ELIZABETH C INDORF (Credential# 1174554) is licensed (Physician Assistant) 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 C INDORF is licensed with the Department of Consumer Protection of Connecticut. The credential number is #23.002954. The credential type is physician assistant. The effective date is April 1, 2020. The expiration date is March 31, 2021. The business address is 211 New Britain Rd Ste 105, Kensington, CT 06037-3167. The current status is active.
| Licensee Name | ELIZABETH C INDORF |
| Credential ID | 1174554 |
| Credential Number | 23.002954 |
| Credential Type | Physician Assistant |
| Business Address |
211 New Britain Rd Ste 105 Kensington CT 06037-3167 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2013-08-07 |
| Effective Date | 2020-04-01 |
| Expiration Date | 2021-03-31 |
| Refresh Date | 2020-02-03 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1179224 | CSP.0055886 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2013-08-13 | 2019-03-01 - 2021-02-28 | ACTIVE |
| 850372 | 70.010639 | Emergency Medical Technician | 2009-04-03 | 2010-06-23 - 2013-09-30 | INACTIVE |
| 445598 | PTN.0008590 | PHARMACY TECHNICIAN | 2006-08-03 | 2007-04-01 - 2008-03-31 | INACTIVE |
| Street Address | 211 NEW BRITAIN RD STE 105 |
| City | KENSINGTON |
| State | CT |
| Zip Code | 06037-3167 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Ronald H Helfand | 211 New Britain Rd Ste 107, Kensington, CT 06037-3167 | Dentist | 2020-06-01 ~ 2021-05-31 |
| Antoni Berger Md | 211 New Britain Rd Ste 104, Berlin, CT 06037-3167 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Jolanta Wilinski-pelech | 163 Hillside Rd, Berlin, CT 06037 | Esthetician | ~ |
| Susann A Pavano | 67 Hickory Hill Rd, Kensington, CT 06037 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Marco A Giannone | 101 Grapevine Lane, Berlin, CT 06037 | Real Estate Salesperson | 2020-06-18 ~ 2021-05-31 |
| Linda A Giove | 48 Winding Meadow D, Kensington, CT 06037 | Hairdresser/cosmetician | 2020-08-01 ~ 2022-07-31 |
| Kevin P Gallagher | 206 Fairview Dr, Berlin, CT 06037 | Embalmer | 2020-07-01 ~ 2021-06-30 |
| Stephanie M Sadlowski | 28 Cynthia Drive, Kensington, CT 06037 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Violet Pastorkova-jaouen | 959 Four Rod Road, Berlin, CT 06037 | Dietitian/nutritionist | 2020-07-01 ~ 2021-06-30 |
| Constantine S Buonanno Dmd | 1105 Farmington Ave, Kensington, CT 06037 | Dentist | 2020-04-01 ~ 2021-03-31 |
| Lisa Divalentino | 23 Garden Drive, Kensington, CT 06037 | Notary Public Appointment | 2020-08-01 ~ 2025-07-31 |
| William Dornfried | 240 Kensington Road, Berlin, CT 06037 | Water Treatment Plant Operator - Class I | 2020-04-01 ~ 2023-03-31 |
| Find all Licenses in zip 06037 | |||
| City | KENSINGTON |
| Zip Code | 06037 |
| License Type | Physician Assistant |
| License Type + County | Physician Assistant + KENSINGTON |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Peter Indorf Jewelers | 703 Boston Post Road, Madison, CT 06443 | Closing Out Sale | 2016-06-16 ~ 2016-08-06 |
| Peter Indorf Jewelers | 1022 Chapel St, New Haven, CT 06510 | Closing Out Sale | 2014-10-29 ~ 2015-01-29 |
| Elizabeth C Grasso | Elizabeth Grasso, Stamford, CT 06905 | Physician Assistant | 2019-09-01 ~ 2020-08-31 |
| Elizabeth Carbonell | 33 Woodfield Rd, Bristol, CT 06010-2655 | Physician Assistant | ~ |
| Elizabeth H Newman | 23 Channel Ave, Norwalk, CT 06854-4814 | Physician Assistant | 2020-09-01 ~ 2021-08-31 |
| Elizabeth J Pecoy | 499 Ridge Rd, Wilbraham, MA 01095-2311 | Physician Assistant | 2020-03-01 ~ 2021-02-28 |
| Elizabeth V Philbrick | 211 E Main St Apt 58, Branford, CT 06405-3148 | Physician Assistant | 2020-04-01 ~ 2021-03-31 |
| Sarah Elizabeth Hill | 211 Park Rd, Oxford, CT 06478-6127 | Physician Assistant | ~ |
| Elizabeth Ms Lynch Pa | 20 Colonial Ave, Agawam, MA 01001-1716 | Physician Assistant | 2017-01-01 ~ 2017-12-31 |
| Esta Kleyman | 621 Westminster Ave, Elizabeth, NJ 07208 | Physician Assistant | 2019-10-01 ~ 2020-09-30 |
Please comment or provide details below to improve the information on ELIZABETH C INDORF.
| 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).