ELIZABETH A ELLIS (Credential# 1066532) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2019. The license expiration date date is February 28, 2021. The license status is ACTIVE.
ELIZABETH A ELLIS is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0052286. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2019. The expiration date is February 28, 2021. The business address is 2 Trap Falls Rd Ste 414, Shelton, CT 06484. The current status is active.
| Licensee Name | ELIZABETH A ELLIS |
| Credential ID | 1066532 |
| Credential Number | CSP.0052286 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
2 Trap Falls Rd Ste 414 Shelton CT 06484 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2012-04-19 |
| Effective Date | 2019-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2019-02-27 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1047054 | 12.004912 | Advanced Practice Registered Nurse | 2012-01-10 | 2020-01-01 - 2020-12-31 | ACTIVE |
| 579815 | 10.075812 | Registered Nurse | 2005-06-29 | 2020-01-01 - 2020-12-31 | ACTIVE |
| Street Address | 2 Trap Falls Rd STE 414 |
| City | Shelton |
| State | CT |
| Zip Code | 06484 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| David Y. Lo Md | 2 Trap Falls Rd Ste 414, Shelton, CT 06484-7623 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
| Lansheng Wang | 2 Trap Falls Rd Ste 414, Shelton, CT 06484-7623 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Mary T Tuman | 2 Trap Falls Rd Ste 414, Shelton, CT 06484-7623 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Wolf A Vogel Md | 2 Trap Falls Rd Ste 414, Shelton, CT 06484-7623 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
| Jonathan D Katz | 2 Trap Falls Rd Ste 414, Shelton, CT 06484-7621 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
| Kenneth E. Johnson | 2 Trap Falls Rd Ste 414, Shelton, CT 06484-7623 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Vicky Ichun Liu | 2 Trap Falls Rd Ste 414, Shelton, CT 06484-7621 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Robert J Suriani | 2 Trap Falls Rd Ste 414, Shelton, CT 06484-7623 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Thomas R Bladek | 2 Trap Falls Rd Ste 414, Shelton, CT 06484-7623 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Charles E Thompson | 2 Trap Falls Rd Ste 414, Shelton, CT 06484-7623 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Find all Licenses in the same address | |||
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Scott J Kudravy | 2a Garden Ter, Shelton, CT 06484 | Radiographer | 2020-08-01 ~ 2021-07-31 |
| Melissa E Filanowski | 265 Mohegan Rd, Shelton, CT 06484 | Licensed Practical Nurse | 2020-09-01 ~ 2021-08-31 |
| Danuta Adamson · Chmiel | 101 Dickinson Drive, Shelton, CT 06484 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Sandra E Mercier | 234 Deer Run, Huntington, CT 06484 | Hairdresser/cosmetician | 2020-09-01 ~ 2022-08-31 |
| Ping Li | 17 Coram Rd 3c, Shelton, CT 06484 | Nail Technician | ~ |
| Victoria Mary Bucci | 53 Isinglass Rd, Shelton, CT 06484 | Master's Level Social Worker | ~ |
| Samuel L Smith | 122 Maple Avenue, Shelton, CT 06484 | Dietitian/nutritionist | 2020-08-01 ~ 2021-07-31 |
| Cindy Hubbell Vidal | 17 Sherwood Lane, Shelton, CT 06484 | Hairdresser/cosmetician | 2020-09-01 ~ 2022-08-31 |
| Rosa Conners | 189 Coram Avenue, Shelton, CT 06484 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Erica Azzarito | 40 Clinton Drive, Shelton, CT 06484 | Notary Public Appointment | 2020-08-01 ~ 2025-07-31 |
| Find all Licenses in zip 06484 | |||
| City | Shelton |
| Zip Code | 06484 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + Shelton |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Elliot Ellis | 265 College St, New Haven, CT 06510 | Controlled Substance Registration for Practitioner | 2004-10-26 ~ 2005-02-28 |
| Keith L Ellis | 16 Spring St, Chester, CT 06412-1335 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Lori J Ellis | 129 York St Apt 8a, New Haven, CT 06511-5606 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
| Kimberly E Ellis | 105 Eastview Dr, Coventry, CT 06238-1678 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Simone Caroline Ellis | 736 Boston Ave, Bridgeport, CT 06610-2027 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Larisa N Ellis | 86 Fairy Dell Rd, Clinton, CT 06413 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Dana L Ellis | The Savin Center, New Haven, CT 06511-5409 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Ellis Weeker | 2100 Powell St Ste 900, Emeryville, CA 94608-1844 | Controlled Substance Registration for Practitioner | 2017-06-08 ~ 2019-02-28 |
| Maria Ellis Md | 660 Strong Rd, South Windsor, CT 06074 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Matthew B Ellis | 2 Traps Falls Rd., Shelton, CT 06484 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Please comment or provide details below to improve the information on ELIZABETH A ELLIS.
| 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).