ELIZABETH MALKO MD (Credential# 159719) 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 MALKO MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0019311. 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 36 Quarry Road, Chester, VT 05143. The current status is active.
| Licensee Name | ELIZABETH MALKO MD |
| Credential ID | 159719 |
| Credential Number | CSP.0019311 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
36 Quarry Road Chester VT 05143 |
| 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 | 2019-02-13 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 549392 | 1.031684 | Physician/Surgeon | 1991-07-01 | 2019-09-01 - 2020-08-31 | ACTIVE |
| Street Address | 36 QUARRY ROAD |
| City | CHESTER |
| State | VT |
| Zip Code | 05143 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| James W Rietta | 1034 Baltimore Rd, Baltimore, VT 05143 | Electrical Unlimited Journeyperson | 2017-10-01 ~ 2018-09-30 |
| Dexter Brown Associates Inc | 555 Lovejoy Brook Road, Andover, CT 05143 | Home Improvement Contractor | 2007-10-24 ~ 2008-11-30 |
| Jay A Theroux | 474 Horsenail Hill Rd, Windham, VT 05143 | Repairer of Weighing & Measuring Devices | 2004-01-01 ~ 2004-12-31 |
| Jennifer L Cote | 83 O's Road, Andover, VT 05143 | Real Estate Salesperson | 2003-01-03 ~ 2003-05-31 |
| Eileen M Widger | 7142 Popple Dungeon Rd, North Windham, VT 05143 | Registered Nurse | 2012-10-01 ~ 2013-09-30 |
| Patricia H Budnick | 936 Route 11 West, Chester, VT 05143 | Licensed Practical Nurse | 2012-01-01 ~ 2012-12-31 |
| Roy W Homan | 686 Green Mtn Tpke, Chester, VT 05143 | Veterinarian | 2010-11-01 ~ 2011-10-31 |
| Carol De Muzio · Bingham | 126 Brookline Road, Athens, VT 05143 | Registered Nurse | 2009-10-01 ~ 2010-09-30 |
| Jayne E Elliott | 74 Brookline Road, Chester, VT 05143 | Licensed Practical Nurse | 2009-02-25 ~ 2010-02-28 |
| Jeanne T Andreoli | P O Box 825, Chester, VT 05143 | Licensed Practical Nurse | 2006-09-25 ~ 2007-10-31 |
| Find all Licenses in zip 05143 | |||
| City | CHESTER |
| Zip Code | 05143 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + CHESTER |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| 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 Lucal | Po Box 311, Lakeville, CT 06039 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Elizabeth J Marcucio | 24 N Coe Ln, Ansonia, CT 06401-2818 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Elizabeth Ann Ng | 618 Creekside Ln, Fishkill, NY 12524-4902 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Christina M Gonzalez | 19 Elizabeth Rd, Bolton, CT 06043-7538 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Elizabeth Chasse | 107 Cat Tail Ln, Manchester, CT 06042-1799 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Rita Power | 10a Elizabeth St, Bethel, CT 06801-2100 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Please comment or provide details below to improve the information on ELIZABETH MALKO 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).