CRAIG R ELLIOTT MD (Credential# 548482) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is August 1, 2020. The license expiration date date is July 31, 2021. The license status is ACTIVE.
CRAIG R ELLIOTT MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.030481. The credential type is physician/surgeon. The effective date is August 1, 2020. The expiration date is July 31, 2021. The business address is 12a Ledgebrook Drive, Mansfield Center, CT 06250. The current status is active.
| Licensee Name | CRAIG R ELLIOTT MD |
| Credential ID | 548482 |
| Credential Number | 1.030481 |
| Credential Type | Physician/Surgeon |
| Business Address |
12a Ledgebrook Drive Mansfield Center CT 06250 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 1989-12-01 |
| Effective Date | 2020-08-01 |
| Expiration Date | 2021-07-31 |
| Refresh Date | 2020-05-26 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 158248 | CSP.0017913 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 1999-03-01 | 2019-03-01 - 2021-02-28 | ACTIVE |
| Street Address | 12A LEDGEBROOK DRIVE |
| City | MANSFIELD CENTER |
| State | CT |
| Zip Code | 06250 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Carissa A Zlotnick | 31 Jude Lane, Mansfield, CT 06250 | Licensed Practical Nurse | 2020-07-01 ~ 2021-06-30 |
| Sara Hollow Heumann | 103 Mansfield Hollow Road, Mansfield Center, CT 06250 | Esthetician | ~ |
| Mary Catherine D'amico | 156 Coventry Rd, Mansfield Center, CT 06250 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Petco 3728 | 86 Storrs Rd, Mansfield, CT 06250 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Christine D Njuki | 15 Crest Road, Mansfield Center, CT 06250 | Audiologist | 2020-07-01 ~ 2021-06-30 |
| David L. Simon Md | 2 Ledgebrook Drive, Mansfield Center, CT 06250 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
| Lisa G Orcutt | 5 Pequot Square, Mansfield Center, CT 06250 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| Laurie J Smaglis | 28 Thornbush Rd, Mansfield, CT 06250 | Hairdresser/cosmetician | 2020-09-01 ~ 2022-08-31 |
| Loni C Cohen | 23c Eastbrook Heights, Mansfield Center, CT 06250 | Notary Public Appointment | 2020-04-01 ~ 2025-03-31 |
| Joanne Frederick | 69 Circle Drive, Mansfield Center, CT 06250 | Licensed Practical Nurse | 2020-07-01 ~ 2021-06-30 |
| Find all Licenses in zip 06250 | |||
| City | MANSFIELD CENTER |
| Zip Code | 06250 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + MANSFIELD CENTER |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Roger Elliott Belson | CT | Physician/surgeon | 1980-06-09 ~ 1984-03-31 |
| Elliott R Mayo | 74 Beach St, Litchfield, CT 06759 | Physician/surgeon | 1996-10-07 ~ 1997-12-31 |
| Tania Elliott | 26 Island Way, Westport, CT 06880 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| James Elliott Brown | 333 Cedar St, New Haven, CT 06510-3206 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Elliott H Rose | 15 Richbell Road, Scarsdale, NY 10583 | Physician/surgeon | 1999-12-16 ~ 2001-01-31 |
| Kevin Sean Elliott | 100 Retreat Ave, Hartford, CT 06106-2528 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Emily Cordelia Elliott | 5 Perryridge Road, Greenwich, CT 06830 | Physician/surgeon | ~ |
| Elliott I Fankuchen | 47 Channel Rd, Newport Beach, CA 92663-4423 | Physician/surgeon | 2019-10-01 ~ 2020-09-30 |
| Frank G Elliott Jr | 1005 Prospect Dr, Stratford, CT 06497 | Physician/surgeon | 1996-07-12 ~ 1997-08-31 |
| Jehan Elliott | 34 Deer Run Road, Woodbridge, CT 06525 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
Please comment or provide details below to improve the information on CRAIG R ELLIOTT 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).