WILLIAM C BAERTHLEIN
Physician/surgeon


Address: 150 Rock Island Street, Gouverneur, NY 13642

WILLIAM C BAERTHLEIN (Credential# 557566) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is July 31, 2008. The license expiration date date is July 31, 2009. The license status is INACTIVE.

Business Overview

WILLIAM C BAERTHLEIN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.039983. The credential type is physician/surgeon. The effective date is July 31, 2008. The expiration date is July 31, 2009. The business address is 150 Rock Island Street, Gouverneur, NY 13642. The current status is inactive.

Basic Information

Licensee Name WILLIAM C BAERTHLEIN
Credential ID 557566
Credential Number 1.039983
Credential Type Physician/Surgeon
Business Address 150 Rock Island Street
Gouverneur
NY 13642
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 2001-11-09
Effective Date 2008-07-31
Expiration Date 2009-07-31
Refresh Date 2010-01-08

Other licenses

ID Credential Code Credential Type Issue Term Status
291199 CSP.0031628 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 2001-11-28 - 2002-02-28 INACTIVE

Office Location

Street Address 150 Rock Island Street
City Gouverneur
State NY
Zip Code 13642

Licenses in the same zip code

Licensee Name Office Address Credential Effective / Expiration
Kph Healthcare Services · Kinney Drugs Cf 471 E Main St Unit #5, Gouverneur, NY 13642 Nonresident Pharmacy 2019-09-01 ~ 2020-08-31
Bruce B Clark 151 Clinton Street, Gouverneur, NY 13642 Professional Engineer 2004-02-01 ~ 2005-01-31
Donna Thorpe · Todriff 11 Office Rd, Gouverneur, NY 13642 Licensed Practical Nurse 2009-01-20 ~ 2010-03-31
Riverside Iron Works Inc · Msc.00154 21 Water St, Gouverneur, NY 13642 Major Contractor 2001-07-01 ~ 2002-06-30
Jessica P Jacobs Md 83 Clinton St, Gouverneur, NY 13642-1039 Physician/surgeon 2010-06-15 ~ 2011-03-31
William D Turner 2408 California Rd, Gouverneur, NY 13642-3239 Paramedic 2019-12-01 ~ 2020-11-30
Proact Pharmacy Services Inc 1226 Us Highway 11, Gouverneur, NY 13642-3502 Nonresident Pharmacy 2019-09-01 ~ 2020-08-31

Competitor

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City Gouverneur
Zip Code 13642
License Type Physician/Surgeon
License Type + County Physician/Surgeon + Gouverneur

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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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