SCOTT WALLS PA (Credential# 187100) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2002. The license expiration date date is February 28, 2003. The license status is INACTIVE.
SCOTT WALLS PA is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0026275. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2002. The expiration date is February 28, 2003. The business address is 3 Waverly Park Rd, Branford, CT 06405. The current status is inactive.
| Licensee Name | SCOTT WALLS PA |
| Credential ID | 187100 |
| Credential Number | CSP.0026275 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
3 Waverly Park Rd Branford CT 06405 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE |
| Effective Date | 2002-03-01 |
| Expiration Date | 2003-02-28 |
| Refresh Date | 2009-01-26 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 742383 | 23.000634 | Physician Assistant | 1997-01-24 | 2001-10-30 - 2002-12-31 | INACTIVE |
| Street Address | 3 WAVERLY PARK RD |
| City | BRANFORD |
| State | CT |
| Zip Code | 06405 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Raymond M Johnson | 39 Bayberry Lane, Branford, CT 06405 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Kirsten M Ranciato | 288 East Main Street, Branford, CT 06405 | Licensed Clinical Social Worker | 2020-08-01 ~ 2021-07-31 |
| Bimala Khadka Thapa | 726 Robert Frost Dr., Branford, CT 06405 | Nail Technician | ~ |
| Paul E Basile | 42 Valley Brook Road South, Branford, CT 06405 | Perfusionist | 2020-08-01 ~ 2021-07-31 |
| Lupe Monica Placencia-muy | 100 East Main Street 2nd Fl, Branford, CT 06405 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-27 ~ 2022-02-28 |
| Bridget J Jennings | 159 Queach Road, Branford, CT 06405 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Ujeli Acharya | 21 Burban Drive, Branford, CT 06405 | Nail Technician | ~ |
| Cathleen Smith | 50 First Avenue, Branford, CT 06405 | Radiographer | 2020-07-01 ~ 2021-06-30 |
| Gita Thapa | 94 Village Lane, Branford, CT 06405 | Nail Technician | ~ |
| Cycle Venture Partners Fund I Lp - Lumeda Series 1 | 50 Limewood Avenue, Branford, CT 06405 | Securities - Exemptions | 2020-06-17 ~ |
| Find all Licenses in zip 06405 | |||
| City | BRANFORD |
| Zip Code | 06405 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + BRANFORD |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Cara Lea P Walls | 60 Hope St, Niantic, CT 06357-2442 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Andrew Walls | 123 York St Apt 18b, New Haven, CT 06511-5699 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Raymond J Walls | 800 Howard Ave, New Haven, CT 06519-1369 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Irena Veksler-offengenden Md | 55 Walls Dr Ste 405, Fairfield, CT 06824 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Katherine A Bloom | 55 Walls Drive, Fairfield, CT 06824 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Ami S Marshall | 142 Scott Ave, Watertown, CT 06795-2521 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Scott S Kim | 100 Trumbull St Apt 808, Hartford, CT 06103-2429 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Scott R Sobieraj | Williamsville, NY 14221 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
| Scott C Graham Md | 19 Frontier Rd, Cos Cob, CT 06807 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Eric R Scott | 650 Mix Ave Apt 5a, Hamden, CT 06514 | Controlled Substance Registration for Practitioner | 2008-03-01 ~ 2009-02-28 |
Please comment or provide details below to improve the information on SCOTT WALLS PA.
| 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).