ELIZABETH MADELEINE GROMET (Credential# 1516716) is licensed (Resident Physician) 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 MADELEINE GROMET is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.060957-RES. The credential type is resident physician. The effective date is July 1, 2020. The expiration date is June 30, 2021. The business address is 353 Riverside Ave, Riverside, CT 06878-2123. The current status is active.
| Licensee Name | ELIZABETH MADELEINE GROMET |
| Credential ID | 1516716 |
| Credential Number | 1.060957-RES |
| Credential Type | Resident Physician |
| Credential SubCategory | RES |
| Business Address |
353 Riverside Ave Riverside CT 06878-2123 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2018-06-11 |
| Effective Date | 2020-07-01 |
| Expiration Date | 2021-06-30 |
| Refresh Date | 2020-06-04 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1514062 | CSP.0068087 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2018-05-21 | 2019-03-01 - 2021-02-28 | ACTIVE |
| Street Address | 353 RIVERSIDE AVE |
| City | RIVERSIDE |
| State | CT |
| Zip Code | 06878-2123 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Megan Epand Mailman | 355 Riverside Ave, Riverside, CT 06878-2123 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Natalia Manevich Md | 4 Crawford Terrace, Riverside, CT 06878 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
| Antoinette Lanzarone | 91 Sound Beach Ave, Riverside, CT 06878 | Licensed Practical Nurse | 2020-07-01 ~ 2021-06-30 |
| Silvestro Iommazzo Dds | 1212 East Putnam Ave, Riverside, CT 06878 | Dentist | 2020-07-01 ~ 2021-06-30 |
| Joanna Elizabeth Mackenzie | 9 Dialstone Ln, Riverside, CT 06878 | Marital and Family Therapist Associate | ~ |
| Dimare's Pastry Shop, LLC | 1245 Post Rs, Riverside, CT 06878 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Msn Vending LLC | 30 Carrona Dr, Riverside, CT 06878 | Vending Machine Operator | 2020-07-01 ~ 2021-06-30 |
| Laura E Kaehler | 13 Marks Road, Riverside, CT 06878 | Architect | 2020-08-01 ~ 2021-07-31 |
| Janine M Corticelli | 134 Lancer Road South, Riverside, CT 06878 | Real Estate Salesperson | 2020-06-16 ~ 2021-05-31 |
| Jin Jin Hong | 12b Rye Bridge Plaza, Riverside, CT 06878 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Michael F Catalano | 12 Bonan Drive, Riverside, CT 06878 | Notary Public Appointment | 2020-09-01 ~ 2025-08-31 |
| Find all Licenses in zip 06878 | |||
| City | RIVERSIDE |
| Zip Code | 06878 |
| License Type | Resident Physician |
| License Type + County | Resident Physician + RIVERSIDE |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Madeleine Khumbulani Lee Carroll | 20 York St Rm 226, New Haven, CT 06510-3220 | Resident Physician | 2020-06-09 ~ 2021-06-30 |
| Madeleine Coleman | 20 York Street, New Haven, CT 06510 | Resident Physician | 2020-07-01 ~ 2021-06-30 |
| Elizabeth Wei | 20 York St, New Haven, CT 06510-3220 | Resident Physician | 2019-07-01 ~ 2021-06-30 |
| Elizabeth P Cai | 20 York St, New Haven, CT 06510 | Resident Physician | 2020-06-15 ~ 2021-06-30 |
| Elizabeth Meller | 300 George St Ste 901, New Haven, CT 06511-6662 | Resident Physician | 2019-06-11 ~ 2023-06-30 |
| Elizabeth Skye Ferzacca | 2 Eld St Apt 2f, New Haven, CT 06511-3844 | Resident Physician | 2020-07-01 ~ 2021-06-30 |
| Elizabeth Tepler | 20 York St, New Haven, CT 06510-3220 | Resident Physician | 2020-06-15 ~ 2021-06-30 |
| Elizabeth Matlock | 300 George St Ste 901, New Haven, CT 06511-6662 | Resident Physician | 2020-06-22 ~ 2023-06-30 |
| Elizabeth Morrison Burch | 200 Retreat Ave, Hartford, CT 06102-3101 | Resident Physician | 2018-08-01 ~ 2021-06-30 |
| Kristin Elizabeth Reese | 20 York St Rm 226, New Haven, CT 06510-3220 | Resident Physician | 2020-07-01 ~ 2021-06-30 |
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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).