ELIZABETH R GORDON MD
Controlled Substance Registration for Practitioner


Address: 843 Barton Woods Rd, Atlanta, GA 30307

ELIZABETH R GORDON MD (Credential# 535593) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2013. The license expiration date date is February 28, 2015. The license status is INACTIVE.

Business Overview

ELIZABETH R GORDON MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0045665. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2013. The expiration date is February 28, 2015. The business address is 843 Barton Woods Rd, Atlanta, GA 30307. The current status is inactive.

Basic Information

Licensee Name ELIZABETH R GORDON MD
Credential ID 535593
Credential Number CSP.0045665
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 843 Barton Woods Rd
Atlanta
GA 30307
Business Type INDIVIDUAL
Status INACTIVE
Issue Date 2009-06-22
Effective Date 2013-03-01
Expiration Date 2015-02-28
Refresh Date 2016-01-29

Other licenses

ID Credential Code Credential Type Issue Term Status
565336 1.047754 Physician/Surgeon 2009-06-01 2013-07-01 - 2014-06-30 INACTIVE

Office Location

Street Address 843 Barton Woods Rd
City Atlanta
State GA
Zip Code 30307

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Joseph A Castellano 177 Elizabeth St Ne, Atlanta, GA 30307 Professional Engineer 2020-02-01 ~ 2021-01-31
Edwards Baking Company One Lemon Lane Ne, Atlanta, GA 30307 Bakery 1998-07-01 ~ 1999-06-30
Edwards Fine Foods · Mrs Smiths Bakeries One Leomon Lane, Atlanta, GA 30307 Bakery 2005-07-01 ~ 2006-06-30
Nancy Maignan 2106 Mclendon Ave Ne, Atlanta, GA 30307 Physician/surgeon 2015-11-13 ~ 2016-05-31
Susan Z Shewmaker 317 Ferguson Street Ne, Atlanta, GA 30307 Registered Nurse 2012-11-01 ~ 2013-10-31
B Denise Raynor Md 789 Inman Mews Drive, Atlanta, GA 30307 Controlled Substance Registration for Practitioner 2009-12-01 ~ 2011-02-28
Names Project Foundation 101 Krog Street, Atlanta, GA 30307 Public Charity 2005-10-01 ~ 2006-05-31
Joseph Edward Seiber 631 Harold Ave, Atlanta, GA 30307 Architect 2008-08-01 ~ 2009-07-31
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Competitor

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City Atlanta
Zip Code 30307
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + Atlanta

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Roger N Fox 2 Gordon Place, Middletown, CT 06457 Controlled Substance Registration for Practitioner 2007-03-13 ~ 2008-02-29
Michael E Gordon Jr 35 Willard St Apt.6a, New Haven, CT 06515 Controlled Substance Registration for Practitioner 2007-03-01 ~ 2008-02-29
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Dataset Information

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).

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