JIMENA TUIS ELIZALDE (Credential# 1157853) 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.
JIMENA TUIS ELIZALDE is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.052268. The credential type is physician/surgeon. The effective date is June 1, 2020. The expiration date is May 31, 2021. The business address is 12 Howe Pl, Milford, CT 06460-8213. The current status is active.
| Licensee Name | JIMENA TUIS ELIZALDE |
| Credential ID | 1157853 |
| Credential Number | 1.052268 |
| Credential Type | Physician/Surgeon |
| Business Address |
12 Howe Pl Milford CT 06460-8213 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2013-07-25 |
| Effective Date | 2020-06-01 |
| Expiration Date | 2021-05-31 |
| Refresh Date | 2020-03-11 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1178589 | CSP.0055862 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2013-08-08 | 2019-03-01 - 2021-02-28 | ACTIVE |
| Street Address | 12 HOWE PL |
| City | MILFORD |
| State | CT |
| Zip Code | 06460-8213 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Jennifer L Cronsell | 12 Howe Pl, Milford, CT 06460 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Milford Council On Aging | 9 Jepson Drive, Milford, CT 06460 | Public Charity | 2019-06-01 ~ 2020-05-31 |
| James J Melanson | 319 Welch's Point Road, Milford, CT 06460 | Optician | 2020-08-01 ~ 2021-07-31 |
| Robert J Colum | 61 Melba St, Milford, CT 06460 | Professional Engineer | 2020-06-16 ~ 2021-01-31 |
| James E Phillips | 88 Noble Ave, Milford, CT 06460 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Douglas H Gruber | 33 Lincoln Ave, Milford, CT 06460 | Licensed Alcohol and Drug Counselor | 2020-06-01 ~ 2021-05-31 |
| Christine D Rettig | 1 Schooner Lane, Milford, CT 06460 | Physical Therapist | 2020-07-01 ~ 2021-06-30 |
| Golden Dragon Inc | 262 D Quarry Rd, Mildord, CT 06460 | Food Warehouse | ~ |
| Kelli-ann Armstrong | 50 Cherry Street, Milford, CT 06460 | Optometrist | 2020-07-01 ~ 2021-06-30 |
| Mary C Cohen | 9 Stevens Street, Milford, CT 06460 | Notary Public Appointment | 2020-07-01 ~ 2025-06-30 |
| Nicole Wilson | 26 Daggett Street, Milford, CT 06460 | Hairdresser/cosmetician | 2020-08-01 ~ 2022-07-31 |
| Find all Licenses in zip 06460 | |||
| City | MILFORD |
| Zip Code | 06460 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + MILFORD |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Shannon S Elizalde | 100 Galloway Dr, Cedar Park, TX 78613-7753 | Registered Nurse | 2014-09-01 ~ 2015-08-31 |
| Jacob S Parada-elizalde | 108 35th St Apt 7, Union City, NJ 07087-5938 | Asbestos Abatement Worker | 2013-05-09 ~ 2013-07-31 |
| Maria Jimena Moreno | 910 34th Ave Apt 3l, Astoria, NY 11106-4937 | Registered Nurse | 2020-03-18 ~ 2021-02-28 |
| Jimena M Stevenson | 15 Hearn Ln, Hamden, CT 06514-2608 | Emergency Medical Technician | 2009-05-01 ~ 2014-01-01 |
| Sandra Jimena Ceballos | 500 West Av Apt 321, Norwalk, CT 06850 | Tattoo Technician | 2019-01-01 ~ 2020-12-31 |
| Naida Jimena Romero | 235 Poplar St Apt 2, New Haven, CT 06513-3705 | Asbestos Abatement Worker | 2020-01-01 ~ 2020-12-31 |
| Laia Jimena Vazquez Guillamet | 5 Schooner Lane, Milford, CT 06460 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Jimena Lourdes Williams | 11 Turtle Creek Lane, East Hartford, CT 06108 | Notary Public Appointment | 2013-09-11 ~ 2018-09-30 |
| Jimena Anabel Repetto | 201 Commons Park S Unit 1510, Stamford, CT 06902-7071 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Penny Lamhut Md | Genesis Physician Services, Windsor, CT 06098 | Physician/surgeon | 1999-07-15 ~ 2000-07-31 |
Please comment or provide details below to improve the information on JIMENA TUIS ELIZALDE.
| 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).