WALTER J KUPSON III (Credential# 180123) 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.
WALTER J KUPSON III is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0025535. 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 184 Colonial Avenue, Middlebury, CT 06762. The current status is active.
| Licensee Name | WALTER J KUPSON III |
| Credential ID | 180123 |
| Credential Number | CSP.0025535 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
184 Colonial Avenue Middlebury CT 06762 |
| 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 | 2019-01-03 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 538198 | 1.000466-DO | Physician/Surgeon | 1997-03-14 | 2019-11-01 - 2020-10-31 | ACTIVE |
| Street Address | 184 Colonial Avenue |
| City | Middlebury |
| State | CT |
| Zip Code | 06762 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Kyle W Kupson | 184 Colonial Avenue, Middlebury, CT 06762 | Emergency Medical Responder | 2007-08-09 ~ 2009-04-01 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Patricia E Rosa · Lambo | 76 East Farm Rd, Middlebury, CT 06762 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Kathy Ann Calo · Bellino | 116 Carriage Drive, Middlebury, CT 06762 | Hairdresser/cosmetician | 2020-06-01 ~ 2022-05-31 |
| Laurie V Massetti | 60 Yale Avenue, Middlebury, CT 06762 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Timex Corp | Park Rd Ext, Middlebury, CT 06762 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Margaret E Mowrey | 57 Marney Drive, Middlebury, CT 06762 | Licensed Clinical Social Worker | 2020-08-01 ~ 2021-07-31 |
| Giuseppe Tripodi | 687 Straits Tpk, Middlebury, CT 06762 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
| Elise L Callahan | 77 Christian Rd, Middlebury, CT 06762 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Michelle King | 91 Kissewaug Rd, Middlebury, CT 06762 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Michael F Simms IIi | 80 Burr Hall Road, Middlebury, CT 06762 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Kelly M Barbaris | 62 Yale Avenue, Middlebury, CT 06762 | Physical Therapist | 2020-07-01 ~ 2021-06-30 |
| Find all Licenses in zip 06762 | |||
| City | Middlebury |
| Zip Code | 06762 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + Middlebury |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Walter M Chen Dds | Po Box 223, Montrose, NY 10548-0223 | Controlled Substance Registration for Practitioner | 2010-04-15 ~ 2011-02-28 |
| Walter J Eppich | 17 Eld St Apt 2, New Haven, CT 06511 | Controlled Substance Registration for Practitioner | 2005-03-01 ~ 2006-02-28 |
| Walter P Paladino | P O Box 455, Old Mystic, CT 06372 | Controlled Substance Registration for Practitioner | 1995-11-14 ~ 1997-02-28 |
| Khurram Bari | 92 Walter Ln, Hamden, CT 06514-2648 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
| Jeffrey H Shutts | 2a Walter Ave, Norwalk, CT 06851-4134 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Walter E Longo | 330 Cedar St #lh-118, New Haven, CT 06520 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| J Walter Streett Dvm | 6 The Boulevard, Newtown, CT 06470-1602 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Walter Champion | P.o. Box 208042, New Haven, CT 06520 | Controlled Substance Registration for Practitioner | 2017-02-03 ~ 2019-02-28 |
| Walter L Novey Md | 7 Grove St, Hallowell, ME 04347 | Controlled Substance Registration for Practitioner | 2008-03-01 ~ 2009-02-28 |
| Walter A Camp | 49 Lake Ave, Greenwich, CT 06830 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
Please comment or provide details below to improve the information on WALTER J KUPSON III.
| 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).