ELIZABETH A MARTIN (Credential# 1231216) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is September 1, 2017. The license expiration date date is August 31, 2018. The license status is INACTIVE.
ELIZABETH A MARTIN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.053549-DO. The credential type is physician/surgeon. The effective date is September 1, 2017. The expiration date is August 31, 2018. The business address is 29 Morris Ave, Manasquan, NJ 08736-3521. The current status is inactive.
| Licensee Name | ELIZABETH A MARTIN |
| Credential ID | 1231216 |
| Credential Number | 1.053549-DO |
| Credential Type | Physician/Surgeon |
| Credential SubCategory | DO |
| Business Address |
29 Morris Ave Manasquan NJ 08736-3521 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 2014-09-26 |
| Effective Date | 2017-09-01 |
| Expiration Date | 2018-08-31 |
| Refresh Date | 2018-12-04 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1085299 | CSP.0053314 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2012-08-16 | 2015-03-01 - 2017-02-28 | INACTIVE |
| 1370954 | CSP.0063742 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2016-08-06 | 2016-08-06 - 2017-02-28 | INACTIVE |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Elizabeth A Martin | 13 Granite Ter, Ansonia, CT 06401-3012 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| Elizabeth A Martin | 1672 Peck Lane, Cheshire, CT 06410 | Notary Public Appointment | 1978-06-01 ~ 1983-03-31 |
| Elizabeth A Martin | 21 Steeple Chase Rd, East Windsor, CT 06088-1724 | Registered Nurse | 2020-03-01 ~ 2021-02-28 |
| Elizabeth A Martin | 221 Hickory Hill La, Newington, CT 06111 | Registered Nurse | 2005-01-07 ~ 2006-02-28 |
| Elizabeth A Martin | 45 Villa Louisa Rd, Glastonbury, CT 06033-1514 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Street Address | 29 MORRIS AVE |
| City | MANASQUAN |
| State | NJ |
| Zip Code | 08736-3521 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Thomas B Bauer | 82 Pearce Ave, Manasquan, NJ 08736 | Landscape Architect | 2020-08-01 ~ 2021-07-31 |
| Cindy Ann Fay | 171 South Street, Manasquan, NJ 08736 | Professional Counselor | 2020-05-11 ~ 2021-03-31 |
| David J Mantone | 54 Virginia Ave, Manasquan, NJ 08736 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
| Jason L Fichter | 1913 Atlantic Ave, Wall Township, NJ 08736 | Professional Engineer | 2018-02-01 ~ 2019-01-31 |
| Heather L Nice | 2547 River Rd, Wall, NJ 08736 | Registered Nurse | 2019-08-01 ~ 2020-07-31 |
| John F Hudak | 1363 Winter View Rd, Manasquan, NJ 08736 | Real Estate Salesperson | 2006-10-19 ~ 2007-05-31 |
| Thomas S Corcoran | 15 Willow Way, Manasquan, NJ 08736 | Professional Engineer | 2009-03-06 ~ 2010-01-31 |
| Keith G Heuer | 1507 W Atlantic Ave, Manasquan, NJ 08736 | Electrical Unlimited Journeyperson | ~ |
| George Aloysius | C/o Merritt Lane IIi Cpa, Manasquan, NJ 08736 | Certified Public Accountant Certificate | ~ |
| Karen M Neilson | 1112 Hillcrest Path, Manasquan, NJ 08736 | Physical Therapist | 2010-09-01 ~ 2011-08-31 |
| Find all Licenses in zip 08736 | |||
| City | MANASQUAN |
| Zip Code | 08736 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + MANASQUAN |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Nicole Caldwell | 240 Elizabeth St # H1-120, Elizabeth, CO 80107-7537 | Physician/surgeon | 2015-03-01 ~ 2016-02-29 |
| Martin Maimon | 701 5th Ave, Seattle, WA 98104 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
| David J Martin | C/o O.s.m., Trumbull, CT 06611 | Physician/surgeon | 2019-12-01 ~ 2020-11-30 |
| Martin Bauermeister | 17 Bay St, Wickford, RI 02852 | Physician/surgeon | 2000-02-15 ~ 2000-11-30 |
| Martin B. Leon | 1 Spector Rd, Woodbridge, CT 06525-1730 | Physician/surgeon | 1977-05-19 ~ 1982-05-31 |
| Martin E Bur | 24 Warner Street, Belchertown, MA 01007 | Physician/surgeon | ~ |
| Andres Martin Md | 230 S Frontage Rd, New Haven, CT 06519-1124 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Martin J Krauthamer | 8 Mcmahon Ln, Westport, CT 06880-1039 | Physician/surgeon | 2019-12-01 ~ 2020-11-30 |
| Martin J Kafina | 5 Giles Rd, Lincoln, MA 01773 | Physician/surgeon | 1997-03-31 ~ 1998-04-30 |
| Martin E Cutler | 550 Main St, Woburn, MA 01801-3053 | Physician/surgeon | 1975-05-21 ~ 1983-05-04 |
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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).