ELIZABETH L ROSE (Credential# 1065744) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is June 1, 2014. The license expiration date date is May 31, 2015. The license status is INACTIVE.
ELIZABETH L ROSE is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.050885. The credential type is physician/surgeon. The effective date is June 1, 2014. The expiration date is May 31, 2015. The business address is 30 Victoria Ln, Wilbraham, MA 01095-1951. The current status is inactive.
Licensee Name | ELIZABETH L ROSE |
Credential ID | 1065744 |
Credential Number | 1.050885 |
Credential Type | Physician/Surgeon |
Business Address |
30 Victoria Ln Wilbraham MA 01095-1951 |
Business Type | INDIVIDUAL |
Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
Issue Date | 2012-05-01 |
Effective Date | 2014-06-01 |
Expiration Date | 2015-05-31 |
Refresh Date | 2015-09-03 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
1120967 | CSP.0053599 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2012-09-05 | 2013-03-01 - 2015-02-28 | INACTIVE |
Street Address | 30 VICTORIA LN |
City | WILBRAHAM |
State | MA |
Zip Code | 01095-1951 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Kara Elizabeth Gasteyer | 6 Victoria Court, Wilbraham, MA 01095 | Emergency Medical Technician | ~ |
Ethan Michael Gasteyer | 40 Shirley Street, Wilbraham, MA 01095 | Emergency Medical Technician | ~ |
Anne M Grady | 692 Stony Hill Road, Wilbraham, MA 01095 | Registered Nurse | 2019-01-01 ~ 2019-12-31 |
Bryant A Chouinard | 5 Oldwood Rd, Wilbraham, MA 01095 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
Michael F Egan | 22 Fernwood Drive, Wilbraham, MA 01095 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
Janice A Mitchell | P.o. Box 101, Wilbraham, MA 01095 | Licensed Clinical Social Worker | 2020-08-01 ~ 2021-07-31 |
Paul A Huijing | P.o. Box 516, Wilbraham, MA 01095 | Professional Engineer | 2020-05-05 ~ 2021-01-31 |
Dang Ngo | 38 Weston Street, Wilbraham, MA 01095 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
Katlyn E O'brien | 416 Soule Road, Wilbraham, MA 01095 | Registered Nurse | 2020-06-01 ~ 2021-05-31 |
Marie A Bienvenue | 3 Evergreen Circle, Wilbraham, MA 01095 | Registered Nurse | 2020-05-01 ~ 2021-04-30 |
Find all Licenses in zip 01095 |
City | WILBRAHAM |
Zip Code | 01095 |
License Type | Physician/Surgeon |
License Type + County | Physician/Surgeon + WILBRAHAM |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Elizabeth Rose Rose | Connecticut Brand Registration, Hartford, CT 06106 | Liquor Brand Label | 2009-06-05 ~ 2012-06-04 |
Rose T Garrett | 1671 N. Prim Rose Lane, Tahlequah, OK 74464 | Physician/surgeon | 2010-02-01 ~ 2011-01-31 |
Nicole Caldwell | 240 Elizabeth St # H1-120, Elizabeth, CO 80107-7537 | Physician/surgeon | 2015-03-01 ~ 2016-02-29 |
Elizabeth Rose Merlot | Connecticut Brand Registration, Hartford, CT 06106 | Liquor Brand Label | 2015-06-12 ~ 2018-06-11 |
Elizabeth Rose Chardonnay | Connecticut Brand Registration, Hartford, CT 06106 | Liquor Brand Label | 2018-11-08 ~ 2021-06-11 |
Rose M Tamura | 41 Sullivan Dr, Redding, CT 06896-2509 | Physician/surgeon | 2020-01-01 ~ 2020-12-31 |
John W O'bell Md | 14 Rose Ct., Providence, RI 02906 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
Margaret J Rose | 333 Cedar St Tmp 3, New Haven, CT 06520-8051 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
Kenneth M Rose | 300 E56th, New York, NY 10022 | Physician/surgeon | 2015-09-01 ~ 2016-08-31 |
Gilbert J Rose Md | 25 Sammis St, Rowayton, CT 06853 | Physician/surgeon | 2016-06-01 ~ 2017-05-31 |
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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).