JEHAN ELLIOTT
Physician/surgeon


Address: 34 Deer Run Road, Woodbridge, CT 06525

JEHAN ELLIOTT (Credential# 1647011) 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.

Business Overview

JEHAN ELLIOTT is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.063848. The credential type is physician/surgeon. The effective date is June 1, 2020. The expiration date is May 31, 2021. The business address is 34 Deer Run Road, Woodbridge, CT 06525. The current status is active.

Basic Information

Licensee Name JEHAN ELLIOTT
Credential ID 1647011
Credential Number 1.063848
Credential Type Physician/Surgeon
Business Address 34 Deer Run Road
Woodbridge
CT 06525
Business Type INDIVIDUAL
Status ACTIVE - CURRENT
Active 1
Issue Date 2019-07-03
Effective Date 2020-06-01
Expiration Date 2021-05-31
Refresh Date 2020-03-02

Other licenses

ID Credential Code Credential Type Issue Term Status
1673704 CSP.0071818 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 2019-07-03 2019-07-03 - 2021-02-28 ACTIVE

Office Location

Street Address 34 Deer Run Road
City Woodbridge
State CT
Zip Code 06525

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Linda A Starace-colabella 895 Baldwin Rd, Woodbridge, CT 06525 Physician/surgeon 2020-08-01 ~ 2021-07-31
Patricia A Kenyon · Leskow 8 Maple Terrace, Woodbridge, CT 06525 Registered Nurse 2020-09-01 ~ 2021-08-31
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Competitor

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City Woodbridge
Zip Code 06525
License Type Physician/Surgeon
License Type + County Physician/Surgeon + Woodbridge

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Dataset Information

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).

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