WALTER KULCZYCKY MD (Credential# 543160) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is February 13, 2006. The license expiration date date is April 30, 2007. The license status is INACTIVE.
WALTER KULCZYCKY MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.019803. The credential type is physician/surgeon. The effective date is February 13, 2006. The expiration date is April 30, 2007. The business address is 24 Mulberry Rd, Woodbridge, CT 06525. The current status is inactive.
Licensee Name | WALTER KULCZYCKY MD |
Credential ID | 543160 |
Credential Number | 1.019803 |
Credential Type | Physician/Surgeon |
Business Address |
24 Mulberry Rd Woodbridge CT 06525 |
Business Type | INDIVIDUAL |
Status | INACTIVE - PRIOR DISCIPLINE |
Issue Date | 1989-01-20 |
Effective Date | 2006-02-13 |
Expiration Date | 2007-04-30 |
Refresh Date | 2009-07-11 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
238359 | CSP.0029783 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2006-03-01 - 2007-02-28 | INACTIVE | |
158420 | CSP.0016976 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 1998-08-19 - 1999-02-28 | INACTIVE |
Street Address | 24 MULBERRY RD |
City | WOODBRIDGE |
State | CT |
Zip Code | 06525 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Hyue Kyung Choi | 11 Rock Hill Road, Woodbridge, CT 06525 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
Jewish Cemetery Association of Greater New Haven | 360 Amity Road, Woodbridge, CT 06525 | Public Charity | 2020-07-01 ~ 2021-06-30 |
Nancy Bradstreet | 146 Northrop Rd., Woodbridge, CT 06525 | Licensed Clinical Social Worker | 2020-09-01 ~ 2021-08-31 |
Robert I Tucker | 15 Research Drive, Woodbridge, CT 06525 | Architect | 2020-08-01 ~ 2021-07-31 |
Amity Brick Oven Pizza Inc · Joseph R Sarno | 142 Amity Rd, New Haven, CT 06525 | Bakery | 2020-07-01 ~ 2021-06-30 |
Linda A Starace-colabella | 895 Baldwin Rd, Woodbridge, CT 06525 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
Patricia A Kenyon · Leskow | 8 Maple Terrace, Woodbridge, CT 06525 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
Marianne L Dexter | 37 Acorn Hill Rd, Woodbridge, CT 06525 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
Debra G Wayne | 94 Maple Vale Drive, Woodbridge, CT 06525 | Psychologist | 2020-09-01 ~ 2021-08-31 |
Timothy Michael Carney | 1119 Racebrook Road, Woodbridge, CT 06525 | Emergency Medical Technician | 2016-08-19 ~ 2020-03-31 |
Find all Licenses in zip 06525 |
City | WOODBRIDGE |
Zip Code | 06525 |
License Type | Physician/Surgeon |
License Type + County | Physician/Surgeon + WOODBRIDGE |
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 P Reyelt Jr | Po Box 206, Sharon, CT 06069-0206 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
Walter A Castro | 282 Washington St, Hartford, CT 06106-3322 | Physician/surgeon | ~ |
Walter J Hierholzer Jr | 210 Dromara Rd, Guilford, CT 06437 | Physician/surgeon | 2009-06-01 ~ 2010-05-31 |
Walter H Short | 85 Jefferson St, Hartford, CT 06106-2601 | Physician/surgeon | 1980-07-02 ~ 1981-06-30 |
Walter Mathis | 34 Park St., New Haven, CT 06519 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
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 |
Sara N Tischer | 19 Walter Dr, Griswold, CT 06351-3541 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
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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).