ELISE MCKENNA (Credential# 1269850) 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 INACTIVE.
ELISE MCKENNA is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0059622. 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 111 Towne St Apt 325, Stamford, CT 06902-5973. The current status is inactive.
| Licensee Name | ELISE MCKENNA |
| Credential ID | 1269850 |
| Credential Number | CSP.0059622 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
111 Towne St Apt 325 Stamford CT 06902-5973 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LACK OF ACTIVE MEDICAL LICENSE |
| Issue Date | 2015-07-27 |
| Effective Date | 2019-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2020-04-22 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1491302 | 1.059199-RES | Resident Physician | 2014-07-01 | 2014-07-01 - 2019-06-30 | INACTIVE |
| 1224304 | CSP.0057219 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2014-05-27 | 2014-05-27 - 2015-02-28 | INACTIVE |
| 1322055 | CSP.0061787 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | - | INACTIVE |
| Street Address | 111 TOWNE ST APT 325 |
| City | STAMFORD |
| State | CT |
| Zip Code | 06902-5973 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Helen Sudkamp-walker | 111 Towne St Apt 327, Stamford, CT 06902-5973 | Advanced Practice Registered Nurse | 2020-06-01 ~ 2021-05-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Jeris Maydeli Flores | 153 Fairfield Av, Stamford, CT 06902 | Nail Technician | ~ |
| Reynaldo De La Cruz | 64 Brookside Drive, Stamford, CT 06902 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Darren J Petillo | 5 Hundley Court, Stamford, CT 06902 | Licensed Clinical Social Worker | 2020-09-01 ~ 2021-08-31 |
| Antonios Restaurant | 405 West Main St, Stamford, CT 06902 | Bakery | 2020-07-01 ~ 2021-06-30 |
| Edward Smith | 184 Fairfield Ave., Stamford, CT 06902 | Home Improvement Contractor | ~ |
| Margaret A Dorrance | 24c Hamilton Court, Stamford, CT 06902 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Carolyn Maguire | 48 Nelson St, Stamford, CT 06902 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Evelyne Joassin | 17 George St., Stamford, CT 06902 | Licensed Practical Nurse | 2020-07-01 ~ 2021-06-30 |
| Andrea Bynoe | 34 Melrose Pl, Stamford, CT 06902 | Notary Public Appointment | 1994-04-06 ~ 1999-04-30 |
| Ravi K Ahuja | 296 Westover Rd, Stamford, CT 06902 | Architect | 2020-08-01 ~ 2021-07-31 |
| Find all Licenses in zip 06902 | |||
| City | STAMFORD |
| Zip Code | 06902 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + STAMFORD |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Meredith A Mckenna | 95 S Ridge Ln # G-201, Berlin, CT 06037-5005 | Controlled Substance Registration for Practitioner | 2019-11-13 ~ 2021-02-28 |
| Elise M. Sage | 360 Highland Ave Apt 1e, Cheshire, CT 06410-2534 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Steven I Rosenberg Md | 93 Elise Dr, Middletown, NY 10941-3363 | Controlled Substance Registration for Practitioner | 2009-03-01 ~ 2011-02-28 |
| Elise Resch | 50 Elihu St, Hamden, CT 06517 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Patrick H Mckenna | 282 Washington St, Hartford, CT 06106 | Controlled Substance Registration for Practitioner | 2001-03-01 ~ 2002-02-28 |
| Janel Elise L'official | 90 S Ridge St, Rye Brook, NY 10573-2811 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Eli Mckenna-weiss | 2150 Main St, Springfield, MA 01104-3566 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Cameron Mckenna Biller | 32 Kingswood Ct, Wakefield, RI 02879-2604 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Elise Desperito Md | Northeast Radiology, Brewster, NY 10509 | Controlled Substance Registration for Practitioner | 2005-03-01 ~ 2006-02-28 |
| Elise Bishop-rimmer | 24 Clark St, Hamden, CT 06518 | Controlled Substance Registration for Practitioner | 2019-07-02 ~ 2021-02-28 |
Please comment or provide details below to improve the information on ELISE MCKENNA.
| 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).