SHEILA BUAN ELLIOTT (Credential# 1633624) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is June 1, 2020. The license expiration date date is May 31, 2021. The license status is ACTIVE.
SHEILA BUAN ELLIOTT is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.063746-DO. The credential type is physician/surgeon. The effective date is June 1, 2020. The expiration date is May 31, 2021. The business address is 15 Woodpond Rd, West Hartford, CT 06107-3527. The current status is active.
Licensee Name | SHEILA BUAN ELLIOTT |
Credential ID | 1633624 |
Credential Number | 1.063746-DO |
Credential Type | Physician/Surgeon |
Credential SubCategory | DO |
Business Address |
15 Woodpond Rd West Hartford CT 06107-3527 |
Business Type | INDIVIDUAL |
Status | ACTIVE - CURRENT |
Active | 1 |
Issue Date | 2019-06-24 |
Effective Date | 2020-06-01 |
Expiration Date | 2021-05-31 |
Refresh Date | 2020-05-28 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
1671168 | CSP.0071690 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2019-06-25 | 2019-06-25 - 2021-02-28 | ACTIVE |
Street Address | 15 WOODPOND RD |
City | WEST HARTFORD |
State | CT |
Zip Code | 06107-3527 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Rebecca L Stansfield | 73 Tunxis Road, West Hartford, CT 06107 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
Kumari Joshi | 44 Bentwood Rd, West Hartford, CT 06107 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
Laurie C Caines Md | 205 Stoner Drive, West Hartford, CT 06107 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
Nicole K. Edlund | 11 Greenacres Avenue, West Hartford, CT 06107 | Master's Level Social Worker - Temporary Permit | ~ |
Andrea M Yuliano | 39 Mountain Terrace Road, West Hartford, CT 06107 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
Elizabeth M Ineson | 4 Linwold Dr, West Htfd, CT 06107 | Architect | 2020-08-01 ~ 2021-07-31 |
Sarah G Potter | 19 Westland Ave, West Hartford, CT 06107 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
Jessica C Abreu | 14 Deepwood Lane, West Hartford, CT 06107 | Real Estate Salesperson | 2020-06-18 ~ 2021-05-31 |
William C Richter | 67 Hillsboro Drive, West Hartford, CT 06107 | Architect | 2020-08-01 ~ 2021-07-31 |
Teresa M Stanton | 25 Common Dr., West Hartford, CT 06107 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
Find all Licenses in zip 06107 |
City | WEST HARTFORD |
Zip Code | 06107 |
License Type | Physician/Surgeon |
License Type + County | Physician/Surgeon + WEST HARTFORD |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Sheila Buan Dimaano | 263 Farmington Avenue, Farmington, CT 06030-1921 | Resident Physician | 2014-06-28 ~ 2018-06-30 |
Sheila M Buan | 169 Webster Ct, Newington, CT 06111 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
Roger Elliott Belson | CT | Physician/surgeon | 1980-06-09 ~ 1984-03-31 |
Tania Elliott | 26 Island Way, Westport, CT 06880 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
Elliott R Mayo | 74 Beach St, Litchfield, CT 06759 | Physician/surgeon | 1996-10-07 ~ 1997-12-31 |
Elliott Richelson | 14455 Marina San Pablo Pl S, Jacksonville, FL 32224-4810 | Physician/surgeon | ~ |
Frank G Elliott Jr | 1005 Prospect Dr, Stratford, CT 06497 | Physician/surgeon | 1996-07-12 ~ 1997-08-31 |
Jehan Elliott | 34 Deer Run Road, Woodbridge, CT 06525 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
Emily Cordelia Elliott | 5 Perryridge Road, Greenwich, CT 06830 | Physician/surgeon | ~ |
James Elliott Brown | 333 Cedar St, New Haven, CT 06510-3206 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
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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).