ELIZABETH DE LA NUBE GUADALUPE VALLEJO (Credential# 1633308) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is April 1, 2020. The license expiration date date is March 31, 2021. The license status is ACTIVE.
ELIZABETH DE LA NUBE GUADALUPE VALLEJO is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.063766. The credential type is physician/surgeon. The effective date is April 1, 2020. The expiration date is March 31, 2021. The business address is 101 Overton Ave Apt B, Waterbury, CT 06705-3485. The current status is active.
| Licensee Name | ELIZABETH DE LA NUBE GUADALUPE VALLEJO |
| Credential ID | 1633308 |
| Credential Number | 1.063766 |
| Credential Type | Physician/Surgeon |
| Business Address |
101 Overton Ave Apt B Waterbury CT 06705-3485 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2019-06-28 |
| Effective Date | 2020-04-01 |
| Expiration Date | 2021-03-31 |
| Refresh Date | 2020-01-23 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1367177 | CSP.0063551 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2016-07-18 | 2019-03-01 - 2021-02-28 | ACTIVE |
| 1493774 | 1.060020-RES | Resident Physician | 2016-06-13 | 2016-06-13 - 2019-06-30 | INACTIVE |
| Street Address | 101 OVERTON AVE APT B |
| City | WATERBURY |
| State | CT |
| Zip Code | 06705-3485 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Nancy L Gonzalez | 141 Decicco Road, Waterbury, CT 06705 | Licensed Practical Nurse | 2020-08-01 ~ 2021-07-31 |
| Cara Anne Mahony | 80 Craigie Ave, Waterbury, CT 06705 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Jocelyn Dennise Garcia | 38 Stonewall Lane, Waterbury, CT 06705 | Licensed Practical Nurse | 2020-07-01 ~ 2021-06-30 |
| Rosa Tenezaca | 24 Wall St Apt 1st, Waterbury, CT 06705 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Spinella Bakery | 53 Interstate Lane, Waterbury, CT 06705 | Bakery | 2020-07-01 ~ 2021-06-30 |
| Penelope Ortiz | 42 Gayridge Rd Apt 3-1, Waterbury, CT 06705 | Licensed Practical Nurse | 2020-06-01 ~ 2021-05-31 |
| Sandra Arias | 57 Howard St., Waterbury, CT 06705 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Waldemar Lopes | 10 Mansfield Ave, Waterbury, CT 06705 | Medication Administration Certification | 2020-05-16 ~ 2022-05-15 |
| Briana Yvette Hurdle | 235 Academy Avenue, Waterbury, CT 06705 | Esthetician | ~ |
| Jason Bradway | 93 Midland Road, Waterbury, CT 06705 | Notary Public Appointment | 2020-09-01 ~ 2025-08-31 |
| Find all Licenses in zip 06705 | |||
| City | WATERBURY |
| Zip Code | 06705 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + WATERBURY |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Rachel Vallejo | 2500 Sw 92nd Pl, Miami, FL 33165-8144 | Physician/surgeon | 2009-09-21 ~ 2010-08-31 |
| Carl Hardin Md | 223 N Guadalupe St # 559, Santa Fe, NM 87501-1868 | Physician/surgeon | 2014-05-01 ~ 2015-04-30 |
| Julio C. Otazo | 2002 Guadalupe St # A314, Austin, TX 78705-5655 | Physician/surgeon | 2015-03-15 ~ 2016-02-29 |
| Guadalupe Garcia-tsao Md | 38 Hilldale Court, Milford, CT 06460 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
| Reina De La Nube | 41 South St, Danbury, CT 06810-8154 | Retail Dairy Store | 2019-07-01 ~ 2021-06-30 |
| Reina De La Nube LLC | 41 South St, Danbury, CT 06810-8154 | Non Legend Drug Permit | 2020-01-01 ~ 2020-12-31 |
| Vallejo LLC | 72 Farren Ave, New Haven, CT 06513-4518 | Home Improvement Contractor | 2019-11-25 ~ 2020-11-30 |
| Nube Production (shanghai) Ltd | B Area No. 5 Building 1188 Hu Yi Rd, Shanghai, 31 201803 | Manufacturer of Bedding & Upholstered Furniture | 2020-05-01 ~ 2021-04-30 |
| Nicole Caldwell | 240 Elizabeth St # H1-120, Elizabeth, CO 80107-7537 | Physician/surgeon | 2015-03-01 ~ 2016-02-29 |
| Reina De La Nube Grocery Store | 41 South St, Danbury, CT 06810-8154 | Bakery | 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).