JEANNINE T WALTERS (Credential# 1043310) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is February 1, 2013. The license expiration date date is January 31, 2014. The license status is INACTIVE.
JEANNINE T WALTERS is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.050564-DO. The credential type is physician/surgeon. The effective date is February 1, 2013. The expiration date is January 31, 2014. The business address is 1951 S Wood Duck Ln, Boise, ID 83706-6102. The current status is inactive.
| Licensee Name | JEANNINE T WALTERS |
| Credential ID | 1043310 |
| Credential Number | 1.050564-DO |
| Credential Type | Physician/Surgeon |
| Credential SubCategory | DO |
| Business Address |
1951 S Wood Duck Ln Boise ID 83706-6102 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 2012-01-31 |
| Effective Date | 2013-02-01 |
| Expiration Date | 2014-01-31 |
| Refresh Date | 2014-05-09 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1045226 | CSP.0051814 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2012-02-06 | 2012-02-06 - 2013-02-28 | INACTIVE |
| Street Address | 1951 S WOOD DUCK LN |
| City | BOISE |
| State | ID |
| Zip Code | 83706-6102 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Zelham Inc | 5257 W Fairview Ave, Boise, ID 83706 | Major Contractor | 2020-07-01 ~ 2021-06-30 |
| Guy B Brousseau | 200 E. Mallard Drive, Boise, ID 83706 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
| Loren Westland | 209 E Mallard Dr, Apt 319, Boise, ID 83706 | Registered Nurse | 2018-09-01 ~ 2019-08-31 |
| Mark J Cowan | 3100 W Crescent Rim Dr, Boise, ID 83706 | Certified Public Accountant Certificate | 2020-01-01 ~ 2020-12-31 |
| Jeffrey A Shneider | 2823 S. Swallowtail Lane, Boise, ID 83706 | Architect | 2012-08-01 ~ 2013-07-31 |
| Sherry L Belsher | 1223 Colorado Ave, Boise, ID 83706 | Registered Nurse | 2005-10-31 ~ 2006-06-30 |
| Wyakin Warrior Foundation Inc | 960 S Broadway Ave Ste 260, Boise, ID 83706-3669 | Public Charity | 2019-12-01 ~ 2020-11-30 |
| Adam S Brown | 2113 S Myers Pl, Boise, ID 83706-5503 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
| Elaine Nguyen | 1010 E Valencia St, Boise, ID 83706-5538 | Pharmacist | 2016-02-01 ~ 2018-01-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Lorinda A Benning Harris | 2960 N Selkirk Dr, Boise, ID 83702-1923 | Real Estate Salesperson | 2017-06-01 ~ 2018-05-31 |
| Richard Radnovich | 4850 N Rosepoint Way Ste 100, Boise, ID 83713-5262 | Physician/surgeon | ~ |
| Anniekate Olson | 5508 W Anna St, Boise, ID 83705-1003 | Registered Nurse - Temporary | 2020-05-08 ~ 2020-09-05 |
| Cheryl P Scott | P.o. Box 44686, Boise, ID 83711 | Registered Nurse | 2020-06-01 ~ 2021-05-31 |
| Sarah E Grabauskas | 4301 W Hoover Street, Boise, ID 83705 | Registered Nurse | 2020-06-01 ~ 2021-05-31 |
| Cauze, Inc. | 300 Main St, Ste 300, Boise, ID 83702 | Securities - Exemptions | 2020-03-18 ~ |
| One4all Charitable Fund | 300 W Main St Ste 300, Boise, ID 83702-7737 | Public Charity | 2020-03-12 ~ 2020-11-30 |
| Dorothy Morgos | 6242 W Daytona Cir, Boise, ID 83709-7507 | Psychologist | 2020-02-01 ~ 2021-01-31 |
| Brian D Smith | 1693 S Coronado Ave, Boise, ID 83709-2571 | Professional Engineer | 2019-02-20 ~ 2020-01-31 |
| John P Leonard | 402 W Union St, Boise, ID 83702-4452 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
| Find all Licenses in BOISE | |||
| City | BOISE |
| Zip Code | 83706 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + BOISE |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Jeannine J Stanwood | 100 Powder Point Ave., Duxbury, MA 02332 | Physician/surgeon | 2003-03-27 ~ 2004-03-31 |
| Jeannine Marie Brevik | 8100 Sw Nyberg St Ste 400, Tualatin, OR 97062-8439 | Physician/surgeon | ~ |
| Jeannine Giovanni Md | 1 J Talcott Forest Rd, Farmington, CT 06032 | Physician/surgeon | 2006-03-15 ~ 2007-03-31 |
| Cheryl A Walters | 25 Homestead Pl, Cheshire, CT 06410-2633 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| David L Walters | 730 Bayport Way, Longboat Key, FL 34228-2633 | Physician/surgeon | 2016-05-01 ~ 2017-04-30 |
| Albert F Walters Md | 965 White Plains Rd, Trumbull, CT 06611 | Physician/surgeon | 2011-07-01 ~ 2012-06-30 |
| Odessa M Walters · Walters | 194 Quinnipiac Ave., North Haven, CT 06473 | Registered Nurse | 2019-08-01 ~ 2020-07-31 |
| Gilbert Walters · Walters Carpentry | 103 Plainfield Street, Hartford, CT 06112 | Home Improvement Contractor | 2000-12-01 ~ 2001-11-30 |
| Greta M Walters · Walters | 17626 Tiffany Trace Drive, Boca Raton, FL 33481 | Registered Nurse | 2003-01-06 ~ 2003-10-31 |
| Jeannine L Smith | 155 Sterling Drive, Newington, CT 06111 | Physician Assistant | 2009-07-29 ~ 2010-05-31 |
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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).