ALLISON EDWARDS (Credential# 1501572) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is May 1, 2019. The license expiration date date is April 30, 2020. The license status is ACTIVE.
ALLISON EDWARDS is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.060559. The credential type is physician/surgeon. The effective date is May 1, 2019. The expiration date is April 30, 2020. The business address is 4303 Taunton Dr, Beltsville, MD 20705-2861. The current status is active.
Licensee Name | ALLISON EDWARDS |
Credential ID | 1501572 |
Credential Number | 1.060559 |
Credential Type | Physician/Surgeon |
Business Address |
4303 Taunton Dr Beltsville MD 20705-2861 |
Business Type | INDIVIDUAL |
Status | ACTIVE - CURRENT |
Active | 1 |
Issue Date | 2018-05-04 |
Effective Date | 2019-05-01 |
Expiration Date | 2020-04-30 |
Refresh Date | 2019-05-15 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
1501881 | CSP.0067686 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2018-05-04 | 2018-05-04 - 2019-02-28 | LAPSED |
Street Address | 4303 TAUNTON DR |
City | BELTSVILLE |
State | MD |
Zip Code | 20705-2861 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Raveendra Damera | Aecom, Beltsville, MD 20705 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
Lisa A. Deangelis | 12212 Castle Pines Drive, Beltsville, MD 20705 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Bagel Master/ruby Foods · Pinnacle Foods LLC | 12012 Old Baltimore Pike, Beltsville, MD 20705 | Bakery | 1997-07-01 ~ 1998-06-30 |
Bagel Master Inc | 12012 Old Baltimore Tpke, Beltsville, MD 20705 | Bakery | 1995-07-01 ~ 1996-06-30 |
Com-site International | 3608 Chase Terr, Beltsville, MD 20705 | Professional Engineer | 1990-02-13 ~ 1991-01-31 |
Randall J Johnston · Us Navy | 11250 Evans Trail#230, Beltsville, MD 20705 | Professional Engineer | 1991-05-23 ~ 1992-01-31 |
Sumita Mehta | 3722 Green Ash Ct, Beltsville, MD 20705 | Registered Nurse | 2014-06-01 ~ 2015-05-31 |
Kesha N O'reilly | 4305 Harbour Town Drive, Calverton, MD 20705 | Pharmacist | ~ |
Huong Thu T Nguyen | 11270 Evans Trail, Beltsville, MD 20705 | Hairdresser/cosmetician | 2008-04-28 ~ 2010-06-30 |
Mary D Humphries | 3006 Ellicott Rd, Beltsville, MD 20705 | Registered Nurse | 1994-06-27 ~ 1995-06-30 |
Find all Licenses in zip 20705 |
City | BELTSVILLE |
Zip Code | 20705 |
License Type | Physician/Surgeon |
License Type + County | Physician/Surgeon + BELTSVILLE |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Allison H Whitaker | 520 Saybrook Rd Ste 250, Middletown, CT 06457-4700 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
Allison J Harriott | 60 Lawn Ave Apt 38, Stamford, CT 06902-4140 | Physician/surgeon | 2016-07-01 ~ 2017-06-30 |
Allison S Cowl Md | 79 Dugway Rd, Petersham, MA 01366-9725 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
Allison M. Hanlon | 40 Temple St Ste 5a, New Haven, CT 06510-2745 | Physician/surgeon | 2015-03-01 ~ 2016-02-29 |
Sharon Paull Md | 471 Rawhide Rd, Edwards, CO 81632-0854 | Physician/surgeon | 2019-07-01 ~ 2020-06-30 |
James L Scott | 251 Edwards St, New Haven, CT 06511 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
Beatrice J. Edwards | 2400 Old Glenview Rd, Wilmette, IL 60091-3116 | Physician/surgeon | ~ |
Hadar Lubin | 19 Edwards St, New Haven, CT 06511 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
Keith Edwards | 140 Hospital Dr, Bennington, VT 05201 | Physician/surgeon | 1992-07-23 ~ 1993-06-30 |
Keith B Quencer | 198 Edwards St Apt 4, New Haven, CT 06511-3702 | Physician/surgeon | 2017-11-01 ~ 2018-10-31 |
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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).