BETH E NELSON MD (Credential# 547986) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is January 1, 2019. The license expiration date date is December 31, 2019. The license status is INACTIVE.
BETH E NELSON MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.029762. The credential type is physician/surgeon. The effective date is January 1, 2019. The expiration date is December 31, 2019. The business address is 30 Holcomb Ridge Rd, West Granby, CT 06090-1608. The current status is inactive.
| Licensee Name | BETH E NELSON MD |
| Credential ID | 547986 |
| Credential Number | 1.029762 |
| Credential Type | Physician/Surgeon |
| Business Address |
30 Holcomb Ridge Rd West Granby CT 06090-1608 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 1989-03-03 |
| Effective Date | 2019-01-01 |
| Expiration Date | 2019-12-31 |
| Refresh Date | 2020-06-08 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 205078 | CSP.0027728 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 1999-02-28 | 2017-03-01 - 2019-02-28 | LAPSED |
| Street Address | 30 HOLCOMB RIDGE RD |
| City | WEST GRANBY |
| State | CT |
| Zip Code | 06090-1608 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Kristy Earl | 6 Holcomb Ridge Rd, West Granby, CT 06090-1608 | Speech and Language Pathologist | 2020-08-01 ~ 2021-07-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Susan Ellis | 15 Morningside Drive, West Granby, CT 06090 | Notary Public Appointment | 2020-07-01 ~ 2025-06-30 |
| Julianne Graham | 11 Broad Hill Road, West Granby, CT 06090 | Nail Technician | ~ |
| Marti E Degange | 75 Higley Rd, West Granby, CT 06090 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Michael A Massetti | 263 W. Granby Rd, West Granby, CT 06090 | Heating, Piping & Cooling Limited Journeyperson | 2020-06-01 ~ 2020-08-31 |
| Linda V Klumb · Dery | 20 Higley Rd, W Granby, CT 06090 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Glenn F Birge | 267 W Granby Ro, West Granby, CT 06090 | Sub-surface Sewage Installer | 2020-07-01 ~ 2021-06-30 |
| Valerie Raggio | 88 Simsbury Road, West Granby, CT 06090 | Licensed Clinical Social Worker | 2020-06-01 ~ 2021-05-31 |
| Joseph R Coppa | 22 Day Street South, West Granby, CT 06090 | Physical Therapist | 2020-07-01 ~ 2021-06-30 |
| Els Y Fonteyne | 9 Stonewall Drive, West Granby, CT 06090 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| Margaret W Campbell | 199 Simsbury Road, West Granby, CT 06090 | Registered Nurse | 2020-06-01 ~ 2021-05-31 |
| Find all Licenses in zip 06090 | |||
| City | WEST GRANBY |
| Zip Code | 06090 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + WEST GRANBY |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Beth Prinz | 79 South End Rd. | Physician/surgeon | 2002-04-08 ~ 2003-04-30 |
| Beth Duncan | 509 Falkirk Rd, Wilmington, DE 19803 | Physician/surgeon | ~ |
| Beth A Leeman Markowski | Apt 523, Washington, DC 20016 | Physician/surgeon | ~ |
| Beth Schrope | 161 Fort Washington Ave Fl 8, New York, NY 10032-3729 | Physician/surgeon | ~ |
| Beth A Schweitzer | 234 Glenbrook Rd, Storrs, CT 06269-9099 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
| Beth E. Miller | 1300 Chinquapin Rd, Churchville, PA 18966-4610 | Physician/surgeon | ~ |
| Beth J Simon | 84 Woodlands Rd, Harrison, NY 10528-1312 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
| Beth A Cardwell | 57 Greenleaf Ave, Darien, CT 06820 | Physician/surgeon | 1995-03-29 ~ 1996-04-30 |
| Beth S Aaronson | 33 Germantown Rd Ste 1, Danbury, CT 06810-5039 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
| Beth K Boyarsky Md | 58 Granite Dr, Bethel, CT 06801 | Physician/surgeon | 2005-05-17 ~ 2006-07-31 |
Please comment or provide details below to improve the information on BETH E NELSON MD.
| 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).