WILFRED U ELABA (Credential# 1682823) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is August 12, 2019. The license expiration date date is February 28, 2021. The license status is ACTIVE.
WILFRED U ELABA is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0072231. The credential type is controlled substance registration for practitioner. The effective date is August 12, 2019. The expiration date is February 28, 2021. The business address is 52 Missionary Rd, Cromwell, CT 06416-2170. The current status is active.
| Licensee Name | WILFRED U ELABA |
| Credential ID | 1682823 |
| Credential Number | CSP.0072231 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
52 Missionary Rd Cromwell CT 06416-2170 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2019-08-12 |
| Effective Date | 2019-08-12 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2019-09-05 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1682171 | CSP.0072201 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2019-08-08 | 2019-08-08 - 2021-02-28 | ACTIVE |
| 1344652 | CSP.0062414 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2016-04-12 | 2019-03-01 - 2021-02-28 | ACTIVE |
| 1471308 | CSP.0067352 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2018-01-18 | 2019-03-01 - 2021-02-28 | ACTIVE |
| 1255873 | CSP.0059054 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2014-11-24 | 2019-03-01 - 2021-02-28 | ACTIVE |
| 1408981 | CSP.0064901 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2017-03-01 | 2019-03-01 - 2021-02-28 | ACTIVE |
| 916832 | CSP.0047305 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2010-03-04 | 2019-03-01 - 2021-02-28 | ACTIVE |
| 558817 | 1.041234 | Physician/Surgeon | 2003-03-14 | 2019-11-01 - 2020-10-31 | ACTIVE |
| 1233504 | CSP.0057940 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2014-07-09 | 2015-03-01 - 2017-02-28 | INACTIVE |
| 1205144 | CSP.0056667 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2014-04-09 | 2014-04-09 - 2015-02-28 | INACTIVE |
| 337532 | CSP.0033429 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2005-03-01 | 2013-03-01 - 2015-02-28 | INACTIVE |
| 416088 | CSP.0038324 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2005-09-15 | 2013-03-01 - 2015-02-28 | INACTIVE |
| Street Address | 52 MISSIONARY RD |
| City | CROMWELL |
| State | CT |
| Zip Code | 06416-2170 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Covenant Living of Cromwell, Inc. · Covenant Living of Cromwell Assisted Living Services Agency | 52 Missionary Rd, Cromwell, CT 06416-2170 | Assisted Living Service Agency | 2019-01-01 ~ 2020-12-31 |
| Pilgrim Manor | 52 Missionary Rd, Cromwell, CT 06416-2170 | Chronic & Convalescent Nursing Home | 2018-10-01 ~ 2020-09-30 |
| Daniel A Rollins | 52 Missionary Rd, Cromwell, CT 06416-2170 | Emergency Medical Technician | 2014-05-12 ~ 2015-04-01 |
| Covenant Home Inc Dba Covenant Village of Cromwell · Covenant Village of Cromwell | 52 Missionary Rd, Cromwell, CT 06416-2170 | Raffle Permit Class 2 | 2013-08-26 ~ 2013-10-13 |
| Henry Millan | 52 Missionary Rd, Cromwell, CT 06416 | Marital and Family Therapist | 2009-03-20 ~ 2010-05-31 |
| Covenant Home Inc · Pilgrim Manor | 52 Missionary Rd, Cromwell, CT 06416 | Residential Care Facility | 2000-10-01 ~ 2002-09-30 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Nancy J Goding | 52 Missionary Rd # 4102, Cromwell, CT 06416-2170 | Registered Nurse | 2020-01-01 ~ 2020-12-31 |
| Marion D Lombardo | 52 Missionary Rd Apt 3004, Cromwell, CT 06416-2170 | Registered Nurse | 2010-12-01 ~ 2011-11-30 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Marcia B Henehan | 17 Crest Drive, Cromwell, CT 06416 | Physical Therapist | 2020-07-01 ~ 2021-06-30 |
| Sarah C Smith | 6 Court Street, Cromwell, CT 06416 | Notary Public Appointment | 2020-08-01 ~ 2025-07-31 |
| Joyce Tayeh | 5 Sunridge Lane, Cromwell, CT 06416 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Todd J Farris | 53 Lincoln Road, Cromwell, CT 06416 | Real Estate Salesperson | 2020-06-23 ~ 2021-05-31 |
| Tiffany N Winkler | 50 Fawn Run, Cromwell, CT 06416 | Advanced Practice Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Hasim J Shah | 131 Coles Rd, Cromwell, CT 06416 | Pharmacy Technician | 2020-06-23 ~ 2021-03-31 |
| Michelle R Berube | 17 Arrowwood Dr, Cromwell, CT 06416 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Joy Mekrut-suzio | 352 Main Street, Cromwell, CT 06416 | Speech and Language Pathologist | 2020-09-01 ~ 2021-08-31 |
| Gina M Branciforte | 24 Bellaire Manor, Cromwell, CT 06416 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Kimberly A Benson | 10 Springdale Road, Cromwell, CT 06416 | Licensed Practical Nurse | 2020-08-01 ~ 2021-07-31 |
| Find all Licenses in zip 06416 | |||
| City | CROMWELL |
| Zip Code | 06416 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + CROMWELL |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Wilfred Reguero Md | 236 Falls Rd, Bethany, CT 06524 | Controlled Substance Registration for Practitioner | 2004-02-29 ~ 2005-02-28 |
| Susan E Potter | 80 Wilfred Road, Manchester, CT 06040 | Controlled Substance Registration for Practitioner | 1994-11-15 ~ 1996-12-01 |
| Wilfred R Lovelock Aprn | 411 Walnut St # 4619, Green Cove Springs, FL 32043-3443 | Controlled Substance Registration for Practitioner | 2008-07-29 ~ 2009-02-28 |
| Wilfred Brown | 530 Middlebury Road, Middlebury, CT 06762 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Zendee P Elaba · Zendee Rose Elaba | 46 Junior Rd, Farmington, CT 06032 | Physician/surgeon | 2019-11-01 ~ 2020-10-31 |
| Wilfred Eigenbrod · Wilfred Eigenbrod Builder | 24 Pomeroy La, Somers, CT 06071 | Home Improvement Contractor | 1997-11-07 ~ 1998-11-30 |
| Steven Kassels Md · Community Substance Abuse Center | Comm. Physicians PC/125 North Elm Street, Westfield, MA 01085 | Controlled Substance Registration for Practitioner | 2018-06-15 ~ 2019-02-28 |
| Shu-i Lin | CT | Controlled Substance Registration for Practitioner | 2017-06-12 ~ 2019-02-28 |
| Erin K Fee | CT | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Qi Che Md | Bridgeport, CT 06610 | Controlled Substance Registration for Practitioner | 2006-03-01 ~ 2007-02-28 |
Please comment or provide details below to improve the information on WILFRED U ELABA.
| 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).