MALCOLM M ELLISON (Credential# 538436) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is June 20, 1994. The license expiration date date is August 31, 1995. The license status is INACTIVE.
MALCOLM M ELLISON is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.005045. The credential type is physician/surgeon. The effective date is June 20, 1994. The expiration date is August 31, 1995. The business address is 960 Ocean Ave, New London, CT 06320. The current status is inactive.
| Licensee Name | MALCOLM M ELLISON |
| Credential ID | 538436 |
| Credential Number | 1.005045 |
| Credential Type | Physician/Surgeon |
| Business Address |
960 Ocean Ave New London CT 06320 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 1945-08-10 |
| Effective Date | 1994-06-20 |
| Expiration Date | 1995-08-31 |
| Refresh Date | 2009-07-08 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 149068 | CSP.0004664 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 1993-07-21 - 1995-08-01 | INACTIVE |
| Street Address | 960 OCEAN AVE |
| City | NEW LONDON |
| State | CT |
| Zip Code | 06320 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Paul R Bourguignon | Nemg, New London, CT 06320 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Stephan Nousiopoulos | 27 Alger Place, New London, CT 06320 | Architect | 2020-08-01 ~ 2021-07-31 |
| Diana Elisabeth Cabrera-mora | 327 Montauk Avenue, New London, CT 06320 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-27 ~ 2022-03-31 |
| Yuhua Han | 18 Anthony Rd Apt H, New London, CT 06320 | Massage Therapist | ~ |
| Empire Pizza · Empire Pizza LLC | 150 Broad St, New London, CT 06320 | Bakery | 2020-07-01 ~ 2021-06-30 |
| Irene C Besser | 19 Hawthorne Dr, New London, CT 06320 | Licensed Nurse Midwife | 2020-09-01 ~ 2021-08-31 |
| Robert F Gardner | 241 Crystal Ave, New London, CT 06320 | Home Improvement Salesperson | 2020-06-26 ~ 2020-11-30 |
| Angie Alejandra Botero Castro | 14 Concord Court, Groton, CT 06320 | Master's Level Social Worker | ~ |
| Kevin J O'reilly | 20 Parkway South, New London, CT 06320 | Psychologist | 2020-09-01 ~ 2021-08-31 |
| Sonny's Market LLC | 324 Jefferson Ave, New London, CT 06320 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Find all Licenses in zip 06320 | |||
| City | NEW LONDON |
| Zip Code | 06320 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + NEW LONDON |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Lee H Ellison | 16 Surrey Drive, Durham, CT 06422 | Physician/surgeon | 2009-12-01 ~ 2010-11-30 |
| Christian E Ellison Md | 17 Abbey Lane, Meriden, CT 06450 | Physician/surgeon | 2000-02-09 ~ 2001-02-28 |
| Milana Ellison | 8083 Mariners Dr, Stockton, CA 95219 | Physician/surgeon | 2013-04-01 ~ 2014-03-31 |
| Mary Beth C Ellison | 11 Wildwood Medical Center, Essex, CT 06426 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Malcolm A Galen | 8 Stonepost, Simsbury, CT 06070 | Physician/surgeon | 2014-06-01 ~ 2015-05-31 |
| Xinzhu Pang | 1 Malcolm Ave, Teterboro, NJ 07608-1011 | Physician/surgeon | 2019-12-01 ~ 2020-11-30 |
| Malcolm K Johnson | 420 Jefferson Ave Apt 1, Brooklyn, NY 11221-1087 | Physician/surgeon | 2019-10-03 ~ 2020-09-30 |
| Malcolm S Edgar Jr | 410 Washington St, Norwich, CT 06360 | Physician/surgeon | 2000-01-10 ~ 2001-03-31 |
| Jing Liu | One Malcolm Avenue, Teterboro, NJ 07608 | Physician/surgeon | 2020-01-01 ~ 2020-12-31 |
| Barjinder Darbhanga | 50 Malcolm St, Hamden, CT 06514 | Physician/surgeon | 2008-05-05 ~ 2009-05-31 |
Please comment or provide details below to improve the information on MALCOLM M ELLISON.
| 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).