RICHARD B WALLACE MD
Controlled Substance Registration for Practitioner


Address: 7 Devonshire Dr, Waterford, CT 06385-1701

RICHARD B WALLACE MD (Credential# 224691) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2003. The license expiration date date is February 28, 2004. The license status is INACTIVE.

Business Overview

RICHARD B WALLACE MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0028976. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2003. The expiration date is February 28, 2004. The business address is 7 Devonshire Dr, Waterford, CT 06385-1701. The current status is inactive.

Basic Information

Licensee Name RICHARD B WALLACE MD
Credential ID 224691
Credential Number CSP.0028976
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 7 Devonshire Dr
Waterford
CT 06385-1701
Business Type INDIVIDUAL
Status INACTIVE
Effective Date 2003-03-01
Expiration Date 2004-02-28
Refresh Date 2009-01-26

Other licenses

ID Credential Code Credential Type Issue Term Status
210653 CSP.0028152 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 1999-04-14 - 2000-02-28 INACTIVE

Office Location

Street Address 7 DEVONSHIRE DR
City WATERFORD
State CT
Zip Code 06385-1701

Licenses in the same zip code

Licensee Name Office Address Credential Effective / Expiration
Thomas M Martin 21 Devonshire Dr, Waterford, CT 06385-1701 Emergency Medical Technician 2020-01-01 ~ 2022-12-31
Mark M Parker 33 Devonshire Dr, Waterford, CT 06385-1701 Emergency Medical Technician 2019-04-01 ~ 2022-03-31
Kathy L Perkins 39 Devonshire Dr, Waterford, CT 06385-1701 Hairdresser/cosmetician 2018-10-01 ~ 2020-09-30
William A Grace 43 Devonshire Dr, Waterford, CT 06385-1701 Emergency Medical Technician 2018-04-23 ~ 2021-04-01
Heather L Martin 21 Devonshire Dr, Waterford, CT 06385-1701 Emergency Medical Technician 2018-03-14 ~ 2021-04-01
Melissa R Parker 33 Devonshire Dr, Waterford, CT 06385-1701 Licensed Practical Nurse 2019-07-01 ~ 2020-06-30
James S Do 15 Devonshire Dr, Waterford, CT 06385-1701 Professional Engineer 2005-02-01 ~ 2006-01-31
Makayla J Andrews 21 Devonshire Dr, Waterford, CT 06385-1701 Emergency Medical Technician ~
Karen M Nesdill 19 Devonshire Dr, Waterford, CT 06385-1701 Registered Nurse ~

Licenses in the same zip code

Licensee Name Office Address Credential Effective / Expiration
Howard Christopher Rosas 40 Ridgewood Ave, Waterford, CT 06385 Chiropractor 2020-07-01 ~ 2021-06-30
Vincent F Donato 26 Wild Rose Avenue, Waterford, CT 06385 Hairdresser/cosmetician 2020-07-01 ~ 2022-06-30
Mark A Herter 51 Quarry Rd, Waterford, CT 06385 Architect 2020-08-01 ~ 2021-07-31
Pamela A Manke 54 Rope Ferry Rd., Waterford, CT 06385 Professional Counselor 2020-08-01 ~ 2021-07-31
Carol Winslow 18 Myrock Ave, Waterford, CT 06385 Marital and Family Therapist 2020-09-01 ~ 2021-08-31
Donna M Rivero · Knupp 3 Ridgewood Ave, Waterford, CT 06385 Hairdresser/cosmetician 2020-08-01 ~ 2022-07-31
Margaret A Goldschneider · Chapman 3 High Ridge Drive, Waterford, CT 06385 Registered Nurse 2020-09-01 ~ 2021-08-31
Frank R Dellacono Md 201 Boston Post Road, Waterford, CT 06385 Physician/surgeon 2020-07-01 ~ 2021-06-30
Mathew H Tellier 25 Locust Ct., Waterford, CT 06385 Backflow Prevention Device Tester 2020-06-18 ~ 2023-03-31
Renata Kamburi 16 Marilyn Road, Waterford, CT 06385 Esthetician 2020-06-20 ~ 2021-12-31
Find all Licenses in zip 06385

Competitor

Search similar business entities

City WATERFORD
Zip Code 06385
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + WATERFORD

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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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