KYLE C WALKER
Controlled Substance Registration for Practitioner


Address: 100 Kilsyth Rd Apt 5, Brighton, MA 02135-7820

KYLE C WALKER (Credential# 1288704) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is June 3, 2015. The license expiration date date is February 28, 2017. The license status is INACTIVE.

Business Overview

KYLE C WALKER is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0060431. The credential type is controlled substance registration for practitioner. The effective date is June 3, 2015. The expiration date is February 28, 2017. The business address is 100 Kilsyth Rd Apt 5, Brighton, MA 02135-7820. The current status is inactive.

Basic Information

Licensee Name KYLE C WALKER
Credential ID 1288704
Credential Number CSP.0060431
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 100 Kilsyth Rd Apt 5
Brighton
MA 02135-7820
Business Type INDIVIDUAL
Status INACTIVE
Issue Date 2015-06-03
Effective Date 2015-06-03
Expiration Date 2017-02-28
Refresh Date 2018-01-29

Other licenses

ID Credential Code Credential Type Issue Term Status
1260328 1.054183 Physician/Surgeon 2015-06-01 2015-06-01 - 2016-06-30 INACTIVE

Office Location

Street Address 100 KILSYTH RD APT 5
City BRIGHTON
State MA
Zip Code 02135-7820

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Competitor

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City BRIGHTON
Zip Code 02135
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + BRIGHTON

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Dataset Information

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).

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