ELIZABETH L ROSE
Physician/surgeon


Address: 30 Victoria Ln, Wilbraham, MA 01095-1951

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.

Business Overview

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.

Basic Information

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

Other licenses

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

Office Location

Street Address 30 VICTORIA LN
City WILBRAHAM
State MA
Zip Code 01095-1951

Licenses in the same zip code

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

Competitor

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City WILBRAHAM
Zip Code 01095
License Type Physician/Surgeon
License Type + County Physician/Surgeon + WILBRAHAM

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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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