RICHARD B WALLACE
Nursing Home Administrator


Address: 70 Duel Dr, Hamden, CT 06518

RICHARD B WALLACE (Credential# 765278) is licensed (Nursing Home Administrator) with Connecticut Department of Consumer Protection. The license effective date is July 16, 1998. The license expiration date date is September 30, 1999. The license status is INACTIVE.

Business Overview

RICHARD B WALLACE is licensed with the Department of Consumer Protection of Connecticut. The credential number is #36.001023. The credential type is nursing home administrator. The effective date is July 16, 1998. The expiration date is September 30, 1999. The business address is 70 Duel Dr, Hamden, CT 06518. The current status is inactive.

Basic Information

Licensee Name RICHARD B WALLACE
Credential ID 765278
Credential Number 36.001023
Credential Type Nursing Home Administrator
Business Address 70 Duel Dr
Hamden
CT 06518
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 1986-01-23
Effective Date 1998-07-16
Expiration Date 1999-09-30
Refresh Date 2009-07-08

Other licenses

ID Credential Code Credential Type Issue Term Status
778775 58.000411 Licensed Clinical Social Worker 1986-09-05 - 1995-09-30 INACTIVE

Office Location

Street Address 70 DUEL DR
City HAMDEN
State CT
Zip Code 06518

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Lynda Burke 68 Linden Avenue, Hamden, CT 06518 Notary Public Appointment 2011-12-08 ~ 2016-12-31
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Competitor

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City HAMDEN
Zip Code 06518
License Type Nursing Home Administrator
License Type + County Nursing Home Administrator + HAMDEN

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Dataset Information

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).

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