LOUIS S WALDMAN (Credential# 1491039) is licensed (Resident Physician) with Connecticut Department of Consumer Protection. The license effective date is June 27, 2013. The license expiration date date is June 30, 2020. The license status is ACTIVE.
LOUIS S WALDMAN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.059141-RES. The credential type is resident physician. The effective date is June 27, 2013. The expiration date is June 30, 2020. The business address is 5 Malcolm Road, Boston, MA 02130. The current status is active.
| Licensee Name | LOUIS S WALDMAN |
| Credential ID | 1491039 |
| Credential Number | 1.059141-RES |
| Credential Type | Resident Physician |
| Credential SubCategory | RES |
| Business Address |
5 Malcolm Road Boston MA 02130 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2013-06-27 |
| Effective Date | 2013-06-27 |
| Expiration Date | 2020-06-30 |
| Refresh Date | 2019-05-16 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1155176 | CSP.0054409 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2013-06-20 | 2017-03-01 - 2019-02-28 | LAPSED |
| 1154934 | 1.052109 | Physician/Surgeon | 2013-06-19 | 2015-03-01 - 2016-02-29 | INACTIVE |
| Street Address | 5 Malcolm Road |
| City | Boston |
| State | MA |
| Zip Code | 02130 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Cynthia Ann Nichols | 3611 Washington Street Unit B627, Boston, MA 02130 | Licensed Clinical Social Worker | 2020-08-01 ~ 2021-07-31 |
| Claire L Fellman | 90 Forest Hill St #3, Jamaica Plain, MA 02130 | Landscape Architect | 2019-01-30 ~ 2019-07-31 |
| Ginger Mills | 150 South Huntington Avenue, Boston, MA 02130 | Psychologist | ~ |
| Paolo Bidin | 227a Lamartine Street, Jamaica Plain, MA 02130 | Registered Nurse | 2020-05-01 ~ 2021-04-30 |
| Joaquin Q Camara-quintana | 101 South Huntington Ave, Jamaica Plain, MA 02130 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Community Servings · Pie In The Sky | 18 Marbury Terrace, Jamaica Plain, MA 02130 | Public Charity | 2020-06-01 ~ 2021-05-31 |
| Michael J Hart | 28 Grovenor Rd, Jamaica Plain, MA 02130 | Temporary Certified General Real Estate Appraiser | 2019-09-03 ~ 2020-03-03 |
| Lauren L Forni | 3611 Washington Street Unit B430, Boston, MA 02130 | Pharmacist | 2020-02-03 ~ 2022-01-31 |
| Jill Canora | 3 Edge Hill St, Boston, MA 02130 | Pharmacist | 2020-02-01 ~ 2022-01-31 |
| Shannon F Manzi | 202 Chestnut Ave, Jamaica Plain, MA 02130 | Pharmacist | 2020-02-01 ~ 2022-01-31 |
| Find all Licenses in zip 02130 | |||
| City | Boston |
| Zip Code | 02130 |
| License Type | Resident Physician |
| License Type + County | Resident Physician + Boston |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Reid A Waldman | 263 Farmington Ave, Farmington, CT 06030-0001 | Resident Physician | 2018-07-01 ~ 2021-06-30 |
| Louis Waldman | 150 Main St Apt A1, Norwalk, CT 06851-3740 | Electrical Limited Journeyperson | 2012-10-01 ~ 2013-09-30 |
| Louis Jay Levine | 20 York St, New Haven, CT 06510 | Resident Physician | 2020-06-11 ~ 2021-06-30 |
| Louis Fazen | 20 York St Tompkins 226, New Haven, CT 06510-3220 | Resident Physician | 2018-07-01 ~ 2021-06-30 |
| Blake A Weis | 6337 N Rosebury Ave Apt 1w, Saint Louis, MO 63105-2247 | Resident Physician | 2018-07-01 ~ 2021-06-30 |
| Michael E Waldman Md | 26 Tori Ln, Brookfield, CT 06804-3664 | Physician/surgeon | 2020-02-01 ~ 2021-01-31 |
| Linda A Waldman | 20 Christopher Ln, Guilford, CT 06437-1585 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
| Joshua L. Waldman | 73 Market St, Yonkers, NY 10710-7616 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
| Erik H Waldman | 47 College Street, New Haven, CT 06510 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
| Elisha D Waldman | 94 Appleton Street, Apt. 3, Boston, MA 02116 | Physician/surgeon | 2011-05-01 ~ 2012-04-30 |
Please comment or provide details below to improve the information on LOUIS S WALDMAN.
| 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).