ELNORA V P MAXWELL MD
Controlled Substance Registration for Practitioner


Address: 676 Hansen Rd, St Auguistine, FL 32086

ELNORA V P MAXWELL MD (Credential# 147152) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2013. The license expiration date date is February 28, 2015. The license status is INACTIVE.

Business Overview

ELNORA V P MAXWELL MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0013237. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2013. The expiration date is February 28, 2015. The business address is 676 Hansen Rd, St Auguistine, FL 32086. The current status is inactive.

Basic Information

Licensee Name ELNORA V P MAXWELL MD
Credential ID 147152
Credential Number CSP.0013237
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 676 Hansen Rd
St Auguistine
FL 32086
Business Type INDIVIDUAL
Status INACTIVE
Effective Date 2013-03-01
Expiration Date 2015-02-28
Refresh Date 2016-01-29

Other licenses

ID Credential Code Credential Type Issue Term Status
545869 1.026185 Physician/Surgeon 1985-03-06 2012-11-01 - 2013-10-31 INACTIVE

Office Location

Street Address 676 HANSEN RD
City ST AUGUISTINE
State FL
Zip Code 32086

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Patrick Accardi 18 Aledo Ct, St Augustine, FL 32086 Registered Sanitarian 2017-07-01 ~ 2018-06-30
Francis T Shanley · Susan J Catino 1152 Alcala Dr, St Augustine, FL 32086 Real Estate Salesperson 2001-06-01 ~ 2002-05-31
Susan E Henry Millerick 127 Unicorn Rd, St Augustine, FL 32086 Registered Nurse 2016-04-01 ~ 2017-03-31
Nanette L Olson 4112 Pine Run Circle, St. Augustine, FL 32086 Registered Nurse 2014-11-01 ~ 2015-10-31
Sydney A Spink · Hamilton Standard 1008 Alcala Dr, St Augustine, FL 32086 Professional Engineer 1989-02-27 ~ 1990-01-31
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Competitor

Search similar business entities

City ST AUGUISTINE
Zip Code 32086
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + ST AUGUISTINE

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Dataset Information

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).

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