BERTRAM E WALLS
Physician/surgeon


Address: 2828 Croasdaile Dr, Durham, NC 27705

BERTRAM E WALLS (Credential# 549660) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is June 20, 1996. The license expiration date date is July 31, 1997. The license status is INACTIVE.

Business Overview

BERTRAM E WALLS is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.032007. The credential type is physician/surgeon. The effective date is June 20, 1996. The expiration date is July 31, 1997. The business address is 2828 Croasdaile Dr, Durham, NC 27705. The current status is inactive.

Basic Information

Licensee Name BERTRAM E WALLS
Credential ID 549660
Credential Number 1.032007
Credential Type Physician/Surgeon
Business Address 2828 Croasdaile Dr
Durham
NC 27705
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 1991-11-22
Effective Date 1996-06-20
Expiration Date 1997-07-31
Refresh Date 2009-07-08

Office Location

Street Address 2828 CROASDAILE DR
City DURHAM
State NC
Zip Code 27705

Licenses in the same zip code

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Marigny Manson Bratcher 1509 Rowemont Dr, Durham, NC 27705 Registered Nurse 2020-06-01 ~ 2021-06-30
Mayrillane Jackie Bahi 114 Morcroft Ln, Durham, NC 27705 Certified Public Accountant Certificate 2020-01-01 ~ 2020-12-31
Preeti Manavalan 2530 Erwin Road, Durham, NC 27705 Physician/surgeon 2018-05-01 ~ 2019-04-30
Mark David Friedland 2610 Erwin Rd Unit 318, Durham, NC 27705 Controlled Substance Registration for Practitioner 2019-03-01 ~ 2021-02-28
Mary L Alexander 814 Sedgefield Street, Durham, NC 27705 Pharmacist 2016-02-01 ~ 2018-01-31
Scott J Kowalczyk 101 Tannenbaum St., Durham, NC 27705 Registered Nurse 2017-05-01 ~ 2018-04-30
Emily Tangwar 504 White Pine Drive, Durham, NC 27705 Registered Nurse 2015-05-29 ~ 2015-12-31
Lynn M Cardile 10 Bogie Court, Durham, NC 27705 Registered Nurse 2014-11-01 ~ 2015-10-31
Betty M Greene 1014 Oakland Ave, Durham, NC 27705 Hairdresser/cosmetician 2012-11-01 ~ 2014-10-31
Brooke G Robinson 2313 Wilson St, Durham, CT 27705 Speech and Language Pathologist 2010-08-01 ~ 2011-07-31
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City DURHAM
Zip Code 27705
License Type Physician/Surgeon
License Type + County Physician/Surgeon + DURHAM

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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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