AUDREY L ELLIOTT DMD (Credential# 317343) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is February 29, 2004. The license expiration date date is February 28, 2005. The license status is INACTIVE.
AUDREY L ELLIOTT DMD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0032564. The credential type is controlled substance registration for practitioner. The effective date is February 29, 2004. The expiration date is February 28, 2005. The business address is 4 Ichabod Rd, Simsbury, CT 06070. The current status is inactive.
| Licensee Name | AUDREY L ELLIOTT DMD |
| Credential ID | 317343 |
| Credential Number | CSP.0032564 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
4 Ichabod Rd Simsbury CT 06070 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE |
| Effective Date | 2004-02-29 |
| Expiration Date | 2005-02-28 |
| Refresh Date | 2009-01-26 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 703486 | 2.009034 | Dentist | 2002-05-24 | 2003-07-02 - 2004-08-31 | INACTIVE |
| Street Address | 4 ICHABOD RD |
| City | SIMSBURY |
| State | CT |
| Zip Code | 06070 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Erin Barwinski | 4 Ichabod Rd, Simsbury, CT 06070 | Registered Nurse | 2020-02-01 ~ 2021-01-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Henry Withers | 571 Hopmeadow St, Simsbury, CT 06070 | Landscape Architect | 2020-08-01 ~ 2021-07-31 |
| Nancy W Flanagan | 9 Carver Circle, Simsbury, CT 06070 | Real Estate Salesperson | 2020-06-23 ~ 2021-05-31 |
| Catharina A Bates | 12 East View Dr., Simsbury, CT 06070 | Real Estate Salesperson | 2020-06-25 ~ 2021-05-31 |
| Faith E Preato | 25 Squadron Line Rd, Simsbury, CT 06070 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Diane Bragoni | 542 Hopmeadow Street, #128, Simsbury, CT 06070 | Architect | 2020-08-01 ~ 2021-07-31 |
| Virginia S Durst · Banks | 20 Woodcliff Drive, Simsbury, CT 06070 | Registered Nurse | 2020-05-01 ~ 2021-04-30 |
| Caitlin M Cornier | 18 Saxton Brook Drive, Simsbury, CT 06070 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Nancy L Alleva · Maule | 1079 Hopmeadow St, Simsbury, CT 06070 | Respiratory Care Practitioner | 2020-09-01 ~ 2021-08-31 |
| Stephen R Birghenti · Simsbury Inn | 397 Hopmeadow St, Simsbury, CT 06070 | Hotel Liquor (50000 Or More Population) | 2019-08-14 ~ 2020-12-13 |
| Deborah L Poniatowski · Blase | 35 Munnisunk Dr, Simsbury, CT 06070 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Find all Licenses in zip 06070 | |||
| City | SIMSBURY |
| Zip Code | 06070 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + SIMSBURY |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Audrey L Garrett | 55 Nye Rd Ste 102, Glastonbury, CT 06033-1281 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Audrey S Lefkowitz Md | Po Box 58, Amston, CT 06231-0058 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Audrey Lastra Pa-c | 59 Cypress Rd, Newington, CT 06111-5601 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Audrey Anne Merriam | 249 Castle Ave, Fairfield, CT 06825 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Audrey M Kemp | 8 Wildflower Drive, Hebron, CT 06248 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Audrey Chun | 5 Perryridge Road, Greenwich, CT 06830 | Controlled Substance Registration for Practitioner | 2015-05-18 ~ 2017-02-28 |
| Audrey J Bakanauskas Aprn | 19 Phelps St, Windsor, CT 06075 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Audrey Leclerc Aprn | 673 Burnham St, E Hartford, CT 06108 | Controlled Substance Registration for Practitioner | 1993-02-22 ~ 1995-03-01 |
| Audrey C Bregante Aprn | 319 Columbus Ave, Valhalla, NY 10595 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Audrey Marsidi | 4 Proctor Dr, West Hartford, CT 06117-2037 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
Please comment or provide details below to improve the information on AUDREY L ELLIOTT DMD.
| 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).