ERIC D NELSON MD (Credential# 975466) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is July 1, 2018. The license expiration date date is June 30, 2019. The license status is INACTIVE.
ERIC D NELSON MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.049402. The credential type is physician/surgeon. The effective date is July 1, 2018. The expiration date is June 30, 2019. The business address is 15 Foxcroft Rd, West Hartford, CT 06119. The current status is inactive.
Licensee Name | ERIC D NELSON MD |
Credential ID | 975466 |
Credential Number | 1.049402 |
Credential Type | Physician/Surgeon |
Business Address |
15 Foxcroft Rd West Hartford CT 06119 |
Business Type | INDIVIDUAL |
Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
Issue Date | 2010-12-15 |
Effective Date | 2018-07-01 |
Expiration Date | 2019-06-30 |
Refresh Date | 2019-10-03 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
991123 | CSP.0049879 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2011-03-31 | 2017-03-01 - 2019-02-28 | LAPSED |
Street Address | 15 Foxcroft Rd |
City | West Hartford |
State | CT |
Zip Code | 06119 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Erin M Lewis | 15 Foxcroft Rd, West Hartford, CT 06119-1150 | Speech and Language Pathologist | 2020-05-01 ~ 2021-04-30 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Danna Rae France | 1148 Boulevard, West Hartford, CT 06119 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-27 ~ 2021-10-31 |
Rayda R Bouma | 122 Richard St, West Hartford, CT 06119 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
Norbert M Spencer | 17 Oakwood Ave., West Hartford, CT 06119 | Professional Counselor | 2020-07-01 ~ 2021-06-30 |
Diedra A Dietter | 9 Birch Road, West Hartford, CT 06119 | Licensed Clinical Social Worker | 2020-07-01 ~ 2021-06-30 |
Dahlia I Belnavis-bigenho · Belnavis | 186 Whiting Lane, West Hartford, CT 06119 | Respiratory Care Practitioner | 2020-08-01 ~ 2021-07-31 |
Stephen R Dewey | 68 Richard St, W Hartford, CT 06119 | Architect | 2020-08-01 ~ 2021-07-31 |
James E Vance Jr | 9 Plymouth Rd, W Hartford, CT 06119 | Architect | 2020-08-01 ~ 2021-07-31 |
Mark D Hirsch | 105 Griswold Dr, W Hartford, CT 06119 | Architect | 2020-08-01 ~ 2021-07-31 |
Judith Briggs | 29 Troy St, West Hartford, CT 06119 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
Thulan P Vu | 74 Park Road, West Hartford, CT 06119 | Nail Technician | 2020-06-24 ~ 2022-06-30 |
Find all Licenses in zip 06119 |
City | West Hartford |
Zip Code | 06119 |
License Type | Physician/Surgeon |
License Type + County | Physician/Surgeon + West Hartford |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Eric P Nelson · Eric Nelson Construction | 25 Sharon Valley Rd, Sharon, CT 06069 | Home Improvement Contractor | 2016-12-01 ~ 2017-11-30 |
Eric D Nelson · Eric Nelson Painting & Powerwashing | 30 School St, Burlington, CT 06013 | Home Improvement Contractor | 2004-12-01 ~ 2005-11-30 |
Eric Nelson Construction LLC | Po Box 1206, Sharon, CT 06069-1206 | Home Improvement Contractor | 2019-12-01 ~ 2020-11-30 |
Satish K Deshpande | 28 Nelson Rd, Scarsdale, NY 10583-5716 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
James C Nelson | 22 Fernwood Rd, Hamden, CT 06517 | Physician/surgeon | 2002-02-04 ~ 2003-02-28 |
Nelson A Bonheim | 12 Innis Ln, Old Greenwich, CT 06870-1706 | Physician/surgeon | 2018-09-01 ~ 2019-08-31 |
Joel E Nwosu-nelson | 476 Colfax Ave, Clifton, NJ 07013-1624 | Physician/surgeon | ~ |
Jeffrey E Escher | 257 Nelson Rd, Scarsdale, NY 10583 | Physician/surgeon | 2016-01-01 ~ 2016-12-31 |
Martin J Nelson | 33 University Sq, Madison, WI 53715 | Physician/surgeon | 1998-01-20 ~ 1999-03-31 |
Debra Nelson | 1818 S Eastern Ave, Las Vegas, NV 89106 | Physician/surgeon | 1992-03-24 ~ 1993-03-31 |
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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).