ELIZABETH A SAMUELS (Credential# 1370390) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2017. The license expiration date date is February 28, 2019. The license status is LAPSED.
ELIZABETH A SAMUELS is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0063709. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2017. The expiration date is February 28, 2019. The business address is 250 Nicoll St Apt 2, New Haven, CT 06511-2626. The current status is lapsed.
| Licensee Name | ELIZABETH A SAMUELS |
| Credential ID | 1370390 |
| Credential Number | CSP.0063709 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
250 Nicoll St Apt 2 New Haven CT 06511-2626 |
| Business Type | INDIVIDUAL |
| Status | LAPSED |
| Active | 1 |
| Issue Date | 2016-08-04 |
| Effective Date | 2017-03-01 |
| Expiration Date | 2019-02-28 |
| Refresh Date | 2019-03-06 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1331685 | 1.055570 | Physician/Surgeon | 2016-08-02 | 2017-09-01 - 2018-08-31 | INACTIVE |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Elizabeth A Samuels | 725 Peter Road, Southbury, CT 06488 | Registered Nurse | 2019-09-01 ~ 2020-08-31 |
| Street Address | 250 NICOLL ST APT 2 |
| City | NEW HAVEN |
| State | CT |
| Zip Code | 06511-2626 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Heather A Mahoney | 236 Nicoll St Apt 3, New Haven, CT 06511-2626 | Licensed Clinical Social Worker | 2020-05-01 ~ 2021-04-30 |
| Angela M Link | 250 Nicoll St Apt 3, New Haven, CT 06511-2626 | Physical Therapist | 2019-05-01 ~ 2020-04-30 |
| Marie-josee A Lynch | 248 Nicoll St Apt 2, New Haven, CT 06511-2626 | Controlled Substance Registration for Practitioner | 2015-06-17 ~ 2017-02-28 |
| Gregory Alan Sperr | 236 Nicoll St Fl 2, New Haven, CT 06511-2626 | Wholesaler Salesman | 2017-10-11 ~ 2019-01-31 |
| Gregory A Sperr | 236 Nicoll St Fl 2, New Haven, CT 06511-2626 | Wholesaler Salesman | 2016-12-06 ~ 2019-01-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Montessori School On Edgewood Inc. | 230 Edgewood Avenue, New Haven, CT 06511 | Public Charity | 2019-06-01 ~ 2020-05-31 |
| Therese Parks · Visel Drug Store | 264 Munson St, New Haven, CT 06511 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Dazjia Monet Green | 115 Edgewood Ave Apt 64, New Haven, CT 06511 | Registered Nurse | 2020-06-27 ~ 2021-05-31 |
| Carol Yam | 343 Humphrey St, New Haven, CT 06511 | Registered Nurse | ~ |
| Marwan S Haddad | 38 Lincoln Street, New Haven, CT 06511 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Mary Lou Gaeta Md | 558 Chapel Street, New Haven, CT 06511 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Cary M Tucker | 64 Bishop St, New Haven, CT 06511 | Architect | 2020-08-01 ~ 2021-07-31 |
| Frank J Pannenborg | 505 Ellsworth Ave, New Haven, CT 06511 | Architect | 2020-08-01 ~ 2021-07-31 |
| Crystal E Gooding | 26 Woodland Street, New Haven, CT 06511 | Notary Public Appointment | 2020-07-01 ~ 2025-06-30 |
| Kieran Jones | 260 Crown St Unit 1f, New Haven, CT 06511 | Registered Nurse | ~ |
| Find all Licenses in zip 06511 | |||
| City | NEW HAVEN |
| Zip Code | 06511 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + NEW HAVEN |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Kathleen Samuels | 64 Robbins St, Waterbury, CT 06708-2613 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
| Susan Samuels | 89 Pilling St, Brooklyn, NY 11207-1608 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Francine Samuels | 123 York St Apt 22s, New Haven, CT 06511 | Controlled Substance Registration for Practitioner | 2005-03-01 ~ 2006-02-28 |
| Patricia A Samuels | 90 Pine Ln, Windsor, CT 06095-3535 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Stephanie L Samuels | 360 State St, New Haven, CT 06510 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Norman Samuels | 88 Ryders Lane, Stratford, CT 06497 | Controlled Substance Registration for Practitioner | 1993-02-10 ~ 1995-02-01 |
| Stephanie Lynn Samuels | 1 Park St # Wp2, New Haven, CT 06504-8901 | Controlled Substance Registration for Practitioner | 2019-08-06 ~ 2021-02-28 |
| Rebecca A Samuels | 263 Farmington Ave Mc1235, Farmington, CT 06030-1235 | Controlled Substance Registration for Practitioner | 2007-03-01 ~ 2008-02-29 |
| Amanda Elizabeth Magnoli | 15 Dearborn Dr, Cape Elizabeth, ME 04107-2302 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Elizabeth Ann Ng | 618 Creekside Ln, Fishkill, NY 12524-4902 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Please comment or provide details below to improve the information on ELIZABETH A SAMUELS.
| 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).