ELIZABETH A WARNER (Credential# 546100) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is March 9, 1995. The license expiration date date is March 31, 1996. The license status is INACTIVE.
ELIZABETH A WARNER is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.026621. The credential type is physician/surgeon. The effective date is March 9, 1995. The expiration date is March 31, 1996. The business address is 30918 11th Ave. Sw, Federal Way, WA 98023. The current status is inactive.
| Licensee Name | ELIZABETH A WARNER |
| Credential ID | 546100 |
| Credential Number | 1.026621 |
| Credential Type | Physician/Surgeon |
| Business Address |
30918 11th Ave. Sw Federal Way WA 98023 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 1985-07-12 |
| Effective Date | 1995-03-09 |
| Expiration Date | 1996-03-31 |
| Refresh Date | 2009-07-08 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 155452 | CSP.0015289 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 1995-04-12 - 1996-02-28 | INACTIVE |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Elizabeth A Warner | 314 Tunxis Avenue, Bloomfield, CT 06002 | Emergency Medical Technician | ~ 1992-04-01 |
| Street Address | 30918 11TH AVE. SW |
| City | FEDERAL WAY |
| State | WA |
| Zip Code | 98023 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Amy Nicole Ewalt | 32737 35th Ave Sw, Federal Way, WA 98023 | Certified Public Accountant License | 2018-01-01 ~ 2018-12-31 |
| Richard C Shenk · Combustion Engineering Inc | 31683 36th Ave Sw, Federal Way, WA 98023 | Professional Engineer | 1986-02-19 ~ 1987-01-31 |
| Shellah Nolido Ejusa | 30611 2nd Ave Sw, Federal Way, WA 98023-3906 | Registered Nurse | ~ |
| Sara E Slone | 32416 12th Ave Sw, Federal Way, WA 98023-4914 | Family Child Care Substitute | ~ |
| James Pister | 1911 Sw Campus Dr, Federal Way, WA 98023-6473 | Physician/surgeon | ~ |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Fisher Scientific Company LLC | 822 S 333rd St, Federal Way, WA 98003-6343 | Wholesaler of Drugs, Cosmetics & Medical Devices | 2020-07-01 ~ 2021-06-30 |
| Steven A Peterson | 319 S 297th St, Federal Way, WA 98003-3646 | Heating, Piping & Cooling Limited Journeyperson | 2019-09-01 ~ 2020-08-31 |
| Key Compounding Pharmacy | 530 S 336th St, Federal Way, WA 98003-6383 | Nonresident Pharmacy | 2019-09-01 ~ 2020-08-31 |
| Barbara Susan Levy | 34503 Ninth Avenue, Federal Way, WA 98003 | Physician/surgeon | 2002-07-29 ~ 2003-09-30 |
| City | FEDERAL WAY |
| Zip Code | 98023 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + FEDERAL WAY |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Martin E Bur | 24 Warner Street, Belchertown, MA 01007 | Physician/surgeon | ~ |
| Richard T Warner | P.o. Box 1696, Lutz, FL 33548 | Physician/surgeon | 2015-02-01 ~ 2016-01-31 |
| Sultan Quraishi | 43 Warner Ct, Glastonbury, CT 06033-5009 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Ben Hur P Mobo | 4 Warner Drive, Darien, CT 06820 | Physician/surgeon | 2011-01-01 ~ 2011-12-31 |
| David H Warner | Po Box 587859, Alsip, IL 60658 | Physician/surgeon | ~ 1995-04-30 |
| Patricia A Krebs | 138 Warner Street, Belchertown, MA 01107 | Physician/surgeon | 2019-09-01 ~ 2020-08-31 |
| Geoffrey R Kaump | 7 Warner Rd, North Haven, CT 06473-3532 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Marie J Warner | 5 Cornell Drive, Hanover, PA 17331 | Physician/surgeon | 1994-04-25 ~ 1995-05-31 |
| Karen V Warner | Middlesex Medical Associates, Middletown, CT 06457 | Physician/surgeon | 2020-02-01 ~ 2021-01-31 |
| Nicole Caldwell | 240 Elizabeth St # H1-120, Elizabeth, CO 80107-7537 | Physician/surgeon | 2015-03-01 ~ 2016-02-29 |
Please comment or provide details below to improve the information on ELIZABETH A WARNER.
| 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).