ROLAND L WALL (Credential# 986035) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 31, 2015. The license expiration date date is February 28, 2017. The license status is INACTIVE.
ROLAND L WALL is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0049670. The credential type is controlled substance registration for practitioner. The effective date is March 31, 2015. The expiration date is February 28, 2017. The business address is 420 Marblegate Cir, Alvaton, KY 42122-8749. The current status is inactive.
| Licensee Name | ROLAND L WALL |
| Credential ID | 986035 |
| Credential Number | CSP.0049670 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
420 Marblegate Cir Alvaton KY 42122-8749 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE |
| Issue Date | 2011-03-24 |
| Effective Date | 2015-03-31 |
| Expiration Date | 2017-02-28 |
| Refresh Date | 2018-01-29 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 985722 | 10.098861 | Registered Nurse | 2011-03-23 | 2016-01-01 - 2016-12-31 | INACTIVE |
| 985733 | 12.004628 | Advanced Practice Registered Nurse | 2011-03-23 | 2016-01-01 - 2016-12-31 | INACTIVE |
| Street Address | 420 MARBLEGATE CIR |
| City | ALVATON |
| State | KY |
| Zip Code | 42122-8749 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Brian L Fischer | 1190 Boyce Claypool, Alvaton, KY 42122 | Registered Nurse | ~ 1995-12-31 |
| City | ALVATON |
| Zip Code | 42122 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + ALVATON |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Roland A Mariani | 899 Ocean Ave, New London, CT 06320-3015 | Controlled Substance Registration for Practitioner | 2004-02-29 ~ 2005-02-28 |
| Roland M Jermyn Md | 80 Alston Ave, New Haven, CT 06515 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Lincoln Roland | 24 Hospital Ave, Danbury, CT 06810-6099 | Controlled Substance Registration for Practitioner | 2009-09-02 ~ 2011-02-28 |
| Roland M Nesi | 1806 Bay Ridge Pkw, Brooklyn, NY 11204 | Controlled Substance Registration for Practitioner | 1993-09-29 ~ 1995-10-01 |
| Roland Ghazal | 63 Cooper Place, New Haven, CT 06515 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
| Roland H Lupien Dds | 100 Averill Road Ste 3, Pomfret Center, CT 06259 | Controlled Substance Registration for Practitioner | 2019-04-02 ~ 2021-02-28 |
| Roland Knausenberger Md | 244 Kennedy Memorial Drive, Waterville, ME 04901 | Controlled Substance Registration for Practitioner | 1999-03-16 ~ 2000-02-28 |
| Roland J Garofalo Dds | 2 Forest Gate, Yarmouth Port, MA 02675 | Controlled Substance Registration for Practitioner | 1996-10-02 ~ 1998-02-28 |
| Roland B Fowler Dvm | Mattatuck Animal Hospital, Waterbury, CT 06708 | Controlled Substance Registration for Practitioner | 2001-03-01 ~ 2002-02-28 |
| Courtney A Adams | 75 Wall St Apt 29n, New York, NY 10005-3161 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
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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).