DEBRA L DALE-WALEK MD (Credential# 1026881) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is August 3, 2011. The license expiration date date is February 28, 2013. The license status is INACTIVE.
DEBRA L DALE-WALEK MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0051120. The credential type is controlled substance registration for practitioner. The effective date is August 3, 2011. The expiration date is February 28, 2013. The business address is 240 Fletcher Rd, North Kingstown, RI 02852-1607. The current status is inactive.
Licensee Name | DEBRA L DALE-WALEK MD |
Credential ID | 1026881 |
Credential Number | CSP.0051120 |
Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
Business Address |
240 Fletcher Rd North Kingstown RI 02852-1607 |
Business Type | INDIVIDUAL |
Status | INACTIVE |
Issue Date | 2011-08-03 |
Effective Date | 2011-08-03 |
Expiration Date | 2013-02-28 |
Refresh Date | 2014-07-24 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
992856 | 1.049864 | Physician/Surgeon | 2011-05-20 | 2011-11-01 - 2012-10-31 | INACTIVE |
Street Address | 240 FLETCHER RD |
City | NORTH KINGSTOWN |
State | RI |
Zip Code | 02852-1607 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Thomas R Walek | 240 Fletcher Rd, North Kingstown, RI 02852-1607 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Jonathan S Lowenstein | 133 Georgia Ave, N Kingstown, RI 02852 | Architect | 2020-08-01 ~ 2021-07-31 |
Kathleen E Donovan | 825 Tower Hill Rd, North Kingstown, RI 02852 | Real Estate Salesperson | 2017-06-01 ~ 2018-05-31 |
Diane C Gannon | 392 Butternut Drive, North Kingstown, RI 02852 | Physical Therapist | 2020-07-01 ~ 2021-06-30 |
Kristina Liz Sullivan | 288 South County Trail, North Kingstown, RI 02852 | Registered Nurse | 2020-06-01 ~ 2021-05-31 |
John J Chapski | 72 Seawynds Drive, North Kingstown, RI 02852 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
John Alexander Nosach | 8 Robin Drive, North Kingstown, RI 02852 | Registered Nurse | 2020-06-01 ~ 2021-05-31 |
Paul Michael Eilert | 30 Old Switch Road, Hope Valley, RI 02852 | Casino Class I Employee | 2020-04-22 ~ 2020-10-31 |
Ashley R Folgo | 1130 Ten Rod Road, North Kingstown, RI 02852 | Registered Nurse | 2020-05-01 ~ 2021-04-30 |
Michael A. Aho | 165 Signal Rock Drive, No. Kingstown, RI 02852 | Crane Operator | 2018-04-13 ~ 2020-04-12 |
Amy L Snyder | 31 Pojac Point Road, North Kingstown, RI 02852 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
Find all Licenses in zip 02852 |
City | NORTH KINGSTOWN |
Zip Code | 02852 |
License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + NORTH KINGSTOWN |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Dale T Toce Md | 7 Elm St Ste 201, Enfield, CT 06082-3670 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Dale C Pappas P.a. | Po Box 264, Agawam, MA 01001-0264 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
Collin B Sanford Dmd | 44 Dale Rd, Avon, CT 06001 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Leslie B Lindenberg Md | 40 Dale Rd, Avon, CT 06001 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Matthew D Kasulke | 222 Dale St, Syracuse, NY 13208-2328 | Controlled Substance Registration for Practitioner | 2015-05-07 ~ 2017-02-28 |
Scott S Dale | 16 Canterbury Rd, Hamden, CT 06514-2014 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
Henry L Danis Md | 44 Dale Rd, Avon, CT 06001 | Controlled Substance Registration for Practitioner | 2008-03-01 ~ 2009-02-28 |
Jonathan R Dale | 174 Hourigan Dr, Meriden, CT 06451-3640 | Controlled Substance Registration for Practitioner | 2019-03-04 ~ 2021-02-28 |
Lalarukh N Mufti Md | 40 Dale Rd Ste 103, Avon, CT 06001-3692 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Siobhan M Stephen | 33 Dale Rd Ste 2, Avon, CT 06001-3612 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Please comment or provide details below to improve the information on DEBRA L DALE-WALEK MD.
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).