RYAN WALLACE (Credential# 1233533) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2019. The license expiration date date is February 28, 2021. The license status is ACTIVE.
RYAN WALLACE is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0057944. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2019. The expiration date is February 28, 2021. The business address is 100 Stevenson Road, New Haven, CT 06515. The current status is active.
| Licensee Name | RYAN WALLACE |
| Credential ID | 1233533 |
| Credential Number | CSP.0057944 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
100 Stevenson Road New Haven CT 06515 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2014-07-11 |
| Effective Date | 2019-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2019-02-11 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1327725 | 1.055490 | Physician/Surgeon | 2016-07-19 | 2019-09-01 - 2020-08-31 | ACTIVE |
| 1657794 | 1.063289-RES | Resident Physician | 2018-07-03 | 2018-07-03 - 2020-06-30 | ACTIVE |
| Street Address | 100 Stevenson Road |
| City | NEW HAVEN |
| State | CT |
| Zip Code | 06515 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Lakiya D Nichols | 114 Davis Street, New Haven, CT 06515 | Radiographer | 2020-07-01 ~ 2021-06-30 |
| Danielle E Guadalupe | 30 Whittier Road, New Haven, CT 06515 | Master's Level Social Worker | 2020-07-01 ~ 2021-06-30 |
| Mcdonald's | 1094 Whalley Ave, New Haven, CT 06515 | Bakery | 2020-07-01 ~ 2021-06-30 |
| Hilda Rocio Sanango | 86 Springside Av, New Haven, CT 06515 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Manuel Francisco Cabrera | 86 Springside Av Apt D5, New Haven, CT 06515 | Nail Technician | ~ |
| Arthur L Sanders | 2001 Chapel St, New Haven, CT 06515 | Architect | 2020-08-01 ~ 2021-07-31 |
| Athan Construction LLC | 243 West Elm St, New Haven, CT 06515 | Home Improvement Contractor | 2020-06-25 ~ 2020-11-30 |
| Jessica L Feinleib | 72 Barnett, New Haven, CT 06515 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Joyce A Gambrell-jones | 241 Alden Ave, New Haven, CT 06515 | Registered Nurse | 2020-06-01 ~ 2021-05-31 |
| Charmaine Waller | 110 Harper Ave, New Haven, CT 06515 | Licensed Practical Nurse | ~ |
| Find all Licenses in zip 06515 | |||
| City | NEW HAVEN |
| Zip Code | 06515 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + NEW HAVEN |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| E F Wallace Dvm | Torrington Rd, Litchfield, CT 06759 | Controlled Substance Registration for Practitioner | 1994-04-15 ~ 1996-05-01 |
| Richard B Wallace Md | 7 Devonshire Dr, Waterford, CT 06385-1701 | Controlled Substance Registration for Practitioner | 2003-03-01 ~ 2004-02-28 |
| Lydia Wallace | 289 Green St, Boston, MA 02130-2660 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Lee Wallace Md | 40 Hart Street, New Britain, CT 06052 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Suemoy Wallace | 80 Seymour St, Hartford, CT 06102-8000 | Controlled Substance Registration for Practitioner | 2009-09-14 ~ 2011-02-28 |
| Wallace B Hirschberg | 27 Bridge Street, Stamford, CT 06905 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Angela B Pressley-wallace | 15 Butler Dr, Glastonbury, CT 06033-3510 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Matthew C Wallace Md | 4330 Spectrum One, San Antonio, TX 78230 | Controlled Substance Registration for Practitioner | 2009-03-01 ~ 2011-02-28 |
| David Wallace | 39 Allen Pl, Staten Island, NY 10312-5901 | Controlled Substance Registration for Practitioner | 2019-06-28 ~ 2021-02-28 |
| Elizabeth C Wallace | 1099 Merritt St, Fairfield, CT 06825-1531 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
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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).