ANDREW L WALSHAK
Controlled Substance Registration for Practitioner


Address: 17 Gereg Glenn Rd, Brookfield, CT 06804-1054

ANDREW L WALSHAK (Credential# 258584) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2013. The license expiration date date is February 28, 2015. The license status is INACTIVE.

Business Overview

ANDREW L WALSHAK is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0030399. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2013. The expiration date is February 28, 2015. The business address is 17 Gereg Glenn Rd, Brookfield, CT 06804-1054. The current status is inactive.

Basic Information

Licensee Name ANDREW L WALSHAK
Credential ID 258584
Credential Number CSP.0030399
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 17 Gereg Glenn Rd
Brookfield
CT 06804-1054
Business Type INDIVIDUAL
Status INACTIVE
Effective Date 2013-03-01
Expiration Date 2015-02-28
Refresh Date 2016-01-29

Other licenses

ID Credential Code Credential Type Issue Term Status
556658 1.039070 Physician/Surgeon 2000-10-17 2013-11-01 - 2014-10-31 INACTIVE

Office Location

Street Address 17 GEREG GLENN RD
City BROOKFIELD
State CT
Zip Code 06804-1054

Licenses in the same zip code

Licensee Name Office Address Credential Effective / Expiration
Robert H Pickerill 1 Gereg Glen Rd, Brookfield, CT 06804-1054 Real Estate Salesperson 2013-06-01 ~ 2014-05-31

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Competitor

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City BROOKFIELD
Zip Code 06804
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + BROOKFIELD

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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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