ANDREW WALKER MD
Controlled Substance Registration for Practitioner


Address: 2 Old Town Hwy #30, E Haven, CT 06512

ANDREW WALKER MD (Credential# 164508) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 1996. The license expiration date date is February 28, 1997. The license status is INACTIVE.

Business Overview

ANDREW WALKER MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0022307. The credential type is controlled substance registration for practitioner. The effective date is March 1, 1996. The expiration date is February 28, 1997. The business address is 2 Old Town Hwy #30, E Haven, CT 06512. The current status is inactive.

Basic Information

Licensee Name ANDREW WALKER MD
Credential ID 164508
Credential Number CSP.0022307
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 2 Old Town Hwy #30
E Haven
CT 06512
Business Type INDIVIDUAL
Status INACTIVE
Effective Date 1996-03-01
Expiration Date 1997-02-28
Refresh Date 2005-12-15

Other licenses

ID Credential Code Credential Type Issue Term Status
551192 1.033593 Physician/Surgeon 1994-03-11 1995-08-17 - 1996-08-31 INACTIVE

Office Location

Street Address 2 OLD TOWN HWY #30
City E HAVEN
State CT
Zip Code 06512

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Competitor

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City E HAVEN
Zip Code 06512
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + E HAVEN

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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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