ELIZABETH COOK (Credential# 1442415) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is July 1, 2020. The license expiration date date is June 30, 2021. The license status is ACTIVE.
ELIZABETH COOK is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.056955. The credential type is physician/surgeon. The effective date is July 1, 2020. The expiration date is June 30, 2021. The business address is 863 N. Main St. Ext. Suite 200, Wallingford, CT 06492. The current status is active.
Licensee Name | ELIZABETH COOK |
Credential ID | 1442415 |
Credential Number | 1.056955 |
Credential Type | Physician/Surgeon |
Business Address |
863 N. Main St. Ext. Suite 200 Wallingford CT 06492 |
Business Type | INDIVIDUAL |
Status | ACTIVE - CURRENT |
Active | 1 |
Issue Date | 2017-08-30 |
Effective Date | 2020-07-01 |
Expiration Date | 2021-06-30 |
Refresh Date | 2020-06-13 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
1450603 | CSP.0066786 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2017-09-13 | 2019-03-01 - 2021-02-28 | ACTIVE |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Elizabeth Cook | 25188 Marion Ave Apt 1040, Punta Gorda, FL 33950-4181 | Registered Nurse | 2017-06-01 ~ 2018-05-31 |
Elizabeth Cook | 256 Scantic Rd, East Windsor, CT 06088-9735 | Milk Examiner | 2018-10-22 ~ 2020-10-21 |
Elizabeth Cook · M T B Building & Restoration | 7 Echo Circle, North Branford, CT 06471 | Home Improvement Contractor | 2007-04-19 ~ 2007-11-30 |
Street Address | 863 N. Main St. Ext. Suite 200 |
City | Wallingford |
State | CT |
Zip Code | 06492 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Andrea Zola | 53 Alison Ave., Wallingford, CT 06492 | Esthetician | ~ |
Kyungok Choi | 90 Ward St, Wallingford, CT 06492 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
Giang Nguyen | 45 Country Club Lane, Wallingford, CT 06492 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-27 ~ 2021-11-30 |
Lc Artistry | 207 North Colony Road, Wallingford, CT 06492 | Esthetician | ~ |
Katie Lee | 20 Angela Dr, Wallingford, CT 06492 | Paramedic | 2020-09-01 ~ 2021-08-31 |
Vinny's Deli | 567 Center St, Wallingford, CT 06492 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
Michele Ruggiero | 26 Leigus Road, Wallingford, CT 06492 | Radiographer | 2020-07-01 ~ 2021-06-30 |
Dianna K Ball | 104 Simpson Ave, Wallingford, CT 06492 | Speech and Language Pathologist | 2020-08-01 ~ 2021-07-31 |
Ann Marie Richardson | 20 Mohawk Drive, Wallingford, CT 06492 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
Joann Hummel | 60 Deer Run Road, Wallingford, CT 06492 | Medication Administration Certification | 2018-08-21 ~ 2020-08-20 |
Find all Licenses in zip 06492 |
City | Wallingford |
Zip Code | 06492 |
License Type | Physician/Surgeon |
License Type + County | Physician/Surgeon + Wallingford |
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 |
Michael E Hollander | 116 Cook Ave, Meriden, CT 06450 | Physician/surgeon | 1993-09-23 ~ 1994-10-31 |
Albert J Cook | 444 Koontz Rd, Wadsworth, OH 44281-9218 | Physician/surgeon | 2019-09-01 ~ 2020-08-31 |
Jana L. Sulzer | 335 Cook Ave, Meriden, CT 06451-6259 | Physician/surgeon | 1984-06-25 ~ 1989-12-31 |
Dina Kandil | 6 Cook St, Westborough, MA 01581-3637 | Physician/surgeon | 2012-01-01 ~ 2012-12-31 |
Charles D Cook Md | 3-1 Meetinghouse Ln, Old Lyme, CT 06371 | Physician/surgeon | 2001-10-16 ~ 2002-11-30 |
Neeta Patel Md | 123 Cook Rd, Prospect, CT 06712 | Physician/surgeon | 1999-06-18 ~ 2000-07-31 |
Rohan A Stern | 72 Cook Hill Rd, Windsor, CT 06095-3153 | Physician/surgeon | 2013-07-01 ~ 2014-06-30 |
M Hachem Dadouch | 155 Cook Hill Rd, Wallingford, CT 06492 | Physician/surgeon | 1993-10-25 ~ 1994-10-31 |
William H Cook | 101 C Fiddler Green, Stratford, CT 06497 | Physician/surgeon | 1993-05-25 ~ 1994-05-31 |
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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).