NATHAN C WALK MD (Credential# 563704) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is May 1, 2020. The license expiration date date is April 30, 2021. The license status is ACTIVE.
NATHAN C WALK MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.046122. The credential type is physician/surgeon. The effective date is May 1, 2020. The expiration date is April 30, 2021. The business address is 2 Pole Bridge Ln, Guilford, CT 06437-2206. The current status is active.
| Licensee Name | NATHAN C WALK MD |
| Credential ID | 563704 |
| Credential Number | 1.046122 |
| Credential Type | Physician/Surgeon |
| Business Address |
2 Pole Bridge Ln Guilford CT 06437-2206 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2008-01-07 |
| Effective Date | 2020-05-01 |
| Expiration Date | 2021-04-30 |
| Refresh Date | 2020-02-10 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 518591 | CSP.0044818 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2008-11-17 | 2009-03-26 - 2011-02-28 | INACTIVE |
| Street Address | 2 POLE BRIDGE LN |
| City | GUILFORD |
| State | CT |
| Zip Code | 06437-2206 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Ellen L Edens Md | 2 Pole Bridge Ln, Guilford, CT 06437-2206 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Lauren E Ferrante | 1 Pole Bridge Ln, Guilford, CT 06437-2206 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
| Max Lataillade | 6 Pole Bridge Ln, Guilford, CT 06437-2206 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Jane E Olsen | Po Box 601, Guilford, CT 06437 | Real Estate Salesperson | 2020-06-27 ~ 2021-05-31 |
| Alanna Munzenmaier | 81 Saw Mill Rd, Guilford, CT 06437 | Veterinarian | 2020-07-01 ~ 2021-06-30 |
| Sandra L Lion | 84 Granite Road, Guilford, CT 06437 | Notary Public Appointment | 2020-08-01 ~ 2025-07-31 |
| Nimet H Memik-moavero | 110 Cherry Street, Guilford, CT 06437 | Real Estate Salesperson | ~ |
| Jacklyn Nicole Basilicato | 345 Saw Mill Road, Guilford, CT 06437 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Alissa Bailey | 5 Streamview Circle, Guilford, CT 06437 | Notary Public Appointment | 2020-09-01 ~ 2025-08-31 |
| The Marketplace Emporia LLC · The Marketplace Emporia, LLC | 77-79 Whitfield Street, Guilford, CT 06437 | Bakery | 2020-07-01 ~ 2021-06-30 |
| Deborah Ackles | 46clear Lake Manor Road, Guilford, CT 06437 | Veterinarian | 2020-08-01 ~ 2021-07-31 |
| Bruce D Mccann | 200 State St, Guilford, CT 06437 | Architect | 2020-08-01 ~ 2021-07-31 |
| Stephanie J Jacobs | 130 Winthrop Rd, Guilford, CT 06437 | Real Estate Salesperson | 2020-06-25 ~ 2021-05-31 |
| Find all Licenses in zip 06437 | |||
| City | GUILFORD |
| Zip Code | 06437 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + GUILFORD |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Nathan Moses Szajnberg | CT | Physician/surgeon | ~ |
| Nathan A Kruger Md | 10 Fox Den Way, Woodbridge, CT 06525 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
| Nathan T Patel | 9 Spinnaker Dr, Barrington, RI 02806-2831 | Physician/surgeon | 2015-08-01 ~ 2016-07-31 |
| Nathan Haecker | Po Box 34457, Omaha, NE 68134-0457 | Physician/surgeon | 2020-05-01 ~ 2021-05-31 |
| Nathan Ivan Yost | 15 Rockview Ter, New Haven, CT 06511-1619 | Physician/surgeon | ~ 1983-12-31 |
| Nathan Holtzberg | Connecticut Pain Car, Danbury, CT 06810 | Physician/surgeon | 1999-04-26 ~ 2000-05-31 |
| Sidney Nathan Klaus | 333 Cedar St, New Haven, CT 06510-3206 | Physician/surgeon | 1964-08-19 ~ 1988-06-30 |
| Ely B Nathan Md | 5001 Statesman Drive, Irving, TX 75063 | Physician/surgeon | 2003-10-27 ~ 2004-04-30 |
| Viswa Nathan | 40,grouse Lane, Woodbridge, CT 06525 | Physician/surgeon | 2019-05-01 ~ 2020-04-30 |
| Joel A Nathan | 515 Madison Ave Ste 3800b, New York, NY 10022-5403 | Physician/surgeon | 2016-04-01 ~ 2017-03-31 |
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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).