ELYSE R. ERLICH (Credential# 1344577) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is July 1, 2020. The license expiration date date is June 30, 2021. The license status is ACTIVE.
ELYSE R. ERLICH is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.055333. The credential type is physician/surgeon. The effective date is July 1, 2020. The expiration date is June 30, 2021. The business address is 18 Black Birch Ln, Scarsdale, NY 10583-7455. The current status is active.
Licensee Name | ELYSE R. ERLICH |
Credential ID | 1344577 |
Credential Number | 1.055333 |
Credential Type | Physician/Surgeon |
Business Address |
18 Black Birch Ln Scarsdale NY 10583-7455 |
Business Type | INDIVIDUAL |
Status | ACTIVE - CURRENT |
Active | 1 |
Issue Date | 2016-06-09 |
Effective Date | 2020-07-01 |
Expiration Date | 2021-06-30 |
Refresh Date | 2020-04-14 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
1349526 | CSP.0062518 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2016-06-13 | 2019-03-01 - 2021-02-28 | ACTIVE |
Street Address | 18 BLACK BIRCH LN |
City | SCARSDALE |
State | NY |
Zip Code | 10583-7455 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
David S. Sussman | 18 Black Birch Ln, Scarsdale, NY 10583-7455 | Certified Public Accountant License | 2018-01-01 ~ 2018-12-31 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Jenifer M Johnson | 46 Overton Rd, Scarsdale, NY 10583 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
Calin M Petrescu | 11 Crossway, Scarsdale, NY 10583 | Architect | 2020-08-01 ~ 2021-07-31 |
Hal R Mendel | 386 Heathcote Rd, Scarsdale, NY 10583 | Optometrist | 2020-09-01 ~ 2021-08-31 |
Barbara Exavier Clark | 34 Robin Hill Rd, Scarsdale, NY 10583 | Master's Level Social Worker | ~ |
James A Cicalo | 11 Parkway Circle, Scarsdale, NY 10583 | Architect | 2020-08-01 ~ 2021-07-31 |
Erica F Christ | 20 Livingston Road, Scarsdale, NY 10583 | Dietitian/nutritionist | 2020-07-01 ~ 2021-06-30 |
Paul F Waters | 55 Mamaroneck Rd, Scarsdale, NY 10583 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
Russell Grant | 1198 Post Road, Scarsdale, NY 10583 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
Jessica P Chan | 126 Edgemont Rd, Scarsdale, NY 10583 | Real Estate Salesperson | 2019-06-01 ~ 2020-05-31 |
Gary D Beane | 60 Mount Joy Avenue, Scarsdale, NY 10583 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
Find all Licenses in zip 10583 |
City | SCARSDALE |
Zip Code | 10583 |
License Type | Physician/Surgeon |
License Type + County | Physician/Surgeon + SCARSDALE |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Kelly Elyse Detoy | 14 Overlook Rd, New Fairfield, CT 06812 | Physician/surgeon | 2016-11-29 ~ 2017-09-30 |
Elyse C'est Si Bon California | CT | Liquor Brand Label | 2019-07-19 ~ 2022-07-18 |
Elyse Nicole Fults | 20 York Street, New Haven, CT 06510 | Resident Physician | 2020-07-01 ~ 2021-06-30 |
Ron Erlich | 115 Beachside Ave, Westport, CT 06880 | Real Estate Salesperson | ~ |
Kimberly J Erlich | 370 Whitney Ave Apt 3, New Haven, CT 06511-2333 | Registered Nurse | 2001-12-14 ~ 2002-12-31 |
Iza S Erlich | 25 Glen Parkway, Hamden, CT 06517 | Licensed Clinical Social Worker | ~ 1994-11-30 |
Wolf Erlich | 950 Yale Ave Ste 39, Wallingford, CT 06492-1884 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Karen H Erlich | 37 High Ridge Road, Brookfield, CT 06804 | Registered Nurse | 2019-10-01 ~ 2020-09-30 |
Mark A Erlich Md | 60 Tersana Drive, Easton, CT 06612 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Linda Erlich | Candlewood Isle, New Fairfield, CT 06812 | Notary Public Appointment | 1976-02-27 ~ 1981-03-31 |
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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).