KENNETH ELLIGERS MD (Credential# 147081) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is August 20, 2019. The license expiration date date is February 28, 2021. The license status is ACTIVE.
KENNETH ELLIGERS MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0013321. The credential type is controlled substance registration for practitioner. The effective date is August 20, 2019. The expiration date is February 28, 2021. The business address is 11 Scarlet Ln, Windsor, CT 06095-4769. The current status is active.
Licensee Name | KENNETH ELLIGERS MD |
Credential ID | 147081 |
Credential Number | CSP.0013321 |
Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
Business Address |
11 Scarlet Ln Windsor CT 06095-4769 |
Business Type | INDIVIDUAL |
Status | ACTIVE - CURRENT |
Active | 1 |
Issue Date | 1999-03-01 |
Effective Date | 2019-08-20 |
Expiration Date | 2021-02-28 |
Refresh Date | 2019-08-21 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
545975 | 1.026370 | Physician/Surgeon | 1985-06-04 | 2019-01-01 - 2019-12-31 | INACTIVE |
Street Address | 11 SCARLET LN |
City | WINDSOR |
State | CT |
Zip Code | 06095-4769 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Laura M Hamelin | 23 Scarlet Ln, Windsor, CT 06095-4769 | Veterinarian | 2020-07-01 ~ 2021-06-30 |
Hania Kabatilo | 18 Scarlet Ln, Windsor, CT 06095-4769 | Dental Hygienist | 2020-05-01 ~ 2021-04-30 |
Lucille H Tremblay | 1 Scarlet Ln, Windsor, CT 06095-4769 | Registered Nurse | 2020-04-01 ~ 2021-03-31 |
Anna C Dora | 16 Scarlet Ln, Windsor, CT 06095-4769 | Hairdresser/cosmetician | 2020-03-01 ~ 2022-02-28 |
Green Clover | 14 Scarlet Ln, Windsor, CT 06095-4769 | Frozen Dessert Retailer | ~ |
Katharine M. Carroll | 6 Scarlet Ln, Windsor, CT 06095-4769 | Certified Public Accountant Certificate | ~ |
Jacqueline M Doyle Pa | 31 Scarlet Ln, Windsor, CT 06095-4769 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
Daniel D Schuck | 15 Scarlet Ln, Windsor, CT 06095-4769 | Emergency Medical Responder | 2009-11-04 ~ 2011-10-01 |
Mark J Furnans | 2 Scarlet Ln, Windsor, CT 06095-4769 | Certified Residential Real Estate Appraiser | 2010-05-01 ~ 2011-04-30 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Cherene M Scott | 123 Clover St, Windsor, CT 06095 | Radiographer | 2020-07-01 ~ 2021-06-30 |
Marianne Lauri | 9 Mohawk Circle, Windsor, CT 06095 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
Elaine R Birthwright Rowe | 71 Ford Road, Windsor, CT 06095 | Real Estate Salesperson | ~ |
Annmarie Blair-atkinson | 19 Hope Circle, Windsor, CT 06095 | Medication Administration Certification | 2020-05-23 ~ 2022-05-22 |
Cristina Valente | 39 Lochview Dr, Windsor, CT 06095 | Master's Level Social Worker | 2020-07-01 ~ 2021-06-30 |
Bridget C Tran | 500 Huckleberry Rd, Windsor, CT 06095 | Public Weigher | 2020-07-01 ~ 2021-06-30 |
Kelli Price | 15 Berrios Hill Road, Windsor, CT 06095 | Professional Counselor | 2020-09-01 ~ 2021-08-31 |
Yalanda Squirewell | 217 Willowcrest Drive, Windsor, CT 06095 | Real Estate Salesperson | ~ |
Omason O Modeste | 30 Lepage Rd, Windsor, CT 06095 | Emergency Medical Technician | 2017-04-06 ~ 2020-06-30 |
Mark E Allen | 372 Broad St, Windsor, CT 06095 | Architect | 2020-08-01 ~ 2021-07-31 |
Find all Licenses in zip 06095 |
City | WINDSOR |
Zip Code | 06095 |
License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + WINDSOR |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Kenneth J Eagan Dds | 146 Elm St, Cheshire, CT 06410 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
Kenneth O. Bonaparte | Groton, CT 06340 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
Kenneth Powers Md | 50 Orchard Ave, Rye, NY 10580-2806 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
Kenneth M Gheen Md | 809 Noe Rd, Larkspur, CO 80118 | Controlled Substance Registration for Practitioner | 2008-03-01 ~ 2009-02-28 |
Kenneth Hampar Md | 29 Oakridge Dr, Old Lyme, CT 06371 | Controlled Substance Registration for Practitioner | 1994-11-16 ~ 1996-10-01 |
Kenneth R Morgan | 101 Waterville Rd, Southport, CT 06490 | Controlled Substance Registration for Practitioner | 1993-12-15 ~ 1996-01-01 |
Kenneth I Lipow | 267 Grant St, Bridgeport, CT 06610 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Kenneth A Dressler Md | 425 Post Rd, Fairfield, CT 06430 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
Kenneth J Wachuk Dds | 185 Broad St, Milford, CT 06460 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Kenneth H Schulte | 201 Canal Rd, Suffield, CT 06078 | Controlled Substance Registration for Practitioner | 2005-03-01 ~ 2006-02-28 |
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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).