ELENA MAYDAN (Credential# 562305) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is June 1, 2020. The license expiration date date is May 31, 2021. The license status is ACTIVE.
ELENA MAYDAN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.044723. The credential type is physician/surgeon. The effective date is June 1, 2020. The expiration date is May 31, 2021. The business address is 4 Corporate Dr Ste 386, Shelton, CT 06484-6240. The current status is active.
| Licensee Name | ELENA MAYDAN |
| Credential ID | 562305 |
| Credential Number | 1.044723 |
| Credential Type | Physician/Surgeon |
| Business Address |
4 Corporate Dr Ste 386 Shelton CT 06484-6240 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2006-08-24 |
| Effective Date | 2020-06-01 |
| Expiration Date | 2021-05-31 |
| Refresh Date | 2020-03-04 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1457639 | CSP.0067007 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2017-10-23 | 2019-03-01 - 2021-02-28 | ACTIVE |
| Street Address | 4 CORPORATE DR STE 386 |
| City | SHELTON |
| State | CT |
| Zip Code | 06484-6240 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Heather K. Hamilton | 4 Corporate Dr Ste 386, Shelton, CT 06484-6240 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Loyd S Godwin Md | 4 Corporate Dr Ste 386, Shelton, CT 06484-6240 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Corporate Pharmacy | 4 Corporate Dr Ste 198, Shelton, CT 06484-6240 | Pharmacy | ~ |
| Peter M Ferrara | 4 Corporate Dr Ste 383, Shelton, CT 06484-6240 | Dentist | 2020-05-01 ~ 2021-04-30 |
| Mark P Feinberg | 4 Corporate Dr Ste 195, Shelton, CT 06484-6240 | Dentist | 2020-06-01 ~ 2021-05-31 |
| David E Ciancimino Md | 4 Corporate Dr Ste 382, Shelton, CT 06484-6240 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
| Coleen M Mclaughlin | 4 Corporate Dr Ste 394, Shelton, CT 06484-6240 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Grass Roots Tennis of Bridgeport Inc. | 4 Corporate Drive, #488, Bridgeport, CT 06484-6240 | Public Charity | ~ |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Scott J Kudravy | 2a Garden Ter, Shelton, CT 06484 | Radiographer | 2020-08-01 ~ 2021-07-31 |
| Melissa E Filanowski | 265 Mohegan Rd, Shelton, CT 06484 | Licensed Practical Nurse | 2020-09-01 ~ 2021-08-31 |
| Danuta Adamson · Chmiel | 101 Dickinson Drive, Shelton, CT 06484 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Sandra E Mercier | 234 Deer Run, Huntington, CT 06484 | Hairdresser/cosmetician | 2020-09-01 ~ 2022-08-31 |
| Ping Li | 17 Coram Rd 3c, Shelton, CT 06484 | Nail Technician | ~ |
| Victoria Mary Bucci | 53 Isinglass Rd, Shelton, CT 06484 | Master's Level Social Worker | ~ |
| Samuel L Smith | 122 Maple Avenue, Shelton, CT 06484 | Dietitian/nutritionist | 2020-08-01 ~ 2021-07-31 |
| Cindy Hubbell Vidal | 17 Sherwood Lane, Shelton, CT 06484 | Hairdresser/cosmetician | 2020-09-01 ~ 2022-08-31 |
| Rosa Conners | 189 Coram Avenue, Shelton, CT 06484 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Erica Azzarito | 40 Clinton Drive, Shelton, CT 06484 | Notary Public Appointment | 2020-08-01 ~ 2025-07-31 |
| Find all Licenses in zip 06484 | |||
| City | SHELTON |
| Zip Code | 06484 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + SHELTON |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Selina Cortez | 101 Elena St., Cranston, RI 02920 | Physician/surgeon | 2019-09-01 ~ 2020-08-31 |
| Elena Frid | 151 E 62nd St Rm 1a, New York, NY 10065-7621 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Elena Antonelli | 842 Durham Rd Ste 13, Newtown, PA 18940-9680 | Physician/surgeon | 2019-10-01 ~ 2020-09-30 |
| Elena Balica | 360 State St Apt 1214, New Haven, CT 06510 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Elena S Caoili | 5297 E Knoll Ct, Cincinnati, OH 45239 | Physician/surgeon | 1981-01-01 ~ 1993-05-31 |
| Elena S Seguir | 259 Mountain Road, Manchester, CT 06040 | Physician/surgeon | 2004-10-25 ~ 2005-11-30 |
| Elena S Ratner Md | 37 Hunting Hill, Woodbridge, CT 06525 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
| Elena D Dragoi | 216 Bullard Street, Fairfield, CT 06825-1951 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Elena F Herndon | 40 Village Drive, Wethersfield, CT 06109 | Physician/surgeon | 2000-10-06 ~ 2001-10-31 |
| Alan Ericksen | 15048 N Elena Dr, Fountain Hills, AZ 85268 | Physician/surgeon | ~ |
Please comment or provide details below to improve the information on ELENA MAYDAN.
| 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).