ANN W WALZER
Controlled Substance Registration for Practitioner


Address: 28 Great Meadow Road, West Redding, CT 06896-3301

ANN W WALZER (Credential# 153489) 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.

Business Overview

ANN W WALZER is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0009728. 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 28 Great Meadow Road, West Redding, CT 06896-3301. The current status is active.

Basic Information

Licensee Name ANN W WALZER
Credential ID 153489
Credential Number CSP.0009728
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 28 Great Meadow Road
West Redding
CT 06896-3301
Business Type INDIVIDUAL
Status ACTIVE - CURRENT
Active 1
Issue Date 1999-03-01
Effective Date 2019-03-01
Expiration Date 2021-02-28
Refresh Date 2019-01-14

Other licenses

ID Credential Code Credential Type Issue Term Status
541593 1.015696 Physician/Surgeon 1972-11-27 2019-07-01 - 2020-06-30 ACTIVE

Office Location

Street Address 28 Great Meadow Road
City WEST REDDING
State CT
Zip Code 06896-3301

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Elizabeth M Pelzar 6 Cricklewood Road, Redding, CT 06896 Registered Nurse 2020-07-01 ~ 2021-06-30
Michele R Grande 52 Huckleberry Road, Redding, CT 06896 Notary Public Appointment 2020-09-01 ~ 2025-08-31
Mark A Mason 423 Newtown Turnpike, Redding, CT 06896 Real Estate Salesperson ~
Little Meadow Farm 313 Redding Rd, Redding, CT 06896 Farm Distillery Liquor 2020-05-12 ~ 2021-09-11
Leonard W Topping IIi 94 Mountain Road, Redding, CT 06896 Real Estate Salesperson 2020-03-03 ~ 2021-05-31
Robert P Parisot 109 Mountain Road, West Redding, CT 06896 Architect 2020-08-01 ~ 2021-07-31
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Competitor

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City WEST REDDING
Zip Code 06896
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + WEST REDDING

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Min Jin Kim 639 4th Ave Apt 5c, Brooklyn, NY 11232-1048 Controlled Substance Registration for Practitioner 2012-05-10 ~ 2013-02-28
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Hae J Kim Pa New Haven, CT 06511 Controlled Substance Registration for Practitioner 2008-03-31 ~ 2009-02-28
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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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