WALTER F BLOES DMD (Credential# 741693) is licensed (Dental Anesthesia/conscious Sedation Permit) with Connecticut Department of Consumer Protection. The license effective date is October 1, 2014. The license expiration date date is September 30, 2015. The license status is INACTIVE.
WALTER F BLOES DMD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #22.007775. The credential type is dental anesthesia/conscious sedation permit. The effective date is October 1, 2014. The expiration date is September 30, 2015. The business address is 1171 E Putnam Ave Suite 1d, Riverside, CT 06878. The current status is inactive.
| Licensee Name | WALTER F BLOES DMD |
| Credential ID | 741693 |
| Credential Number | 22.007775 |
| Credential Type | Dental Anesthesia/Conscious Sedation Permit |
| Business Address |
1171 E Putnam Ave Suite 1d Riverside CT 06878 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 1992-09-15 |
| Effective Date | 2014-10-01 |
| Expiration Date | 2015-09-30 |
| Refresh Date | 2016-01-06 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 702250 | 2.007775 | Dentist | 1992-03-03 | 2014-07-01 - 2015-06-30 | INACTIVE |
| 446279 | CSP.0039908 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2006-10-25 | 2013-03-01 - 2015-02-28 | INACTIVE |
| 158600 | CSP.0019947 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2005-04-11 | 2006-03-01 - 2007-02-28 | INACTIVE |
| Street Address | 1171 E PUTNAM AVE SUITE 1D |
| City | RIVERSIDE |
| State | CT |
| Zip Code | 06878 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Natalia Manevich Md | 4 Crawford Terrace, Riverside, CT 06878 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
| Antoinette Lanzarone | 91 Sound Beach Ave, Riverside, CT 06878 | Licensed Practical Nurse | 2020-07-01 ~ 2021-06-30 |
| Silvestro Iommazzo Dds | 1212 East Putnam Ave, Riverside, CT 06878 | Dentist | 2020-07-01 ~ 2021-06-30 |
| Joanna Elizabeth Mackenzie | 9 Dialstone Ln, Riverside, CT 06878 | Marital and Family Therapist Associate | ~ |
| Dimare's Pastry Shop, LLC | 1245 Post Rs, Riverside, CT 06878 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Msn Vending LLC | 30 Carrona Dr, Riverside, CT 06878 | Vending Machine Operator | 2020-07-01 ~ 2021-06-30 |
| Laura E Kaehler | 13 Marks Road, Riverside, CT 06878 | Architect | 2020-08-01 ~ 2021-07-31 |
| Janine M Corticelli | 134 Lancer Road South, Riverside, CT 06878 | Real Estate Salesperson | 2020-06-16 ~ 2021-05-31 |
| Jin Jin Hong | 12b Rye Bridge Plaza, Riverside, CT 06878 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Michael F Catalano | 12 Bonan Drive, Riverside, CT 06878 | Notary Public Appointment | 2020-09-01 ~ 2025-08-31 |
| Find all Licenses in zip 06878 | |||
| City | RIVERSIDE |
| Zip Code | 06878 |
| License Type | Dental Anesthesia/Conscious Sedation Permit |
| License Type + County | Dental Anesthesia/Conscious Sedation Permit + RIVERSIDE |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Carlos R Ibanez Md | School of Dental Medicine/omfs-l7073, Farmington, CT 06030 | Dental Anesthesia/conscious Sedation Permit | 2008-05-16 ~ 2009-06-30 |
| Anthony P Tufaro | 501 Ocean Ave, New London, CT 06320 | Dental Anesthesia/conscious Sedation Permit | 1992-04-24 ~ 1993-04-30 |
| Roger J Harris | 159 Ocean Ave, New London, CT 06320 | Dental Anesthesia/conscious Sedation Permit | 1997-05-27 ~ 1998-05-31 |
| George A Murphy IIi | 110 Hopmeadow St, Weatogue, CT 06089-9407 | Dental Anesthesia/conscious Sedation Permit | 2020-06-01 ~ 2021-05-31 |
| Joseph N Sciarrino | 90 Morgan St Ste 307, Stamford, CT 06905-5436 | Dental Anesthesia/conscious Sedation Permit | 2020-06-01 ~ 2021-05-31 |
| David A Galbraith | 507 Hopmeadow St, Simsbury, CT 06070 | Dental Anesthesia/conscious Sedation Permit | 2020-05-01 ~ 2021-04-30 |
| Stephen J Bosco | 1 Lake St, New Britain, CT 06052-1396 | Dental Anesthesia/conscious Sedation Permit | 2020-06-01 ~ 2021-05-31 |
| Donald J Case Dmd | 27 Bridge St, Stamford, CT 06905 | Dental Anesthesia/conscious Sedation Permit | 2020-05-01 ~ 2021-04-30 |
| Jordan A Greenberg | 500 E Main St Ste 216, Branford, CT 06405-2937 | Dental Anesthesia/conscious Sedation Permit | 2020-09-01 ~ 2021-08-31 |
| Eric S Han | 697 Poquonock Avenue, Windsor, CT 06095 | Dental Anesthesia/conscious Sedation Permit | 2020-06-01 ~ 2021-05-31 |
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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).