ELIZABETH ANNE WALTER MD (Credential# 555478) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is February 7, 2002. The license expiration date date is March 31, 2003. The license status is INACTIVE.
ELIZABETH ANNE WALTER MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.037888. The credential type is physician/surgeon. The effective date is February 7, 2002. The expiration date is March 31, 2003. The business address is 128 Mather Street, Hamden, CT 06519. The current status is inactive.
| Licensee Name | ELIZABETH ANNE WALTER MD |
| Credential ID | 555478 |
| Credential Number | 1.037888 |
| Credential Type | Physician/Surgeon |
| Business Address |
128 Mather Street Hamden CT 06519 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 1999-07-02 |
| Effective Date | 2002-02-07 |
| Expiration Date | 2003-03-31 |
| Refresh Date | 2009-07-11 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 223622 | CSP.0028810 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2001-03-01 - 2002-02-28 | INACTIVE |
| Street Address | 128 MATHER STREET |
| City | HAMDEN |
| State | CT |
| Zip Code | 06519 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Vinod H Srihari Md | 34 Park St Cmhc, New Haven, CT 06519 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
| Monica Brito Salinas | 111 Kimberly Ave., New Haven, CT 06519 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-27 ~ 2022-02-28 |
| Walter Mathis | 34 Park St., New Haven, CT 06519 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Kimberly Pizza · Emmanuel Zorgias | 34 Kimberly Ave, New Haven, CT 06519 | Bakery | 2020-07-01 ~ 2021-06-30 |
| Slawomir Piascik | 51 Longhini Lane, New Haven, CT 06519 | Asbestos Abatement Supervisor | 2020-08-01 ~ 2021-07-31 |
| Margaret T Boron | 428 Columbus Ave, New Haven, CT 06519 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Laura Ann Dicola | Connecticut Mental Health Center Law & Psychiatry, New Haven, CT 06519 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Elizabeth Parson | 689 Congress Ave, New Haven, CT 06519 | Medication Administration Certification | 2020-08-05 ~ 2022-08-04 |
| Alejandra Lopez Cervantes | 10 Hedge St, New Haven, CT 06519 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-20 ~ 2021-08-31 |
| Deicy Alexandra Urena Dagua | 267 Howard Ave, New Haven, CT 06519 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-20 ~ 2021-10-31 |
| Find all Licenses in zip 06519 | |||
| City | HAMDEN |
| Zip Code | 06519 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + HAMDEN |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Walter A Brown | St. Elizabeth's Medical Center, Brighton, MA 02135 | Physician/surgeon | 1972-10-10 ~ 1977-12-31 |
| Elizabeth Anne Richey | 158 Foster St Apt 2, New Haven, CT 06511-2654 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Elizabeth Anne Curtin Sequeira | 5500 Maryland Way, Brentwood, TN 37027-7048 | Physician/surgeon | ~ |
| Nicole Caldwell | 240 Elizabeth St # H1-120, Elizabeth, CO 80107-7537 | Physician/surgeon | 2015-03-01 ~ 2016-02-29 |
| 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 A Castro | 282 Washington St, Hartford, CT 06106-3322 | Physician/surgeon | ~ |
| Anne Elizabeth Carlson | 47 Sunset Lake Rd, Warren, CT 06754-1701 | Physician Assistant | 2020-09-01 ~ 2021-08-31 |
| Otto Walter | 19 Donovan Dr, Framingham, MA 01701-3112 | Physician/surgeon | 2012-03-01 ~ 2013-02-28 |
| Walter T Mcphee | Po Box 67, Mansfield Center, CT 06250-0067 | Physician/surgeon | 2019-02-01 ~ 2020-01-31 |
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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).