WALTER KWASS MD (Credential# 542018) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is January 1, 2011. The license expiration date date is December 31, 2011. The license status is INACTIVE.
WALTER KWASS MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.016674. The credential type is physician/surgeon. The effective date is January 1, 2011. The expiration date is December 31, 2011. The business address is 199 Massachusetts Avenue, Boston, MA 02115. The current status is inactive.
| Licensee Name | WALTER KWASS MD |
| Credential ID | 542018 |
| Credential Number | 1.016674 |
| Credential Type | Physician/Surgeon |
| Business Address |
199 Massachusetts Avenue Boston MA 02115 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 1974-06-10 |
| Effective Date | 2011-01-01 |
| Expiration Date | 2011-12-31 |
| Refresh Date | 2012-04-03 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 142939 | CSP.0006992 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2009-03-01 - 2011-02-28 | INACTIVE |
| Street Address | 199 MASSACHUSETTS AVENUE |
| City | BOSTON |
| State | MA |
| Zip Code | 02115 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Barbara Frechette | 1719 Longwood Avenue, Boston, MA 02115 | Registered Nurse | ~ |
| Katherine K Lee | 360 Riverway Apt 12, Boston, MA 02115 | Pharmacist | 2020-02-01 ~ 2022-01-31 |
| Volition Capital Fund Iv, Lp | 177 Huntington Avenue, Boston, MA 02115 | Securities - Exemptions | 2019-12-30 ~ |
| William John Anderson | 368 Riverway, Boston, MA 02115 | Physician/surgeon | ~ |
| Safar Partners Fund, L.p. | 30 Dalton Street, Boston, MA 02115 | Securities - Exemptions | 2019-10-29 ~ |
| Stephanie Demarino | 96 Gainsborough St, Boston, MA 02115 | Registered Nurse | 2019-09-26 ~ 2020-05-31 |
| Karyn M Palomba | 456 Beacon Street, Boston, MA 02115 | Registered Nurse | 2019-12-01 ~ 2020-11-30 |
| Danielle Costigan | Brigham and Women's Hospital, Boston, MA 02115 | Physician/surgeon | 2019-03-25 ~ 2020-03-31 |
| Gabrielle A Erwin | 51 Gloucester Street, Boston, MA 02115 | Pharmacy Technician | 2017-04-01 ~ 2018-03-31 |
| Rachid J Farah | 211 Arlington St, Medford, MA 02115 | Professional Engineer | 2010-02-11 ~ 2011-01-31 |
| Find all Licenses in zip 02115 | |||
| City | BOSTON |
| Zip Code | 02115 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + BOSTON |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Walter G Donnelly Jr | Po Box 679, Sharon, CT 06069-0679 | Physician/surgeon | 2014-08-01 ~ 2015-07-31 |
| Walter A Castro | 282 Washington St, Hartford, CT 06106-3322 | Physician/surgeon | ~ |
| Walter P Reyelt Jr | Po Box 206, Sharon, CT 06069-0206 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Walter H Short | 85 Jefferson St, Hartford, CT 06106-2601 | Physician/surgeon | 1980-07-02 ~ 1981-06-30 |
| Walter Kulczycky Md | 24 Mulberry Rd, Woodbridge, CT 06525 | Physician/surgeon | 2006-02-13 ~ 2007-04-30 |
| Walter Mathis | 34 Park St., New Haven, CT 06519 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Walter J Hierholzer Jr | 210 Dromara Rd, Guilford, CT 06437 | Physician/surgeon | 2009-06-01 ~ 2010-05-31 |
| Walter T Shanley | 279 South Trl # A, Stratford, CT 06614-8107 | Physician/surgeon | 2019-04-01 ~ 2020-03-31 |
| 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 |
Please comment or provide details below to improve the information on WALTER KWASS MD.
| 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).