FREDERICK A WALTHER
Physician/surgeon


Address: 47 Sammis Lane, White Plains, NY 10605

FREDERICK A WALTHER (Credential# 564776) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is November 28, 2008. The license expiration date date is August 31, 2009. The license status is INACTIVE.

Business Overview

FREDERICK A WALTHER is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.047194. The credential type is physician/surgeon. The effective date is November 28, 2008. The expiration date is August 31, 2009. The business address is 47 Sammis Lane, White Plains, NY 10605. The current status is inactive.

Basic Information

Licensee Name FREDERICK A WALTHER
Credential ID 564776
Credential Number 1.047194
Credential Type Physician/Surgeon
Business Address 47 Sammis Lane
White Plains
NY 10605
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 2008-11-28
Effective Date 2008-11-28
Expiration Date 2009-08-31
Refresh Date 2009-12-10

Office Location

Street Address 47 Sammis Lane
City White Plains
State NY
Zip Code 10605

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City White Plains
Zip Code 10605
License Type Physician/Surgeon
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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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