ELIZABETH M SHORT (Credential# 540962) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is April 10, 1996. The license expiration date date is June 30, 1997. The license status is INACTIVE.
ELIZABETH M SHORT is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.014060. The credential type is physician/surgeon. The effective date is April 10, 1996. The expiration date is June 30, 1997. The business address is 6807 Bradley Blvd, Bethesda, MD 20817. The current status is inactive.
| Licensee Name | ELIZABETH M SHORT |
| Credential ID | 540962 |
| Credential Number | 1.014060 |
| Credential Type | Physician/Surgeon |
| Business Address |
6807 Bradley Blvd Bethesda MD 20817 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 1969-08-08 |
| Effective Date | 1996-04-10 |
| Expiration Date | 1997-06-30 |
| Refresh Date | 2009-07-08 |
| Street Address | 6807 BRADLEY BLVD |
| City | BETHESDA |
| State | MD |
| Zip Code | 20817 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| International Lyme and Associated Diseases Educational Foundation Inc · Iladef | 5101 River Rd, Bethesda, MD 20817 | Public Charity | 2018-12-01 ~ 2019-11-30 |
| Macchu Pisco LLC · Macchu Pisco | 7709 Grandada Dr, Bethesda, MD 20817 | Out of State Shipper Liquor | 2020-05-13 ~ 2021-05-12 |
| Randi B Vannucchi | 6409 Rock Forest Drive 101, Bethesda, MD 20817 | Real Estate Broker | 2020-04-01 ~ 2021-03-31 |
| Peixin Shi | 6909 Wilson Lane, Bethesda, MD 20817 | Professional Engineer | 2019-02-01 ~ 2020-01-31 |
| David W Doar | 8225 Stone Trail Dr, Bethesda, MD 20817 | Professional Engineer | 2019-02-01 ~ 2020-01-31 |
| Michael L Lenkin | 8204 Wahly Dr, Bethesda, MD 20817 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
| Andrew T Schwartz | 5900 Conway Rd, Bethesda, MD 20817 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
| Christina Y Chang | 7702 Maryknoll Ave., Bethesda, MD 20817 | Physician/surgeon | 2020-01-01 ~ 2020-12-31 |
| Hmshost Foundation Inc | 6905 Rockledge Drive, Bethesda, MD 20817 | Public Charity | 2019-12-01 ~ 2020-11-30 |
| Takecare Relief Fund Inc | 10400 Fernwood Road 52/935.62, Bethesda, MD 20817 | Public Charity | 2019-12-01 ~ 2020-11-30 |
| Find all Licenses in zip 20817 | |||
| City | BETHESDA |
| Zip Code | 20817 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + BETHESDA |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Jeffrey Arthur Brown | 212 Old Short Hills Road, Short Hills, NJ 07078 | Physician/surgeon | 1976-01-02 ~ 1988-06-30 |
| Walter H Short | 85 Jefferson St, Hartford, CT 06106-2601 | Physician/surgeon | 1980-07-02 ~ 1981-06-30 |
| Eric N Fein | 391 Hobart Ave, Short Hills, NJ 07078 | Physician/surgeon | 1992-10-23 ~ 1993-11-30 |
| Louise J Short | 2520 Oak Crossing, Decatur, GA 30033 | Physician/surgeon | 1992-10-23 ~ 1993-06-30 |
| David Chun | 40 W Beechcroft Rd, Short Hills, NJ 07078-1647 | Physician/surgeon | 2011-09-20 ~ 2011-12-31 |
| Joseph J Carter | 20 Audubon Ct, Short Hills, NJ 07078 | Physician/surgeon | 2000-05-23 ~ 2001-06-30 |
| Manuel R Rosales | 70 Short Way, Roslyn Heights, NY 11577 | Physician/surgeon | ~ 1998-01-31 |
| Praveen K Reddy | 44 Addison Dr, Short Hills, NJ 07078-1808 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Howard M Hendler | 14 Woodland Rd, Short Hills, NJ 07078 | Physician/surgeon | 2018-07-01 ~ 2019-06-30 |
| Leonard Jaffe | 100 Hemlock Rd, Short Hills, NJ 07078 | Physician/surgeon | 2001-03-01 ~ 2002-04-30 |
Please comment or provide details below to improve the information on ELIZABETH M SHORT.
| 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).