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.
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.
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 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
291199 | CSP.0031628 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2001-11-28 - 2002-02-28 | INACTIVE |
Street Address | 150 Rock Island Street |
City | Gouverneur |
State | NY |
Zip Code | 13642 |
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 |
City | Gouverneur |
Zip Code | 13642 |
License Type | Physician/Surgeon |
License Type + County | Physician/Surgeon + Gouverneur |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Michelle L Baerthlein | 275 S. Merrimack Road, Hollis, NH 03049 | Registered Nurse | 2009-01-26 ~ 2010-02-28 |
William High Md | 2910 Fannin St Ste B, Beaumont, TX 77701-3901 | Physician/surgeon | 2016-07-13 ~ 2017-01-31 |
William G Cimino Md | William G. Cimino, Md, PC, Fairfield, CT 06824 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
William H Truswell | CT | Physician/surgeon | 1973-08-07 ~ 1981-06-30 |
William S Wanago | 166 E 61 St #12f, New York, NY 10021 | Physician/surgeon | 1993-04-23 ~ 1994-03-31 |
William M Griffin | Po Box 877, Jackson, CA 95642 | Physician/surgeon | 1999-04-13 ~ 2000-04-30 |
William Cieplinski | 27 Claremont Ave, Rye, NY 10580-2503 | Physician/surgeon | 1978-05-10 ~ 1986-01-31 |
William L Gates Jr | Po Box 816, Cheshire, CT 06410 | Physician/surgeon | 1993-11-10 ~ 1994-10-31 |
William J. Goodman | 84 Willow St, Brooklyn, NY 11201-1617 | Physician/surgeon | ~ |
William F Bahnson | Box 187, Greenfield, MA 01302 | Physician/surgeon | 1990-01-24 ~ 1990-08-28 |
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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).