ELIZABETH A. MARIANO (Credential# 1158814) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is April 1, 2020. The license expiration date date is March 31, 2021. The license status is ACTIVE.
ELIZABETH A. MARIANO is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.051948. The credential type is physician/surgeon. The effective date is April 1, 2020. The expiration date is March 31, 2021. The business address is 536 Saybrook Rd, Middletown, CT 06457-4783. The current status is active.
Licensee Name | ELIZABETH A. MARIANO |
Credential ID | 1158814 |
Credential Number | 1.051948 |
Credential Type | Physician/Surgeon |
Business Address |
536 Saybrook Rd Middletown CT 06457-4783 |
Business Type | INDIVIDUAL |
Status | ACTIVE - CURRENT |
Active | 1 |
Issue Date | 2013-05-23 |
Effective Date | 2020-04-01 |
Expiration Date | 2021-03-31 |
Refresh Date | 2020-01-08 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
1167398 | CSP.0054824 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2013-06-10 | 2019-03-01 - 2021-02-28 | ACTIVE |
Street Address | 536 SAYBROOK RD |
City | MIDDLETOWN |
State | CT |
Zip Code | 06457-4783 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Robert J Levy | 536 Saybrook Rd, Middletown, CT 06457-4783 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
Michael Farrell | 536 Saybrook Rd, Middletown, CT 06457 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
Karthikeyan Kandavelou | 536 Saybrook Rd, Middletown, CT 06457-4783 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Megan E Homes | 536 Saybrook Rd, Middletown, CT 06457 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Mark Kimmel Md | 536 Saybrook Rd, Middletown, CT 06457 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Elizabeth M Mailhot | 177 Timber Ridge Rd, Middletown, CT 06457 | Dental Hygienist | 2020-08-01 ~ 2021-07-31 |
Rebecca S Fennessy | 22 Keefe Ln, Middletown, CT 06457 | Licensed Clinical Social Worker | 2020-07-01 ~ 2021-06-30 |
Eloise M Gagnon | 538 Bow Lane, Middletown, CT 06457 | Hairdresser/cosmetician | 2020-08-01 ~ 2022-07-31 |
Salvatore Dimauro | 245 Dekoven Dr, Middletown, CT 06457 | Public Weigher | 2020-07-01 ~ 2021-06-30 |
Frank L Wright | 261 Spencer Dr, Middletown, CT 06457 | Barber | 2020-08-01 ~ 2022-07-31 |
Gino A Cardella | 50 Sonoma Lane, Middletown, CT 06457 | Real Estate Salesperson | ~ |
Shannon Lee Mcquillan | 5 Forest Glen Circle, Middletown, CT 06457 | Registered Nurse | 2020-06-26 ~ 2020-09-30 |
Lori Dimauro · Carta | 244 Chamberlain Hill Road, Middletown, CT 06457 | Hairdresser/cosmetician | 2020-09-01 ~ 2022-08-31 |
Gail A Corrow | 85 Dora Dr, Middletown, CT 06457 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
Mariter V Perez | 8 Moss Glen, Middletown, CT 06457 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
Find all Licenses in zip 06457 |
City | MIDDLETOWN |
Zip Code | 06457 |
License Type | Physician/Surgeon |
License Type + County | Physician/Surgeon + MIDDLETOWN |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Mariano S Nasser | 1104 South 23 St, Nederland, TX 77627 | Physician/surgeon | 2012-08-01 ~ 2013-07-31 |
Mariano Ariel Rizzo | 47 Lincoln Ave, Rye Brook, NY 10573-1351 | Physician/surgeon | 2020-06-17 ~ 2020-12-31 |
Rowena B Mariano | 1236 Canterbury Road, Raleigh, NC 27608 | Physician/surgeon | 2019-12-01 ~ 2020-11-30 |
Robert T Mariano | Hartford Hospital, Hartford, CT 06102 | Physician/surgeon | 1999-11-24 ~ 2001-01-31 |
Nicole Caldwell | 240 Elizabeth St # H1-120, Elizabeth, CO 80107-7537 | Physician/surgeon | 2015-03-01 ~ 2016-02-29 |
Cristiane Mariano Mariano | 22 Bruce Park Avenue, Greenwich, CT 06830 | Esthetician | ~ |
Eduardo Mariano · Jr Mariano Improvements | 10 Lincoln Rd, Clinton, CT 06413-1520 | Home Improvement Contractor | 2017-12-01 ~ 2018-11-30 |
Cheryl L Mariano-perugini · Mariano | 24 Lakeside Drive, Shrewsbury, MA 01545 | Registered Nurse | 1997-08-28 ~ 1998-09-30 |
Christopher F Mariano · Mariano Building and Remodeling | 81 Hart St, Berlin, CT 06037-2024 | Home Improvement Contractor | 2002-12-01 ~ 2003-11-30 |
Anthony Mariano | 17 Allerton Farms Rd, Middlebury, CT 06762 | Crane Registration | 1997-04-11 ~ 1998-04-10 |
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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).