ELIZABETH BIRD (Credential# 1216365) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is May 1, 2020. The license expiration date date is April 30, 2021. The license status is ACTIVE.
ELIZABETH BIRD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.053136. The credential type is physician/surgeon. The effective date is May 1, 2020. The expiration date is April 30, 2021. The business address is 2 Deep Hollow Rd, Chester, CT 06412-1112. The current status is active.
Licensee Name | ELIZABETH BIRD |
Credential ID | 1216365 |
Credential Number | 1.053136 |
Credential Type | Physician/Surgeon |
Business Address |
2 Deep Hollow Rd Chester CT 06412-1112 |
Business Type | INDIVIDUAL |
Status | ACTIVE - CURRENT |
Active | 1 |
Issue Date | 2014-06-10 |
Effective Date | 2020-05-01 |
Expiration Date | 2021-04-30 |
Refresh Date | 2020-03-27 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
1216514 | CSP.0056982 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2014-06-18 | 2019-03-01 - 2021-02-28 | ACTIVE |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Elizabeth Bird | 21 Hedgefield Ct, Orange, CT 06477-2226 | Hairdresser/cosmetician | 2019-03-01 ~ 2021-02-28 |
Street Address | 2 DEEP HOLLOW RD |
City | CHESTER |
State | CT |
Zip Code | 06412-1112 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Kimberly L Leffingwell | 19 Deep Hollow Rd, Chester, CT 06412-1112 | Dental Hygienist | 2020-04-01 ~ 2021-03-31 |
Scott J Camilleri | 28 Deep Hollow Rd, Chester, CT 06412-1112 | Automotive Glass Unlimited Contractor | 2019-10-14 ~ 2020-08-31 |
Jessica L Richardson | 8 Deep Hollow Rd, Chester, CT 06412-1112 | Licensed Clinical Social Worker | 2019-06-01 ~ 2020-05-31 |
Sylvia Miksa | 18 Deep Hollow Rd, Chester, CT 06412-1112 | Emergency Medical Responder | 2014-02-24 ~ 2016-12-31 |
Thomas F Miksa | 18 Deep Hollow Rd, Chester, CT 06412-1112 | Emergency Medical Responder | 2014-02-24 ~ 2016-12-31 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Jon M Lavy | 1 Bokum Road, Chester, CT 06412 | Architect | 2020-08-01 ~ 2021-07-31 |
Charles G Mueller | 44 Straits Rd, Chester, CT 06412 | Architect | 2020-08-01 ~ 2021-07-31 |
Sharon T Kayser | 28 Old Depot Road, Chester, CT 06412 | Licensed Practical Nurse | 2020-08-01 ~ 2021-07-31 |
Sarah E Riggles | 9 Middlesex Avenue, Chester, CT 06412 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
Chandra Burton | 21 Goosehill Rd, Chester, CT 06412 | Medication Administration Certification | ~ |
Joseph E Shrack | Chester Veterinary Clinic, Chester, CT 06412 | Veterinarian | 2020-08-01 ~ 2021-07-31 |
Hannah Palmisano | Po Box 661, Chester, CT 06412 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
Steven E Tiezzi | 19 Kings Hwy, Chester, CT 06412 | Architect | 2020-08-01 ~ 2021-07-31 |
Priscilla K Grzybowski | 19 Bartkiewitz Road, Chester, CT 06412 | Notary Public Appointment | 2020-09-01 ~ 2025-08-31 |
Erin K F Saglimbeni | 161 Middlesex Ave, Chester, CT 06412 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
Find all Licenses in zip 06412 |
City | CHESTER |
Zip Code | 06412 |
License Type | Physician/Surgeon |
License Type + County | Physician/Surgeon + CHESTER |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Nils Mueller | 11760 Bird Road, Miami, FL 33175 | Physician/surgeon | 2016-09-01 ~ 2017-09-30 |
Nicole Caldwell | 240 Elizabeth St # H1-120, Elizabeth, CO 80107-7537 | Physician/surgeon | 2015-03-01 ~ 2016-02-29 |
Bruce F Bird · Bird Enterprises | 1036 Spindle Hill Rd, Wolcott, CT 06716 | Home Improvement Contractor | 2011-12-01 ~ 2012-11-30 |
Kristin Elizabeth Bird | 139 Springside Rd, Asheville, NC 28803-3323 | Registered Nurse | 2018-09-05 ~ 2019-05-31 |
Elizabeth Baorto | 360 3rd St Ste 425, San Francisco, CA 94107-2164 | Physician/surgeon | ~ |
Frederick Lu | Po Box 546, Elizabeth, NJ 07207 | Physician/surgeon | 1994-05-06 ~ 1995-04-30 |
Christine Elizabeth Pyne | 611 Bird Ave, Buffalo, NY 14222-1263 | Real Estate Salesperson | 2019-10-15 ~ 2020-05-31 |
Gary Leeds | 16 Elizabeth Ln, Riverside, CT 06878-1302 | Physician/surgeon | ~ |
Nina R Rivera | 141 Elizabeth St, Hartford, CT 06105-2211 | Physician/surgeon | ~ |
Elizabeth C Dubovsky | 117 N Jay St, Middleburg, VA 20117-2661 | Physician/surgeon | 2019-12-01 ~ 2020-11-30 |
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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).