WALTER CHOLEWCZYNSKI MD (Credential# 560263) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is April 1, 2020. The license expiration date date is March 31, 2021. The license status is ACTIVE.
WALTER CHOLEWCZYNSKI MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.042681. The credential type is physician/surgeon. The effective date is April 1, 2020. The expiration date is March 31, 2021. The business address is 159 Grovers Ave, Bridgeport, CT 06605. The current status is active.
| Licensee Name | WALTER CHOLEWCZYNSKI MD |
| Credential ID | 560263 |
| Credential Number | 1.042681 |
| Credential Type | Physician/Surgeon |
| Business Address |
159 Grovers Ave Bridgeport CT 06605 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2004-07-22 |
| Effective Date | 2020-04-01 |
| Expiration Date | 2021-03-31 |
| Refresh Date | 2020-04-16 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 383138 | CSP.0036490 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2004-09-21 | 2019-03-01 - 2021-02-28 | ACTIVE |
| Street Address | 159 GROVERS AVE |
| City | BRIDGEPORT |
| State | CT |
| Zip Code | 06605 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Sheila M Arendt | 159 Grovers Ave, Bridgeport, CT 06605 | Registered Nurse | 1996-02-06 ~ 1997-03-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Melissa Medina | 102 Clinton Ave., Bridgeport, CT 06605 | Medication Administration Certification | ~ |
| Maria Etelvina Lema | 20 Orland St, Bridgeport, CT 06605 | Nail Technician | ~ |
| Michelle Maldonado M�ndez | 182 Monroe St, Bridgeport, CT 06605 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Latavia Henderson | 178 Lewis Street, Bridgeport, CT 06605 | Medication Administration Certification | 2020-06-08 ~ 2022-06-07 |
| Onedu Nnenna Benson | 285 Laurel Avenue, Bridgeport, CT 06605 | Licensed Practical Nurse | ~ |
| Gregory A Korth | 137 Fayerweather Ter, Bridgeport, CT 06605 | Architect | 2020-08-01 ~ 2021-07-31 |
| Kim Anh Ho | 108 Wood Avenue, Bridgeport, CT 06605 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Maria-elena Melchor Mora | 653 Colorado Ave, Bridgeport, CT 06605 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Jennifer Nelson | 148 St Stephens Road, Bridgeport, CT 06605 | Esthetician | ~ |
| Santa Fuel Inc | 133 Admiral St, Bridgeport, CT 06605 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Find all Licenses in zip 06605 | |||
| City | BRIDGEPORT |
| Zip Code | 06605 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + BRIDGEPORT |
| 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 A Castro | 282 Washington St, Hartford, CT 06106-3322 | Physician/surgeon | ~ |
| Walter P Reyelt Jr | Po Box 206, Sharon, CT 06069-0206 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Walter R Hampton Md | 56 Winthrop St, Tariffville, CT 06081-9623 | Physician/surgeon | 2013-09-01 ~ 2014-08-31 |
| Scott D Walter | 85 Seymour St, Hartford, CT 06106 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Otto Walter | 19 Donovan Dr, Framingham, MA 01701-3112 | Physician/surgeon | 2012-03-01 ~ 2013-02-28 |
| Sara N Tischer | 19 Walter Dr, Griswold, CT 06351-3541 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
| Walter J Lentz | 46 Wells St, Westerly, RI 02891 | Physician/surgeon | 2008-12-26 ~ 2009-11-30 |
| Walter R Kope | 162 Mountain Rd, Suffield, CT 06078 | Physician/surgeon | 2016-10-01 ~ 2017-09-30 |
| Walter Kulczycky Md | 24 Mulberry Rd, Woodbridge, CT 06525 | Physician/surgeon | 2006-02-13 ~ 2007-04-30 |
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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).