ELIZABETH A WHALEN MD (Credential# 157977) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2019. The license expiration date date is February 28, 2021. The license status is ACTIVE.
ELIZABETH A WHALEN MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0020721. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2019. The expiration date is February 28, 2021. The business address is 200 Kennedy Drive Lower Level, Torrington, CT 06790. The current status is active.
| Licensee Name | ELIZABETH A WHALEN MD |
| Credential ID | 157977 |
| Credential Number | CSP.0020721 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
200 Kennedy Drive Lower Level Torrington CT 06790 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 1999-03-01 |
| Effective Date | 2019-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2019-01-07 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 550371 | 1.032771 | Physician/Surgeon | 1993-01-29 | 2020-02-01 - 2021-01-31 | ACTIVE |
| Street Address | 200 KENNEDY DRIVE LOWER LEVEL |
| City | TORRINGTON |
| State | CT |
| Zip Code | 06790 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Howard Cogswell | 54 Birden St, Torrington, CT 06790 | Emergency Medical Technician | 2018-02-28 ~ 2020-06-30 |
| Maria Maclovia Vijay | 45 Cameron Street, Torrington, CT 06790 | Nail Technician | ~ |
| Tania Rosa Yupa | 141 Oak Av, Torrington, CT 06790 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Maria Teresa Aguaiza | 518 Circle Dr., Torrington, CT 06790 | Nail Technician | ~ |
| Gail A Langlois | 170 Hoerle Blvd, Torrington, CT 06790 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Petricon's Torrington Pharmacy | 110 East Main St, Torrington, CT 06790 | Wholesaler of Drugs, Cosmetics & Medical Devices | 2020-07-01 ~ 2021-06-30 |
| Danielle L Jolicoeur | 25 Millard Street, Torrington, CT 06790 | Hairdresser/cosmetician | 2020-08-01 ~ 2022-07-31 |
| Elizabeth Etta Begley | 1268 East Main St., Torrington, CT 06790 | Public Weigher | 2020-07-01 ~ 2021-06-30 |
| Margaret A Gumbs | 415 Hillandale Blvd., Torrington, CT 06790 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Apex Community Care, Inc. | 601 South Main St. Unit #3, Torrington, CT 06790 | Psychiatric Outpatient Clinic | 2020-06-19 ~ 2023-03-31 |
| Find all Licenses in zip 06790 | |||
| City | TORRINGTON |
| Zip Code | 06790 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + TORRINGTON |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Sarah F Whalen Pa | 45 Franklin St, New London, CT 06320 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Luke M Whalen | 400 Blake St, New Haven, CT 06515 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Amanda Elizabeth Magnoli | 15 Dearborn Dr, Cape Elizabeth, ME 04107-2302 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Elizabeth Krowitz | 8 W End Ave, Old Greenwich, CT 06870-1642 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Elizabeth F Harman Pa | 125 Fox Run Rd, New Canaan, CT 06840 | Controlled Substance Registration for Practitioner | 2006-03-01 ~ 2007-02-28 |
| Elizabeth Halvorsen Md | Guilford, CT 06443-1858 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Elizabeth Ann Ng | 618 Creekside Ln, Fishkill, NY 12524-4902 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Elizabeth J Marcucio | 24 N Coe Ln, Ansonia, CT 06401-2818 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Elizabeth Lucal | Po Box 311, Lakeville, CT 06039 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Elizabeth A Lawton | 17 Janet Dr, Middlebury, CT 06762-1628 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Please comment or provide details below to improve the information on ELIZABETH A WHALEN MD.
| 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).