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 |
Please comment or provide details below to improve the information on WILLIAM C BAERTHLEIN.
| 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).