ELISA M BENZONI (Credential# 198196) 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.
ELISA M BENZONI is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0027101. 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 134 Grandview Avenue, Waterbury, CT 06708. The current status is active.
| Licensee Name | ELISA M BENZONI |
| Credential ID | 198196 |
| Credential Number | CSP.0027101 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
134 Grandview Avenue Waterbury CT 06708 |
| 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 | 2019-01-02 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 538231 | 1.000499-DO | Physician/Surgeon | 1998-06-05 | 2019-09-01 - 2020-08-31 | ACTIVE |
| Street Address | 134 GRANDVIEW AVENUE |
| City | Waterbury |
| State | CT |
| Zip Code | 06708 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| John C Kaczmarek Md | 134 Grandview Avenue, Waterbury, CT 06708 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Lee Ann M Soden · Schmacher | 925 Oronoke Rd, Waterbury, CT 06708 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Sega Ready Mix | 310 Chase River Rd, Waterbury, CT 06708 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Mary F Chinn | 24 Taft Pointe Unit 47, Waterbury, CT 06708 | Notary Public Appointment | 2005-09-01 ~ 2010-08-31 |
| Joseph Silva | 65 Dixie Ave., Waterbury, CT 06708 | Medication Administration Certification | 2020-06-03 ~ 2022-06-02 |
| Mandy M Desjarlais | 171 Herschel Ave, Waterbury, CT 06708 | Licensed Practical Nurse | 2020-07-01 ~ 2021-06-30 |
| Francisco J Colon Rodriguez LLC | 55 Eastern Ave Apt42, Waterbury, CT 06708 | Home Improvement Contractor | 2020-06-24 ~ 2020-11-30 |
| Morgan Sunyoung Heo | 1249 West Main Street, Waterbury, CT 06708 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Peter Mmangisa Chonga | 119 Taft Pt, Waterbury, CT 06708 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Xuemei Li | 28 Cronin Dr, Waterbury, CT 06708 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Tasheaka R Jones | 151 Park Terr, Waterbury, CT 06708 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Find all Licenses in zip 06708 | |||
| City | Waterbury |
| Zip Code | 06708 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + Waterbury |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Lucia C Benzoni Do | 481 Bantam Rd, Litchfield, CT 06759-3202 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Elisa M Logush | 10 Aspen Way, Brookfield, CT 06804 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Elisa A O'brien | 17 Woods Ave, Greenwich, CT 06831-3633 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Elisa M Jorgensen | 20 York St Tmp 209, New Haven, CT 06510-3220 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Elisa M Katz Dvm | 74 William St, Wallingford, CT 06492 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
| Ana Elisa B Pantel | 66 Glenbrook Rd Apt 1222, Stamford, CT 06902-8404 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Elisa M Santos Md | 6 Transverse Rd, Garden City, NY 11530 | Controlled Substance Registration for Practitioner | 2007-01-05 ~ 2008-02-28 |
| Elisa F Gil-pires Md | 6121 Montrose Rd, Rockville, MD 20852 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Elisa M Girard Md | 51 Palmer Neck Road, Pawcatuck, CT 06379 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Elisa D Lafayette | 199 Lane Brook Road, Putney, VT 05346 | Controlled Substance Registration for Practitioner | 2014-07-07 ~ 2015-02-28 |
Please comment or provide details below to improve the information on ELISA M BENZONI.
| 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).