CHRISTIAN E ELLISON MD
Physician/surgeon


Address: 17 Abbey Lane, Meriden, CT 06450

CHRISTIAN E ELLISON MD (Credential# 554515) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is February 9, 2000. The license expiration date date is February 28, 2001. The license status is INACTIVE.

Business Overview

CHRISTIAN E ELLISON MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.036924. The credential type is physician/surgeon. The effective date is February 9, 2000. The expiration date is February 28, 2001. The business address is 17 Abbey Lane, Meriden, CT 06450. The current status is inactive.

Basic Information

Licensee Name CHRISTIAN E ELLISON MD
Credential ID 554515
Credential Number 1.036924
Credential Type Physician/Surgeon
Business Address 17 Abbey Lane
Meriden
CT 06450
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 1998-06-05
Effective Date 2000-02-09
Expiration Date 2001-02-28
Refresh Date 2009-07-11

Other licenses

ID Credential Code Credential Type Issue Term Status
197308 CSP.0027079 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 2000-02-29 - 2001-02-28 INACTIVE

Office Location

Street Address 17 ABBEY LANE
City MERIDEN
State CT
Zip Code 06450

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City MERIDEN
Zip Code 06450
License Type Physician/Surgeon
License Type + County Physician/Surgeon + MERIDEN

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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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