ELIZABETH C GUNDERSEN MD (Credential# 914646) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2011. The license expiration date date is February 28, 2013. The license status is INACTIVE.
ELIZABETH C GUNDERSEN MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0047255. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2011. The expiration date is February 28, 2013. The business address is 2760 Ne 48th St, Lighthouse Point, FL 33064-7114. The current status is inactive.
| Licensee Name | ELIZABETH C GUNDERSEN MD |
| Credential ID | 914646 |
| Credential Number | CSP.0047255 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
2760 Ne 48th St Lighthouse Point FL 33064-7114 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE |
| Issue Date | 2010-02-22 |
| Effective Date | 2011-03-01 |
| Expiration Date | 2013-02-28 |
| Refresh Date | 2014-01-29 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 909532 | 1.048369 | Physician/Surgeon | 2010-01-07 | 2011-06-01 - 2012-05-31 | INACTIVE |
| Street Address | 2760 NE 48TH ST |
| City | LIGHTHOUSE POINT |
| State | FL |
| Zip Code | 33064-7114 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Jasen W Gundersen Md | 2760 Ne 48th St, Lighthouse Point, FL 33064-7114 | Physician/surgeon | 2016-07-01 ~ 2017-06-30 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Kaitlin Ann Jones | 705 Nw 47th Street, Deerfield Beach, FL 33064 | Registered Nurse | 2020-06-01 ~ 2021-05-31 |
| Diane G Widak | 3362 Nw 11th Ave, Pompano Beach, FL 33064 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Eunice Roman | 4149 Ne 21st Terrace, Lighthouse Point, FL 33064 | Hairdresser/cosmetician | 2020-07-01 ~ 2022-06-30 |
| Nipponflex LLC | 3750 Park Central Blvd North, Pompano Beach, FL 33064 | Importer of Bedding & Upholstered Furniture | 2019-05-01 ~ 2020-04-30 |
| Dyno Seasonal Solutions LLC | 1571 W Copans Rd Ste#105, Pompano Beach, FL 33064 | Importer of Bedding & Upholstered Furniture | 2020-05-01 ~ 2021-04-30 |
| Amanda M Garcia | 4311 Crystal Lake Dr #318, Deerfield Beach, FL 33064 | Hairdresser/cosmetician | 2020-03-01 ~ 2022-02-28 |
| Anthony J Disimone | 2332 Ne 30th Court, Lighthouse Point, FL 33064 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
| Deborah A Dacus | 5110 Ne 29th Ave, Lighthouse Point, FL 33064 | Registered Nurse | 2018-09-01 ~ 2019-08-31 |
| Pamela A Flaherty | 2930 Ne 53rd Court, Lighthouse Point, FL 33064 | Registered Nurse | 2019-10-01 ~ 2020-09-30 |
| Oikia LLC | 1571 W Copans Rd Ste 101, Pompano Beach, FL 33064 | Manufacturer of Bedding & Upholstered Furniture | 2003-05-01 ~ 2004-04-30 |
| Find all Licenses in zip 33064 | |||
| City | LIGHTHOUSE POINT |
| Zip Code | 33064 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + LIGHTHOUSE POINT |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Amanda Elizabeth Magnoli | 15 Dearborn Dr, Cape Elizabeth, ME 04107-2302 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Ronald Gundersen · Gundersen Construction | 21 Walnut Terr, Naugatuck, CT 06770 | Home Improvement Contractor | 1998-12-01 ~ 1999-11-30 |
| Elizabeth J Marcucio | 24 N Coe Ln, Ansonia, CT 06401-2818 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Elizabeth Lucal | Po Box 311, Lakeville, CT 06039 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Elizabeth F Harman Pa | 125 Fox Run Rd, New Canaan, CT 06840 | Controlled Substance Registration for Practitioner | 2006-03-01 ~ 2007-02-28 |
| Elizabeth Krowitz | 8 W End Ave, Old Greenwich, CT 06870-1642 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Elizabeth Halvorsen Md | Guilford, CT 06443-1858 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Elizabeth Ann Ng | 618 Creekside Ln, Fishkill, NY 12524-4902 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Elizabeth A Freck | 62 Clark St Apt 2, New Haven, CT 06511 | Controlled Substance Registration for Practitioner | 2009-03-01 ~ 2011-02-28 |
| Elizabeth A Young | 1 Columbia St Fl 1, Poughkeepsie, NY 12601-3924 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
Please comment or provide details below to improve the information on ELIZABETH C GUNDERSEN MD.
| 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).