DOUGLAS G WALLED (Credential# 980114) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is April 1, 2016. The license expiration date date is March 31, 2017. The license status is INACTIVE.
DOUGLAS G WALLED is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.049745. The credential type is physician/surgeon. The effective date is April 1, 2016. The expiration date is March 31, 2017. The business address is 100 Luquer St, Brooklyn, NY 11231. The current status is inactive.
| Licensee Name | DOUGLAS G WALLED |
| Credential ID | 980114 |
| Credential Number | 1.049745 |
| Credential Type | Physician/Surgeon |
| Business Address |
100 Luquer St Brooklyn NY 11231 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 2011-04-15 |
| Effective Date | 2016-04-01 |
| Expiration Date | 2017-03-31 |
| Refresh Date | 2017-07-04 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 445771 | CSP.0039654 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2006-08-18 | 2011-04-13 - 2013-02-28 | INACTIVE |
| Street Address | 100 Luquer St |
| City | Brooklyn |
| State | NY |
| Zip Code | 11231 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Carmelo Crisafulli | 158 Carroll St, Brooklyn, NY 11231 | Architect | 2020-08-01 ~ 2021-07-31 |
| Brendan Coburn | 342 Sackett St, Brooklyn, NY 11231 | Architect | 2020-08-01 ~ 2021-07-31 |
| Benjamin H Baxt | 340 Clinton St, Brooklyn, NY 11231 | Architect | 2020-08-01 ~ 2021-07-31 |
| Brendan T Maddigan | 17 2nd Street, Brooklyn, NY 11231 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| Stephen Mark Ryan | 403 Sackett St. #2, Brooklyn, NY 11231 | Registered Nurse | 2018-10-01 ~ 2019-09-30 |
| Christopher P Pinto | 164 Union Street, Apt. 3, Brooklyn, NY 11231 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
| Mtc Transportation Co | Pier 8 - Red Hook Container Terminal, Brooklyn, NY 11231 | Transporter Liquor | 2019-12-02 ~ 2020-12-01 |
| Christine M Glick | 387 Clinton Street 4 L, Brooklyn, NY 11231 | Notary Public Appointment | 2004-07-12 ~ 2009-07-31 |
| Paul Simon Pipitone | 51 Woodhull Street, Brooklyn, NY 11231 | Physician/surgeon | 2019-10-08 ~ 2020-08-31 |
| David Janash | 42 Butler, Brooklyn, NY 11231 | Dentist | 2019-12-01 ~ 2020-11-30 |
| Find all Licenses in zip 11231 | |||
| City | Brooklyn |
| Zip Code | 11231 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + Brooklyn |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Douglas R. Mailly | 119 Russell St, Cornwall, NY 12518-1711 | Physician/surgeon | ~ |
| Craig A Mcpherson | 614 Douglas Dr, Orange, CT 06477 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
| Gregory P Geba Md | 5 Douglas Dr, Sparta, NJ 07871 | Physician/surgeon | 2020-01-01 ~ 2020-12-31 |
| Douglas J Roberts Jr | 56 Four Mile Riv Rd, Old Lyme, CT 06371-1542 | Physician/surgeon | 2008-07-14 ~ 2009-07-31 |
| Jeromy Patterson | 4455 Douglas Ave, Bronx, NY 10471-3519 | Physician/surgeon | ~ |
| Douglas R Gnepp | 59 E Orchard Ave, Providence, RI 02906-5514 | Physician/surgeon | 2014-10-01 ~ 2015-10-31 |
| Douglas Macgregor | 82 Lydias Ln, Lamoine, ME 04605-4582 | Physician/surgeon | 2014-08-01 ~ 2015-07-31 |
| Douglas R Whipple Md | 30 Wildwood Dr, Avon, CT 06001 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
| Douglas K Hyde | 86 Blueberry Hl Rd, Longmeadow, MA 01106 | Physician/surgeon | 2013-05-01 ~ 2014-04-30 |
| Douglas Jeffrey Key | 800 Sw 13th Ave, Portland, OR 97205-1902 | Physician/surgeon | 1972-08-18 ~ 1978-08-31 |
Please comment or provide details below to improve the information on DOUGLAS G WALLED.
| 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).