HEATHER A WALSH
Controlled Substance Registration for Practitioner


Address: 2314 Ontario Rd Nw, Washington, DC 20009

HEATHER A WALSH (Credential# 511896) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is April 1, 2011. The license expiration date date is February 28, 2013. The license status is INACTIVE.

Business Overview

HEATHER A WALSH is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0044448. The credential type is controlled substance registration for practitioner. The effective date is April 1, 2011. The expiration date is February 28, 2013. The business address is 2314 Ontario Rd Nw, Washington, DC 20009. The current status is inactive.

Basic Information

Licensee Name HEATHER A WALSH
Credential ID 511896
Credential Number CSP.0044448
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 2314 Ontario Rd Nw
Washington
DC 20009
Business Type INDIVIDUAL
Status INACTIVE
Issue Date 2008-08-19
Effective Date 2011-04-01
Expiration Date 2013-02-28
Refresh Date 2014-01-29

Other licenses

ID Credential Code Credential Type Issue Term Status
564487 1.046905 Physician/Surgeon 2008-08-05 2010-11-01 - 2011-10-31 INACTIVE

Other locations

Licensee Name Office Address Credential Effective / Expiration
Heather A Walsh 16 Alice Street, Willimantic, CT 06226 Dental Hygienist 1998-02-10 ~ 1999-04-30

Office Location

Street Address 2314 ontario rd nw
City Washington
State DC
Zip Code 20009

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Competitor

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City Washington
Zip Code 20009
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + Washington

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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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