ELENA F HERNDON (Credential# 555001) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is October 6, 2000. The license expiration date date is October 31, 2001. The license status is INACTIVE.
ELENA F HERNDON is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.037411. The credential type is physician/surgeon. The effective date is October 6, 2000. The expiration date is October 31, 2001. The business address is 40 Village Drive, Wethersfield, CT 06109. The current status is inactive.
| Licensee Name | ELENA F HERNDON |
| Credential ID | 555001 |
| Credential Number | 1.037411 |
| Credential Type | Physician/Surgeon |
| Business Address |
40 Village Drive Wethersfield CT 06109 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 1998-11-27 |
| Effective Date | 2000-10-06 |
| Expiration Date | 2001-10-31 |
| Refresh Date | 2009-07-08 |
| Street Address | 40 VILLAGE DRIVE |
| City | WETHERSFIELD |
| State | CT |
| Zip Code | 06109 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Brett Nowlan | 40 Village Drive, Wethersfield, CT 06109 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| C D Anthony Herndon | 40 Village Drive, Wethersfield, CT 06109 | Physician/surgeon | 2000-06-15 ~ 2001-06-30 |
| Salah U Din | 40 Village Drive, Wethersfield, CT 06109 | Physician/surgeon | 1999-03-03 ~ 2000-04-30 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Susan E Dimauro | 330 Ridge Rd, Wethersfield, CT 06109 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Mary Boccacio | 174 Longvue Drive, Wethersfield, CT 06109 | Esthetician | ~ |
| Steven C Hine | 294 Hang Dog Ln, Wethersfield, CT 06109 | Architect | 2020-08-01 ~ 2021-07-31 |
| Karolina Monika Fitrzyk | 41 Mountain Laurel, Wethersfield, CT 06109 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Matthew R Dobos | 33 Oxford St, Wethersfield, CT 06109 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Samantha Grabbe | 17 Rockland St, Wethersfield, CT 06109 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Judith M Martz | 307 Nott Street, Wethersfield, CT 06109 | Licensed Practical Nurse | 2020-07-01 ~ 2021-06-30 |
| Ups Store (the) | 1077 Silas Deane Hwy, Wethersfield, CT 06109 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Amber H Washington | 103 Parkview Drive, Wethersfield, CT 06109 | Hairdresser/cosmetician | 2020-09-01 ~ 2022-08-31 |
| Kathleen A Mullady · Brancati | 75 Dale Rd, Wethersfield, CT 06109 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Find all Licenses in zip 06109 | |||
| City | WETHERSFIELD |
| Zip Code | 06109 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + WETHERSFIELD |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| C D Anthony Herndon | 40 Village Drive, Wethersfield, CT 06109 | Physician/surgeon | 2000-06-15 ~ 2001-06-30 |
| Elena Antonelli | 842 Durham Rd Ste 13, Newtown, PA 18940-9680 | Physician/surgeon | 2019-10-01 ~ 2020-09-30 |
| Elena Frid | 151 E 62nd St Rm 1a, New York, NY 10065-7621 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Selina Cortez | 101 Elena St., Cranston, RI 02920 | Physician/surgeon | 2019-09-01 ~ 2020-08-31 |
| Elena Maydan | 4 Corporate Dr Ste 386, Shelton, CT 06484-6240 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Elena D Dragoi | 216 Bullard Street, Fairfield, CT 06825-1951 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Alan Ericksen | 15048 N Elena Dr, Fountain Hills, AZ 85268 | Physician/surgeon | ~ |
| Elena S Ratner Md | 37 Hunting Hill, Woodbridge, CT 06525 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
| Elena Balica | 360 State St Apt 1214, New Haven, CT 06510 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Elena S Seguir | 259 Mountain Road, Manchester, CT 06040 | Physician/surgeon | 2004-10-25 ~ 2005-11-30 |
Please comment or provide details below to improve the information on ELENA F HERNDON.
| 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).