~ 2015-01-31 |
Find all Licenses in zip 95060 |
City | SANTA CRUZ |
Zip Code | 95060 |
License Type | Physician/Surgeon |
License Type + County | Physician/Surgeon + SANTA CRUZ |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Durane K. Walker | 340 Laurel St, Lee, MA 01238-9509 | Physician/surgeon | 2013-06-03 ~ 2014-06-30 |
Marcia M Walker Md | 147 Knapps Hwy, Fairfield, CT 06825 | Physician/surgeon | 2011-05-23 ~ 2012-05-31 |
Seth Walker | 300 Cedar St, Tac-441 South, New Haven, CT 06520-8057 | Physician/surgeon | ~ |
Michael Walker Md | 95 Locust Ave, Danbury, CT 06810-6148 | Physician/surgeon | 2008-08-11 ~ 2009-09-30 |
Harold C Walker Md | 345 Main Ave, Norwalk, CT 06851 | Physician/surgeon | 2004-11-01 ~ 2005-11-30 |
Stanley D Walker | Mt Sinai Hospital, Hartford, CT 06112 | Physician/surgeon | 1992-09-24 ~ 1993-08-31 |
John Walker Md | 19 Saxon Woods, Avon, CT 06001-4060 | Physician/surgeon | 2018-11-01 ~ 2019-10-31 |
Bello A Adejoh Md | 1749b Walker Ave, Union, NJ 07083 | Physician/surgeon | 2005-09-01 ~ 2006-09-30 |
Sidney P Walker | 265 College Street, New Haven, CT 06510 | Physician/surgeon | 2000-04-13 ~ 2001-05-31 |
Afzal M Butt | 24 Walker Place, Melville, NY 11747 | Physician/surgeon | 1998-12-23 ~ 1999-09-30 |
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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).