ELIZABETH WILSON MD (Credential# 548795) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is June 1, 2020. The license expiration date date is May 31, 2021. The license status is ACTIVE.
ELIZABETH WILSON MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.030927. The credential type is physician/surgeon. The effective date is June 1, 2020. The expiration date is May 31, 2021. The business address is 77 Livingston St, New Haven, CT 06511. The current status is active.
| Licensee Name | ELIZABETH WILSON MD |
| Credential ID | 548795 |
| Credential Number | 1.030927 |
| Credential Type | Physician/Surgeon |
| Business Address |
77 Livingston St New Haven CT 06511 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 1990-07-06 |
| Effective Date | 2020-06-01 |
| Expiration Date | 2021-05-31 |
| Refresh Date | 2020-04-22 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 168765 | CSP.0024251 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 1999-03-01 | 2019-03-01 - 2021-02-28 | ACTIVE |
| Street Address | 77 LIVINGSTON ST |
| City | NEW HAVEN |
| State | CT |
| Zip Code | 06511 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Montessori School On Edgewood Inc. | 230 Edgewood Avenue, New Haven, CT 06511 | Public Charity | 2019-06-01 ~ 2020-05-31 |
| Therese Parks · Visel Drug Store | 264 Munson St, New Haven, CT 06511 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Dazjia Monet Green | 115 Edgewood Ave Apt 64, New Haven, CT 06511 | Registered Nurse | 2020-06-27 ~ 2021-05-31 |
| Carol Yam | 343 Humphrey St, New Haven, CT 06511 | Registered Nurse | ~ |
| Marwan S Haddad | 38 Lincoln Street, New Haven, CT 06511 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Mary Lou Gaeta Md | 558 Chapel Street, New Haven, CT 06511 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Cary M Tucker | 64 Bishop St, New Haven, CT 06511 | Architect | 2020-08-01 ~ 2021-07-31 |
| Frank J Pannenborg | 505 Ellsworth Ave, New Haven, CT 06511 | Architect | 2020-08-01 ~ 2021-07-31 |
| Crystal E Gooding | 26 Woodland Street, New Haven, CT 06511 | Notary Public Appointment | 2020-07-01 ~ 2025-06-30 |
| Kieran Jones | 260 Crown St Unit 1f, New Haven, CT 06511 | Registered Nurse | ~ |
| Find all Licenses in zip 06511 | |||
| City | NEW HAVEN |
| Zip Code | 06511 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + NEW HAVEN |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Elizabeth Wilson | 111 Founders Plz Ste 400, East Hartford, CT 06108-3240 | Physician/surgeon | ~ |
| Nicole Caldwell | 240 Elizabeth St # H1-120, Elizabeth, CO 80107-7537 | Physician/surgeon | 2015-03-01 ~ 2016-02-29 |
| Jacques F Roux | Po Box 415, Wilson, WY 83014 | Physician/surgeon | 1993-01-25 ~ 1994-03-31 |
| Gabriella Wilson | 46 Old Mill Rd, Middletown, CT 06457-2415 | Physician/surgeon | ~ |
| Robert K Wilson | 19 Harbor St, Branford, CT 06405-4408 | Physician/surgeon | 2016-09-01 ~ 2017-08-31 |
| Leigh R Wilson Do | 152 Millport Ave, New Canaan, CT 06840 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Stephen A Kim | 720 N Joe Wilson Rd., Cedar Hill, TX 75104 | Physician/surgeon | 2006-07-03 ~ 2007-08-31 |
| J Ronald Wilson Jr | 2 Glenville Rd, Greenwich, CT 06831 | Physician/surgeon | 2008-02-19 ~ 2009-04-30 |
| Lynn D Wilson Md | 86 Old Hill Rd, Westport, CT 06880 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Terrence J Wilson | 5501 Lbj Fwy Ste 700, Dallas, TX 75240-2304 | Physician/surgeon | 2019-06-01 ~ 2020-05-31 |
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| 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).