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.
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.
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 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
545869 | 1.026185 | Physician/Surgeon | 1985-03-06 | 2012-11-01 - 2013-10-31 | INACTIVE |
Street Address | 676 HANSEN RD |
City | ST AUGUISTINE |
State | FL |
Zip Code | 32086 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Dani Dimitrova | 204 Brantley Harbor Drive, Saint Augustine, FL 32086 | Licensed Clinical Social Worker | 2020-05-01 ~ 2021-04-30 |
Kathleen Marie Watkins | 6953 Cypress Spring Court, St Augustine, FL 32086 | Behavior Analyst | 2019-10-01 ~ 2020-09-30 |
Sean K Damm · New Age Services | 2605 Us Highway 1 South, St Augustine, FL 32086 | Heating, Piping & Cooling Limited Contractor | 2019-09-01 ~ 2020-08-31 |
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 |
Amy C Robertson | 130 Bayberry Circle, Saint Augustine, FL 32086 | Registered Nurse | 2013-06-01 ~ 2014-05-31 |
Ann Classy Acton | 308 Rishi Ct., St. Augustine, FL 32086 | Radiographer | 2010-11-01 ~ 2011-10-31 |
Find all Licenses in zip 32086 |
City | ST AUGUISTINE |
Zip Code | 32086 |
License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + ST AUGUISTINE |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Maxwell Eder | 85 Mechanic St, New Haven, CT 06511-2633 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Linda L Maxwell | 5 Sullivan Rd, Redding, CT 06896 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Maxwell N Cohen | 48 East Ave, Norwalk, CT 06851 | Controlled Substance Registration for Practitioner | 1993-07-08 ~ 1995-08-01 |
Maxwell D Elia | 210 Farmington Ave Apt 207, Hartford, CT 06105-3670 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
Mary C E Mieczkowski | 16 E Maxwell Dr, West Hartford, CT 06107-1403 | Controlled Substance Registration for Practitioner | 2019-02-14 ~ 2021-02-28 |
Abigael N Maxwell | 33 Eaton St, West Haven, CT 06516-1407 | Controlled Substance Registration for Practitioner | 2017-07-06 ~ 2019-02-28 |
Maxwell A Boatey | 11 Winged Foot Dr, Manalapan, NJ 07726-9332 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Maxwell S Laurans | 333 Cedar St., Tompkins 402, New Haven, CT 06520-8082 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Maxwell D Janosky Md | 2443 Fillmore St Ste 278, San Francisco, CA 94115-1814 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
Dominic J Maxwell | Natchaug Hospital/ 189 Storrs Rd, Mansfield Ctr, CT 06250 | Controlled Substance Registration for Practitioner | 2004-02-29 ~ 2005-02-28 |
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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).