ADAM P WALLACH (Credential# 562782) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is September 1, 2010. The license expiration date date is August 31, 2011. The license status is INACTIVE.
ADAM P WALLACH is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.045200. The credential type is physician/surgeon. The effective date is September 1, 2010. The expiration date is August 31, 2011. The business address is 431 Brookford Place Ct, Winston Salem, NC 27104-5708. The current status is inactive.
| Licensee Name | ADAM P WALLACH |
| Credential ID | 562782 |
| Credential Number | 1.045200 |
| Credential Type | Physician/Surgeon |
| Business Address |
431 Brookford Place Ct Winston Salem NC 27104-5708 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 2007-03-14 |
| Effective Date | 2010-09-01 |
| Expiration Date | 2011-08-31 |
| Refresh Date | 2011-12-02 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 471785 | CSP.0041529 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2007-05-29 | 2007-05-29 - 2008-02-29 | INACTIVE |
| Street Address | 431 BROOKFORD PLACE CT |
| City | WINSTON SALEM |
| State | NC |
| Zip Code | 27104-5708 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Amanda Dawn Shore | 381 Dover Drive, Winston Salem, NC 27104 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Donna J O'meara · Lyons | 827 Westover Ave, Winston Salem, NC 27104 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Teri Ann Learned | 4030 Dresden Drive, Winston Salem, NC 27104 | Registered Nurse | 2020-05-01 ~ 2021-04-30 |
| Arie Mantin | 1028 Greenhurst Rd, Winston Salem, NC 27104 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
| Anna M Miller | 1025 Turtlerock Lane, Winston Salem, NC 27104 | Registered Nurse | 2019-12-01 ~ 2020-11-30 |
| Terresa A Long | 646 Balfour Road, Winston Salem, NC 27104 | Advanced Practice Registered Nurse | 2015-09-16 ~ 2016-09-30 |
| James T Brown · Bahnson Service Company | 268 Stanaford Rd, Winston-salem, NC 27104 | Professional Engineer | 1987-01-29 ~ 1988-01-31 |
| Dsa Group of Nc Inc | 1277 Kent Place Ln, Winston Salem, NC 27104 | Professional Engineer | 1989-03-16 ~ 1990-01-31 |
| Frederick W Kremkau | 5104 Huntcliff Trail, Winston-salem, NC 27104 | Professional Engineer | 1989-02-09 ~ 1990-01-31 |
| Douglas W Woolard Md | 792 Roslyn Road, Winston-salem, NC 27104 | Physician/surgeon | 2013-02-01 ~ 2014-01-31 |
| Find all Licenses in zip 27104 | |||
| City | WINSTON SALEM |
| Zip Code | 27104 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + WINSTON SALEM |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Wallach's Inc | 130 Norwich-new London Tnpke, Uncasville, CT 06382 | Home Improvement Contractor | 2011-12-01 ~ 2012-11-30 |
| Robert C Wallach | 240 E 38th St, New York, NY 10016-2708 | Physician/surgeon | 2016-02-01 ~ 2017-01-31 |
| Steven G Wallach | 1049 5th Ave, New York, NY 10028 | Physician/surgeon | 2019-09-01 ~ 2020-08-31 |
| Leonard A Wallach · Wallach's Carpet Center | 130 Route 32, Uncasville, CT 06382 | Home Improvement Contractor | 1995-12-01 ~ 1996-11-30 |
| Steven Wallach · Steven Wallach Landscapes | 277 Newfield St, Middletown, CT 06457-6473 | Home Improvement Contractor | 2014-12-01 ~ 2015-11-30 |
| Louis B Wallach Inc | 243 Mamanasco Rd, Ridgefield, CT 06877 | Home Improvement Contractor | 2007-12-01 ~ 2008-01-19 |
| Wallach Construction Associates LLC | 3 Bean Hill Road, Stockbridge, MA 01262 | Home Improvement Contractor | 2019-12-11 ~ 2020-11-30 |
| Adam M Silverman Md | 282 Washington St, Hartford, CT 06106-3322 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Adam Rodos | 808 S. Wood St., Chicago, IL 60612 | Physician/surgeon | 2018-11-01 ~ 2019-10-31 |
| Adam J Elias | 10 Dodier Ct, Merrimack, NH 03054 | Physician/surgeon | 2019-06-01 ~ 2020-05-31 |
Please comment or provide details below to improve the information on ADAM P WALLACH.
| 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).