DOUGLAS R WALKER APRN
Controlled Substance Registration for Practitioner


Address: 57 Plymouth Rd, Harwinton, CT 06791-2418

DOUGLAS R WALKER APRN (Credential# 164022) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2013. The license expiration date date is February 28, 2015. The license status is INACTIVE.

Business Overview

DOUGLAS R WALKER APRN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0021324. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2013. The expiration date is February 28, 2015. The business address is 57 Plymouth Rd, Harwinton, CT 06791-2418. The current status is inactive.

Basic Information

Licensee Name DOUGLAS R WALKER APRN
Credential ID 164022
Credential Number CSP.0021324
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 57 Plymouth Rd
Harwinton
CT 06791-2418
Business Type INDIVIDUAL
Status INACTIVE
Effective Date 2013-03-01
Expiration Date 2015-02-28
Refresh Date 2016-01-29

Other licenses

ID Credential Code Credential Type Issue Term Status
678455 12.000263 Advanced Practice Registered Nurse 1991-03-12 2012-07-01 - 2013-06-30 INACTIVE
612538 10.E42267 Registered Nurse 1979-09-21 2012-07-01 - 2013-06-30 INACTIVE

Office Location

Street Address 57 PLYMOUTH RD
City HARWINTON
State CT
Zip Code 06791-2418

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Competitor

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City HARWINTON
Zip Code 06791
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + HARWINTON

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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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