ELIZA CHRISTINE BUELT (Credential# 1655245) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is May 9, 2019. The license expiration date date is February 28, 2021. The license status is ACTIVE.
ELIZA CHRISTINE BUELT is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0070870. The credential type is controlled substance registration for practitioner. The effective date is May 9, 2019. The expiration date is February 28, 2021. The business address is 34 Park Street, New Haven, CT 06519. The current status is active.
| Licensee Name | ELIZA CHRISTINE BUELT |
| Credential ID | 1655245 |
| Credential Number | CSP.0070870 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
34 Park Street New Haven CT 06519 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2019-05-09 |
| Effective Date | 2019-05-09 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2019-05-10 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1627197 | 1.062972 | Physician/Surgeon | 2019-05-08 | 2019-07-01 - 2020-06-30 | ACTIVE |
| Street Address | 34 Park Street |
| City | New Haven |
| State | CT |
| Zip Code | 06519 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Dale D Sebastian | 34 Park Street, New Haven, CT 06519 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Carlos A Salgado | 34 Park Street, New Haven, CT 06519 | Resident Physician | 2014-07-01 ~ 2021-06-30 |
| Reena Kapoor Md | 34 Park Street, New Haven, CT 06519 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
| Allison N Ponce | 34 Park Street, New Haven, CT 06519 | Psychologist | 2020-03-01 ~ 2021-02-28 |
| Kristin Sorlie | 34 Park Street, New Haven, CT 06519 | Licensed Clinical Social Worker | 2019-09-01 ~ 2020-08-31 |
| Jai Shah | 34 Park Street, New Haven, CT 06511 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Vinod H Srihari Md | 34 Park St Cmhc, New Haven, CT 06519 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
| Monica Brito Salinas | 111 Kimberly Ave., New Haven, CT 06519 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-27 ~ 2022-02-28 |
| Walter Mathis | 34 Park St., New Haven, CT 06519 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Kimberly Pizza · Emmanuel Zorgias | 34 Kimberly Ave, New Haven, CT 06519 | Bakery | 2020-07-01 ~ 2021-06-30 |
| Slawomir Piascik | 51 Longhini Lane, New Haven, CT 06519 | Asbestos Abatement Supervisor | 2020-08-01 ~ 2021-07-31 |
| Margaret T Boron | 428 Columbus Ave, New Haven, CT 06519 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Laura Ann Dicola | Connecticut Mental Health Center Law & Psychiatry, New Haven, CT 06519 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Elizabeth Parson | 689 Congress Ave, New Haven, CT 06519 | Medication Administration Certification | 2020-08-05 ~ 2022-08-04 |
| Alejandra Lopez Cervantes | 10 Hedge St, New Haven, CT 06519 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-20 ~ 2021-08-31 |
| Deicy Alexandra Urena Dagua | 267 Howard Ave, New Haven, CT 06519 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-20 ~ 2021-10-31 |
| Find all Licenses in zip 06519 | |||
| City | New Haven |
| Zip Code | 06519 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + New Haven |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Natasha Hameed | 34 Eliza Ln Apt 121, Bloomfield, CT 06002-5471 | Controlled Substance Registration for Practitioner | 2019-04-12 ~ 2021-02-28 |
| Mariel Eliza | 1 Schooner Lane Apt 2c, Milford, CT 06460 | Controlled Substance Registration for Practitioner | 2005-03-01 ~ 2006-02-28 |
| Eliza M Martel | 6 Laurel Ridge Rd, Southwick, MA 01077-9225 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Eliza Holland | 49 Rock Hill Road, Woodbridge, CT 06525 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Eliza-jasmine B Tran Md | Breast Center, New Haven, CT 06519 | Controlled Substance Registration for Practitioner | 2009-10-05 ~ 2011-02-28 |
| Eliza M Fantarella | 1125 Ridge Rd, North Haven, CT 06473-4436 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Eliza J Newman | 45 A Brookwood Drive, Rocky Hill, CT 06067 | Controlled Substance Registration for Practitioner | 2013-08-27 ~ 2015-02-28 |
| Eliza R Valenzuela | 263 Farmington Ave L2104 Mc-1235, Farmington, CT 06030 | Controlled Substance Registration for Practitioner | 2008-03-01 ~ 2009-02-28 |
| Christine H Won Md | Po Box 208057, New Haven, CT 06520-8057 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Christine G Shupenis | Po Box 339, Bantam, CT 06750-0339 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
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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).