ELIZABETH A PHALEN
Physician/surgeon


Address: 1924 Parkside Village Drive, Clayton, NC 27520-4145

ELIZABETH A PHALEN (Credential# 552269) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is February 1, 2011. The license expiration date date is January 31, 2012. The license status is INACTIVE.

Business Overview

ELIZABETH A PHALEN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.034673. The credential type is physician/surgeon. The effective date is February 1, 2011. The expiration date is January 31, 2012. The business address is 1924 Parkside Village Drive, Clayton, NC 27520-4145. The current status is inactive.

Basic Information

Licensee Name ELIZABETH A PHALEN
Credential ID 552269
Credential Number 1.034673
Credential Type Physician/Surgeon
Business Address 1924 Parkside Village Drive
Clayton
NC 27520-4145
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 1995-07-07
Effective Date 2011-02-01
Expiration Date 2012-01-31
Refresh Date 2012-05-02

Other licenses

ID Credential Code Credential Type Issue Term Status
429247 CSP.0038817 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 2006-02-22 2008-03-01 - 2009-02-28 INACTIVE
162305 CSP.0023622 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 1996-03-01 - 1997-02-28 INACTIVE

Office Location

Street Address 1924 PARKSIDE VILLAGE DRIVE
City CLAYTON
State NC
Zip Code 27520-4145

Licenses in the same zip code

Licensee Name Office Address Credential Effective / Expiration
Grifols Usa LLC 8368 Us 70 Business Hwy West, Clayton, NC 27520 Wholesaler of Drugs, Cosmetics & Medical Devices 2020-07-01 ~ 2021-06-30
Kristen Buczkowski 267 Tomahawk Drive, Clayton, NC 27520 Registered Nurse 2020-07-01 ~ 2021-06-30
Louis Tordonato 2109 Neuse Colony Dr, Clayton, NC 27520 Professional Engineer 2014-02-01 ~ 2015-01-31
Suzanne M Flockhart 53 Cabernet Ct, Clayton, NC 27520 Pharmacist 2020-02-01 ~ 2022-01-31
Melanie A Wright 2111 Eason Dr, Clayton, NC 27520 Tax Preparer/facilitator Permit 2020-01-07 ~ 2022-01-31
Matthew R Erickson 832 Blue Pond Road, Clayton, NC 27520 Certified Public Accountant License 2020-01-01 ~ 2020-12-31
Karen Ann Ramey 825 Yorkshire Drive, Clayton, NC 27520 Licensed Practical Nurse 2020-01-01 ~ 2020-12-31
Portofino By Portofino Development Group LLC Nc 42 E of Clalyton, Clayton, NC 27520 Interstate Land Sales Registration 2014-02-11 ~ 2014-12-31
Jill A Wargo · Wargo 280 Winston Pointe Dr, Clayton, NC 27520 Licensed Practical Nurse 2015-12-01 ~ 2016-11-30
Andrew L Johnson Jr 2053 Dove Ln, Clayton, NC 27520 Professional Engineer 2004-02-01 ~ 2005-01-31
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Competitor

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City CLAYTON
Zip Code 27520
License Type Physician/Surgeon
License Type + County Physician/Surgeon + CLAYTON

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Dataset Information

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).

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