WALTER S GILLIAM
Psychologist


Address: 79 Lebanon Road, Bethany, CT 06524

WALTER S GILLIAM (Credential# 790464) is licensed (Psychologist) with Connecticut Department of Consumer Protection. The license effective date is October 1, 2017. The license expiration date date is September 30, 2018. The license status is INACTIVE.

Business Overview

WALTER S GILLIAM is licensed with the Department of Consumer Protection of Connecticut. The credential number is #8.002137. The credential type is psychologist. The effective date is October 1, 2017. The expiration date is September 30, 2018. The business address is 79 Lebanon Road, Bethany, CT 06524. The current status is inactive.

Basic Information

Licensee Name WALTER S GILLIAM
Credential ID 790464
Credential Number 8.002137
Credential Type Psychologist
Business Address 79 Lebanon Road
Bethany
CT 06524
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 1997-11-28
Effective Date 2017-10-01
Expiration Date 2018-09-30
Refresh Date 2019-01-03

Office Location

Street Address 79 Lebanon Road
City Bethany
State CT
Zip Code 06524

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Brian K Coutermarsh 32 Emerald Lane, Bethany, CT 06524 Radiographer 2020-09-01 ~ 2021-08-31
Michelle L Amato 172 Russell Rd, Bethany, CT 06524 Dental Hygienist 2020-08-01 ~ 2021-07-31
Joseph L Colaci 57 Edwards Road, Bethany, CT 06524 Nursing Home Administrator 2020-05-01 ~ 2022-04-30
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Competitor

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City Bethany
Zip Code 06524
License Type Psychologist
License Type + County Psychologist + Bethany

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Walter E Needham 16 Pepperwood Ct, Madison, CT 06443 Psychologist 2012-06-01 ~ 2013-05-31
Walter C Venters 198 Oak Street, Winsted, CT 06098 Psychologist 1998-09-28 ~ 1999-10-31
Walter E Spear 841 Forest Rd, Northford, CT 06472 Psychologist 1999-09-14 ~ 2000-08-31
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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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