ELIZABETH V GALLEGOS (Credential# 1674354) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is July 8, 2019. The license expiration date date is February 28, 2021. The license status is ACTIVE.
ELIZABETH V GALLEGOS is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0071848. The credential type is controlled substance registration for practitioner. The effective date is July 8, 2019. The expiration date is February 28, 2021. The business address is 4233 White Cap Crst, Chesapeake, VA 23321-3256. The current status is active.
Licensee Name | ELIZABETH V GALLEGOS |
Credential ID | 1674354 |
Credential Number | CSP.0071848 |
Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
Business Address |
4233 White Cap Crst Chesapeake VA 23321-3256 |
Business Type | INDIVIDUAL |
Status | ACTIVE - CURRENT |
Active | 1 |
Issue Date | 2019-07-08 |
Effective Date | 2019-07-08 |
Expiration Date | 2021-02-28 |
Refresh Date | 2019-07-10 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
1666344 | 12.008285 | Advanced Practice Registered Nurse | 2019-07-07 | 2019-11-01 - 2020-10-31 | ACTIVE |
1033500 | 10.102510 | Registered Nurse | 2011-10-03 | 2019-11-01 - 2020-10-31 | ACTIVE |
Street Address | 4233 WHITE CAP CRST |
City | CHESAPEAKE |
State | VA |
Zip Code | 23321-3256 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Janice M Gonsalves | 4332 Hillingdon Bend #108, Chesapeake, VA 23321 | Licensed Practical Nurse | 2018-11-01 ~ 2019-10-31 |
Claudia A Bodnar | 4104 Taylor Rd, Chesapeake, VA 23321 | Registered Nurse | 2019-11-01 ~ 2020-10-31 |
Lianna R Bailey | 5000 Myrica Ct, Chesapeake, VA 23321 | Registered Nurse | 2019-10-01 ~ 2020-09-30 |
James A Kearney · U S Coast Guard Academy | 3205 Pineridge Dr, Chesapeake, VA 23321 | Professional Engineer | 1989-02-02 ~ 1990-01-31 |
Warren C Mercer · Pci Energy Services | 3340 Woodbaugh Dr, Chesapeake, VA 23321 | Heating, Piping & Cooling Limited Journeyperson | 2011-09-01 ~ 2012-08-31 |
Dan L Nguyen | 4304 Mooring Ct, Chesapeake, VA 23321 | Hairdresser/cosmetician | 2006-08-24 ~ 2008-10-31 |
Julia L King · Johns | 1604 Condor Court, Chesapeake, VA 23321 | Registered Nurse | 2003-10-30 ~ 2004-12-31 |
C E C De Givry | 3083 Tyre Neck Rd, Chesapeake, VA 23321 | Physician/surgeon | 1995-07-14 ~ 1996-07-31 |
Glenn M Goldberg | 1208 Manor View Ct, Chesapeake, VA 23321 | Psychologist | 1993-05-25 ~ 1994-06-30 |
William A Woods | 3131 Harvestime Cr, Chesapeake, VA 23321 | Physician/surgeon | 2004-08-16 ~ 2005-08-31 |
Find all Licenses in zip 23321 |
City | CHESAPEAKE |
Zip Code | 23321 |
License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + CHESAPEAKE |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Amanda Elizabeth Magnoli | 15 Dearborn Dr, Cape Elizabeth, ME 04107-2302 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Elizabeth Krowitz | 8 W End Ave, Old Greenwich, CT 06870-1642 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Elizabeth Halvorsen Md | Guilford, CT 06443-1858 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Elizabeth F Harman Pa | 125 Fox Run Rd, New Canaan, CT 06840 | Controlled Substance Registration for Practitioner | 2006-03-01 ~ 2007-02-28 |
Elizabeth Ann Ng | 618 Creekside Ln, Fishkill, NY 12524-4902 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Elizabeth J Marcucio | 24 N Coe Ln, Ansonia, CT 06401-2818 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Elizabeth Lucal | Po Box 311, Lakeville, CT 06039 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
Christina M Gonzalez | 19 Elizabeth Rd, Bolton, CT 06043-7538 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Elizabeth C Mailer | 64 Five Field Rd, Madison, CT 06443 | Controlled Substance Registration for Practitioner | 2003-03-01 ~ 2004-02-28 |
Elizabeth J Goman Md | 13 Elm Place, New Canaan, CT 06840 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
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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).