ELIZABETH C SMITH MD (Credential# 565215) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is May 1, 2020. The license expiration date date is April 30, 2021. The license status is ACTIVE.
ELIZABETH C SMITH MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.047633. The credential type is physician/surgeon. The effective date is May 1, 2020. The expiration date is April 30, 2021. The business address is 1 Lookout Trail, Westport, CT 06880. The current status is active.
| Licensee Name | ELIZABETH C SMITH MD |
| Credential ID | 565215 |
| Credential Number | 1.047633 |
| Credential Type | Physician/Surgeon |
| Business Address |
1 Lookout Trail Westport CT 06880 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2009-04-27 |
| Effective Date | 2020-05-01 |
| Expiration Date | 2021-04-30 |
| Refresh Date | 2020-02-19 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 536144 | CSP.0045697 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2009-06-25 | 2019-03-01 - 2021-02-28 | ACTIVE |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Elizabeth C Smith Md | 3 Victoria Ln, West Simsbury, CT 06092-2119 | Controlled Substance Registration for Practitioner | 2019-05-08 ~ 2021-02-28 |
| Street Address | 1 Lookout Trail |
| City | Westport |
| State | CT |
| Zip Code | 06880 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Toni L Bucker | 4 Wild Rose Rd, Westport, CT 06880 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Jee Hyun Kim | 1 Allen Lane, Westport, CT 06880 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-26 ~ 2021-07-31 |
| Donna Vaccarella | 15 Keyser Rd, Westport, CT 06880 | Hairdresser/cosmetician | 2020-09-01 ~ 2022-08-31 |
| Sandra Gibson | 12 Bayberry Ln, Westport, CT 06880 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Adil Salam Md | 44 Crawford Rd, Westport, CT 06880 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Joanne C Sosnoski | 24 Hawatha Lane, Westport, CT 06880 | Dental Hygienist | 2020-08-01 ~ 2021-07-31 |
| Rachel Lynn | 495 Post Rd East, Westport, CT 06880 | Eyelash Technician | ~ |
| Beginnings: An Infant/toddler Program | 71 Hillandale Road, Westport, CT 06880 | Group Child Care Home | 2018-01-01 ~ 2021-12-31 |
| Shelley S Ross | 28 Old Hill Farms Rd, Westport, CT 06880 | Dietitian/nutritionist | 2020-08-01 ~ 2021-07-31 |
| Robert W Van Summern | 279 Wilton Rd, Westport, CT 06880 | Architect | 2020-08-01 ~ 2021-07-31 |
| Find all Licenses in zip 06880 | |||
| City | Westport |
| Zip Code | 06880 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + Westport |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Nicole Caldwell | 240 Elizabeth St # H1-120, Elizabeth, CO 80107-7537 | Physician/surgeon | 2015-03-01 ~ 2016-02-29 |
| C A Smith | Box 1524, Castle Afb, CA 95342 | Physician/surgeon | 1996-05-03 ~ 1997-04-30 |
| Eni Smith | 888 W Big Beaver Rd, Troy, MI 48084-4736 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Lou M Smith | Po Box 15538, Durham, NC 27704-0538 | Physician/surgeon | 1988-10-28 ~ 1989-02-28 |
| Ben Ten | 52 Smith Farm Rd, Amston, CT 06231-1241 | Physician/surgeon | 2011-09-27 ~ 2012-03-31 |
| Dallas A Smith | Greensboro, NC 27410 | Physician/surgeon | 2013-09-01 ~ 2014-08-31 |
| Jennifer L Yeh Md | 4 Smith Dr, Savannah, GA 31406-6441 | Physician/surgeon | 2012-12-01 ~ 2013-11-30 |
| Robin L Smith | 930 5th Ave Apt 8h, New York, NY 10021-2680 | Physician/surgeon | 2020-01-01 ~ 2020-12-31 |
| Elizabeth Baorto | 360 3rd St Ste 425, San Francisco, CA 94107-2164 | Physician/surgeon | ~ |
| Frederick Lu | Po Box 546, Elizabeth, NJ 07207 | Physician/surgeon | 1994-05-06 ~ 1995-04-30 |
Please comment or provide details below to improve the information on ELIZABETH C SMITH 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).