WALTERENE L DUBY (Credential# 535681) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2017. The license expiration date date is February 28, 2019. The license status is LAPSED.
WALTERENE L DUBY is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0045670. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2017. The expiration date is February 28, 2019. The business address is 2160 Mayport Rd., Atlantic Beach, FL 32233. The current status is lapsed.
| Licensee Name | WALTERENE L DUBY |
| Credential ID | 535681 |
| Credential Number | CSP.0045670 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
2160 Mayport Rd. Atlantic Beach FL 32233 |
| Business Type | INDIVIDUAL |
| Status | LAPSED |
| Active | 1 |
| Issue Date | 2009-08-18 |
| Effective Date | 2017-03-01 |
| Expiration Date | 2019-02-28 |
| Refresh Date | 2019-03-06 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 615516 | 10.E45782 | Registered Nurse | 1983-09-12 | 2016-11-01 - 2017-10-31 | INACTIVE |
| 889622 | 12.004138 | Advanced Practice Registered Nurse | 2009-08-04 | 2016-11-01 - 2017-10-31 | INACTIVE |
| Street Address | 2160 Mayport Rd. |
| City | Atlantic Beach |
| State | FL |
| Zip Code | 32233 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Leonard Demeglio | 1112 Diligent Court, Jacksonville, FL 32233 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Marcus Jeremy Cox | 882 East Coast Drive, Atlantic Beach, FL 32233 | Physician/surgeon | 2020-02-01 ~ 2021-01-31 |
| Mary E Kneeland | 701 Beach Ave #302, Atlantic Beach, FL 32233 | Registered Nurse | 2019-05-01 ~ 2020-04-30 |
| Carol E Slater | 1015 Atlantic Blvd, Atlantic Beach, FL 32233 | Registered Nurse | 2008-12-15 ~ 2009-12-31 |
| Susan A Peck | Po Box 331451, Atlantic Beach, FL 32233 | Registered Nurse | 1997-06-03 ~ 1998-05-31 |
| Shiro Iwae | 1653 Linkside Court North, Atlantic Beach, FL 32233 | Acupuncturist | 2004-12-08 ~ 2006-02-28 |
| My Baby Sam Inc | 1882 Mealy St S Ste 2, Atlantic Beach, FL 32233-1960 | Importer of Bedding & Upholstered Furniture | 2017-05-01 ~ 2018-04-30 |
| Ruth A Milstead | 1472 Cove Landing Dr, Jacksonville, FL 32233-2058 | Registered Nurse | 2020-01-01 ~ 2020-12-31 |
| Megan Blevins | 950 Main St, Atlantic Beach, FL 32233-2558 | Registered Nurse | 2019-08-01 ~ 2020-07-31 |
| Leslie C Dakin | 149 Belvedere St, Atlantic Beach, FL 32233-4106 | Registered Nurse | 2017-12-01 ~ 2018-11-30 |
| Find all Licenses in zip 32233 | |||
| City | Atlantic Beach |
| Zip Code | 32233 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + Atlantic Beach |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Steven Kassels Md · Community Substance Abuse Center | Comm. Physicians PC/125 North Elm Street, Westfield, MA 01085 | Controlled Substance Registration for Practitioner | 2018-06-15 ~ 2019-02-28 |
| Walterene Quinn | 451 Seminole Lane, Bolingbrook, IL 60440 | Hairdresser/cosmetician | 2001-05-29 ~ 2002-02-28 |
| Shu-i Lin | CT | Controlled Substance Registration for Practitioner | 2017-06-12 ~ 2019-02-28 |
| Arundati Rao | CT | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Erin K Fee | CT | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Min Jin Kim | 639 4th Ave Apt 5c, Brooklyn, NY 11232-1048 | Controlled Substance Registration for Practitioner | 2012-05-10 ~ 2013-02-28 |
| Hae J Kim Pa | New Haven, CT 06511 | Controlled Substance Registration for Practitioner | 2008-03-31 ~ 2009-02-28 |
| Huu Duc D Luu | 630 Mix Ave Apt 6p, Hamden, CT 06514-2320 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
| Qi Che Md | Bridgeport, CT 06610 | Controlled Substance Registration for Practitioner | 2006-03-01 ~ 2007-02-28 |
| Sandy K Lee | 7 4th St Apt 1a, Stamford, CT 06905-5003 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Please comment or provide details below to improve the information on WALTERENE L DUBY.
| 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).