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.
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.
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 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
210653 | CSP.0028152 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 1999-04-14 - 2000-02-28 | INACTIVE |
Street Address | 7 DEVONSHIRE DR |
City | WATERFORD |
State | CT |
Zip Code | 06385-1701 |
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 | ~ |
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 |
City | WATERFORD |
Zip Code | 06385 |
License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + WATERFORD |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
E F Wallace Dvm | Torrington Rd, Litchfield, CT 06759 | Controlled Substance Registration for Practitioner | 1994-04-15 ~ 1996-05-01 |
Lee Wallace Md | 40 Hart Street, New Britain, CT 06052 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
Lydia Wallace | 289 Green St, Boston, MA 02130-2660 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Suemoy Wallace | 80 Seymour St, Hartford, CT 06102-8000 | Controlled Substance Registration for Practitioner | 2009-09-14 ~ 2011-02-28 |
Ramesh B Bandagorla | 2138 Wallace Ave Apt 268, Bronx, NY 10462-2584 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
Elizabeth C Wallace | 1099 Merritt St, Fairfield, CT 06825-1531 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Matthew C Wallace Md | 4330 Spectrum One, San Antonio, TX 78230 | Controlled Substance Registration for Practitioner | 2009-03-01 ~ 2011-02-28 |
Wallace B Hirschberg | 27 Bridge Street, Stamford, CT 06905 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
Leah G Wallace | 10 Pattagansett Court, Niantic, CT 06357 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Ryan Wallace | 100 Stevenson Road, New Haven, CT 06515 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
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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).