ELYSA M DOHERTY-FISHER (Credential# 242351) 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.
ELYSA M DOHERTY-FISHER is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0030151. 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 22 Thomassian Dr, Marlborough, CT 06447-1398. The current status is active.
| Licensee Name | ELYSA M DOHERTY-FISHER |
| Credential ID | 242351 |
| Credential Number | CSP.0030151 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
22 Thomassian Dr Marlborough CT 06447-1398 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2000-10-02 |
| Effective Date | 2019-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2018-12-28 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 648199 | 10.R48450 | Registered Nurse | 1992-12-01 | 2020-01-01 - 2020-12-31 | ACTIVE |
| 680555 | 12.002377 | Advanced Practice Registered Nurse | 2000-09-20 | 2020-01-01 - 2020-12-31 | ACTIVE |
| Street Address | 22 THOMASSIAN DR |
| City | MARLBOROUGH |
| State | CT |
| Zip Code | 06447-1398 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Meghan C Bascetta | 18 Thomassian Dr, Marlborough, CT 06447-1398 | Emergency Medical Technician | 2020-04-01 ~ 2023-03-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Linda T Nachtigal Dvm | 86 Saner Road, Marlborough, CT 06447 | Veterinarian | 2020-07-01 ~ 2021-06-30 |
| Victoria Demari Cartagena | 113 Hebron Road, Marlborough, CT 06447 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Christina L Abrahamson · Lonergan | 47 South Stonybrook Drive, Marlborough, CT 06447 | Dental Hygienist | 2020-08-01 ~ 2021-07-31 |
| Bozena M Michalski · Marcowka | 18 Portland Rd, Marlborough, CT 06447 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Benedict C Valentine II | 8 Independence Drive, Marlborough, CT 06447 | Podiatrist | 2020-06-01 ~ 2021-05-31 |
| Nicolette M Banbury | 21 Cheney Road, Marlborough, CT 06447 | Professional Counselor | 2020-09-01 ~ 2021-08-31 |
| Lynn E Wohlfert | 117 North Main Street, Marlborough, CT 06447 | Notary Public Appointment | 2020-10-01 ~ 2025-09-30 |
| Jo-ellen D Beam | 120 Edstrom Rd, Marlborough, CT 06447 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Kevin J Pease | 82 South Main St, Marlborough, CT 06447 | Licensed Practical Nurse | 2020-08-01 ~ 2021-07-31 |
| Lea L Lee | 38 Keirstead Circle, Marlborough, CT 06447 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Find all Licenses in zip 06447 | |||
| City | MARLBOROUGH |
| Zip Code | 06447 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + MARLBOROUGH |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Karen Benoit | 7 Doherty Dr, Wallingford, CT 06492-2689 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Robert C Doherty Md | 29 Old Oak Court, Bloomfield, CT 06002 | Controlled Substance Registration for Practitioner | 2008-03-01 ~ 2009-02-28 |
| Ashlee S Doherty | Po Box 4651, Wallingford, CT 06492 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Carrie A Doherty | 20 E Shore Rd, Ellington, CT 06029-3114 | Controlled Substance Registration for Practitioner | 2019-04-08 ~ 2021-02-28 |
| Leo F Doherty | Yale Fertility Center, New Haven, CT 06511 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
| Patrick F Doherty | 194 Howard Street, New London, CT 06320 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Trevor James Doherty | 60 Stillson Rd, Fairfield, CT 06825-3212 | Controlled Substance Registration for Practitioner | 2019-06-07 ~ 2021-02-28 |
| Rhiannon Rae Doherty | 63 Parent Hill Rd, Moosup, CT 06354-1113 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Tara M Doherty | 4 Hospital Plaza, Stamford, CT 06902 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Lauren Marcus Doherty Md | 166 Niantic River Road, Waterford, CT 06385 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Please comment or provide details below to improve the information on ELYSA M DOHERTY-FISHER.
| 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).