BARBARA A WALDEN PA
Controlled Substance Registration for Practitioner


Address: 1 Mansfield Grove Rd Apt 207, East Haven, CT 06512-4842

BARBARA A WALDEN PA (Credential# 391468) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2007. The license expiration date date is February 29, 2008. The license status is INACTIVE.

Business Overview

BARBARA A WALDEN PA is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0036848. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2007. The expiration date is February 29, 2008. The business address is 1 Mansfield Grove Rd Apt 207, East Haven, CT 06512-4842. The current status is inactive.

Basic Information

Licensee Name BARBARA A WALDEN PA
Credential ID 391468
Credential Number CSP.0036848
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 1 Mansfield Grove Rd Apt 207
East Haven
CT 06512-4842
Business Type INDIVIDUAL
Status INACTIVE
Issue Date 2004-12-15
Effective Date 2007-03-01
Expiration Date 2008-02-29
Refresh Date 2009-02-05

Other licenses

ID Credential Code Credential Type Issue Term Status
743321 23.001572 Physician Assistant 2004-12-08 2006-08-07 - 2007-08-31 INACTIVE

Office Location

Street Address 1 MANSFIELD GROVE RD APT 207
City EAST HAVEN
State CT
Zip Code 06512-4842

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Pia F Gero 1 Mansfield Grove Rd Apt 304, East Haven, CT 06512-4842 Emergency Medical Technician 2009-04-01 ~ 2011-04-01

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Competitor

Search similar business entities

City EAST HAVEN
Zip Code 06512
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + EAST HAVEN

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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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