ELISABETH ANNE WONG (Credential# 1516813) 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.
ELISABETH ANNE WONG is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.061054-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 370 Old Ayer Rd, Groton, MA 01450-1824. The current status is active.
| Licensee Name | ELISABETH ANNE WONG |
| Credential ID | 1516813 |
| Credential Number | 1.061054-RES |
| Credential Type | Resident Physician |
| Credential SubCategory | RES |
| Business Address |
370 Old Ayer Rd Groton MA 01450-1824 |
| 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 |
|---|---|---|---|---|---|
| 1514464 | CSP.0068116 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2018-05-22 | 2019-03-01 - 2021-02-28 | ACTIVE |
| Street Address | 370 OLD AYER RD |
| City | GROTON |
| State | MA |
| Zip Code | 01450-1824 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Laura K Yanchenko · Helene Karl Architects Inc | 61 Skyfields Drive, Groton, MA 01450 | Architect | 2020-08-01 ~ 2021-07-31 |
| Michael D Miceli | 33 Joe Jenny Rd, Oxford, MA 01450 | Licensed Practical Nurse | 2020-06-01 ~ 2021-05-31 |
| Leah M Garside | 67 Overlook Drive, Groton, MA 01450 | Emergency Medical Technician | ~ |
| Christophe M Henry | 58 Champney Street, Groton, MA 01450 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
| Karla L King | 16 Winding Way, Groton, MA 01450 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
| Avery E Gray | 28 Winding Way, Groton, MA 01450 | Certified Public Accountant License | 2020-01-01 ~ 2020-12-31 |
| Philip M Koeniger | P.o. Box 277, Groton, MA 01450 | Architect | 2019-08-01 ~ 2020-07-31 |
| Stephen J Mcinerney | 28b Lone Lane, Groton, MA 01450 | Professional Engineer | 2017-02-01 ~ 2018-01-31 |
| Conrad G Leszkiewicz | 26 Sylvan Lane, Groton, MA 01450 | Professional Engineer | 2016-02-01 ~ 2017-01-31 |
| Henry R Cofek · Design Technology Corp | 260 Whiley Rd, Groton, MA 01450 | Professional Engineer | 1989-03-13 ~ 1990-01-31 |
| Find all Licenses in zip 01450 | |||
| City | GROTON |
| Zip Code | 01450 |
| License Type | Resident Physician |
| License Type + County | Resident Physician + GROTON |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Elisabeth L Stark | 20 York St, New Haven, CT 06510-3220 | Resident Physician | 2020-06-09 ~ 2021-06-30 |
| Jeremy Wong Chin | 25 Frederick St Apt 203, Hartford, CT 06105-3236 | Resident Physician | 2015-07-01 ~ 2019-06-30 |
| Katelyn Hoyan Wong | 20 York St, New Haven, CT 06510-3220 | Resident Physician | 2020-07-01 ~ 2021-06-30 |
| Silas S. Wong | 20 York Street, New Haven, CT 06510 | Resident Physician | 2020-07-01 ~ 2021-06-30 |
| Brian Wong Won | 263 Farmington Avenue, Farmington, CT 06030-1921 | Resident Physician | 2016-07-01 ~ 2021-06-30 |
| Brian L Wong | 263 Farmington Avenue, Farmington, CT 06030-1921 | Resident Physician | 2018-07-01 ~ 2021-06-30 |
| Elisabeth Jiang | 263 Farmington Ave, Farmington, CT 06030-0001 | Resident Physician | 2020-07-01 ~ 2023-06-30 |
| Anne J Fox | 76 Cottage St, New Haven, CT 06511-2404 | Resident Physician | 2020-07-01 ~ 2021-06-30 |
| Anne S Mainardi | 20 York St, New Haven, CT 06510-3220 | Resident Physician | 2016-07-01 ~ 2021-06-30 |
| Anne Sailer | 20 York St, New Haven, CT 06510 | Resident Physician | 2020-06-24 ~ 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).