WALTER T SHANLEY (Credential# 539935) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is April 1, 2019. The license expiration date date is March 31, 2020. The license status is ACTIVE.
WALTER T SHANLEY is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.011217. The credential type is physician/surgeon. The effective date is April 1, 2019. The expiration date is March 31, 2020. The business address is 279 South Trl # A, Stratford, CT 06614-8107. The current status is active.
Licensee Name | WALTER T SHANLEY |
Credential ID | 539935 |
Credential Number | 1.011217 |
Credential Type | Physician/Surgeon |
Business Address |
279 South Trl # A Stratford CT 06614-8107 |
Business Type | INDIVIDUAL |
Status | ACTIVE - CURRENT |
Active | 1 |
Issue Date | 1963-01-15 |
Effective Date | 2019-04-01 |
Expiration Date | 2020-03-31 |
Refresh Date | 2019-01-11 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
149471 | CSP.0000538 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 1999-04-15 | 2017-03-01 - 2019-02-28 | LAPSED |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Walter T Shanley | 1551 Broadbridge, Stratford, CT 06497 | Notary Public Appointment | 1978-01-01 ~ 1982-03-31 |
Street Address | 279 SOUTH TRL # A |
City | STRATFORD |
State | CT |
Zip Code | 06614-8107 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Nicole Marie Minaudo | 80 Barrows Ter, Stratford, CT 06614 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
Constance Greene | 65 Pamela Drive, Stratford, CT 06614 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
Courtney M Blaze | 90 Mercer Street, Stratford, CT 06614 | Massage Therapist | 2020-07-01 ~ 2022-06-30 |
William E Rosner Md | 81 B Seminole Lane, Stratford, CT 06614 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
Demetrius I Mcqueen | 60 Emerald Pl, Stratford, CT 06614 | Real Estate Salesperson | 2020-06-26 ~ 2021-05-31 |
Alan Goldberg | 1825 Barnum Ave, Stratford, CT 06614 | Dentist | 2020-09-01 ~ 2021-08-31 |
Kimberly L Matakevich | 1367 Nichols Avenue, Stratford, CT 06614 | Licensed Practical Nurse | 2020-09-01 ~ 2021-08-31 |
Marybeth Nemergut | 990 Chapel St, Stratford, CT 06614 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
Geraldine C Corry | 135 Wigwam Lane, Stratford, CT 06614 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
Kathleen Sajgovic | 300 Post Oak Rd, Stratford, CT 06614 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
Find all Licenses in zip 06614 |
City | STRATFORD |
Zip Code | 06614 |
License Type | Physician/Surgeon |
License Type + County | Physician/Surgeon + STRATFORD |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Walter A Castro | 282 Washington St, Hartford, CT 06106-3322 | Physician/surgeon | ~ |
Walter G Donnelly Jr | Po Box 679, Sharon, CT 06069-0679 | Physician/surgeon | 2014-08-01 ~ 2015-07-31 |
Walter P Reyelt Jr | Po Box 206, Sharon, CT 06069-0206 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
Otto Walter | 19 Donovan Dr, Framingham, MA 01701-3112 | Physician/surgeon | 2012-03-01 ~ 2013-02-28 |
Walter X Lehmann | Po Box 2136, So Londonderry, VT 05155 | Physician/surgeon | 1990-01-24 ~ 1990-10-31 |
Walter T Mcphee | Po Box 67, Mansfield Center, CT 06250-0067 | Physician/surgeon | 2019-02-01 ~ 2020-01-31 |
Walter J Lentz | 46 Wells St, Westerly, RI 02891 | Physician/surgeon | 2008-12-26 ~ 2009-11-30 |
Sara N Tischer | 19 Walter Dr, Griswold, CT 06351-3541 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
Walter J Hierholzer Jr | 210 Dromara Rd, Guilford, CT 06437 | Physician/surgeon | 2009-06-01 ~ 2010-05-31 |
Walter R Kope | 162 Mountain Rd, Suffield, CT 06078 | Physician/surgeon | 2016-10-01 ~ 2017-09-30 |
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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).