WALTER T SHANLEY
Physician/surgeon


Address: 279 South Trl # A, Stratford, CT 06614-8107

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.

Business Overview

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.

Basic Information

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

Other licenses

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

Other locations

Licensee Name Office Address Credential Effective / Expiration
Walter T Shanley 1551 Broadbridge, Stratford, CT 06497 Notary Public Appointment 1978-01-01 ~ 1982-03-31

Office Location

Street Address 279 SOUTH TRL # A
City STRATFORD
State CT
Zip Code 06614-8107

Licenses in the same zip code

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
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Competitor

Search similar business entities

City STRATFORD
Zip Code 06614
License Type Physician/Surgeon
License Type + County Physician/Surgeon + STRATFORD

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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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