ELIZABETH WOOTTON (Credential# 741877) is licensed (Physician Assistant) 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 WOOTTON is licensed with the Department of Consumer Protection of Connecticut. The credential number is #23.000128. The credential type is physician assistant. The effective date is June 1, 2020. The expiration date is May 31, 2021. The business address is 15 Marion Ct, North Haven, CT 06473-2016. The current status is active.
| Licensee Name | ELIZABETH WOOTTON |
| Credential ID | 741877 |
| Credential Number | 23.000128 |
| Credential Type | Physician Assistant |
| Business Address |
15 Marion Ct North Haven CT 06473-2016 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 1993-09-10 |
| Effective Date | 2020-06-01 |
| Expiration Date | 2021-05-31 |
| Refresh Date | 2020-03-11 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 385916 | CSP.0036574 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2004-10-07 | 2019-03-01 - 2021-02-28 | ACTIVE |
| Street Address | 15 MARION CT |
| City | NORTH HAVEN |
| State | CT |
| Zip Code | 06473-2016 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Antonio Graziano Md | 9 Marion Court, North Haven, CT 06473-2016 | Controlled Substance Registration for Practitioner | 1996-09-01 ~ 1998-02-28 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Renee A Rollier | 90 Fallon Drive, North Haven, CT 06473 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Carly J Brueggestrat Aprn | 191 Cloudland Rd, North Haven, CT 06473 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Heesuk Hyun | 769 Middletown Ave, North Haven, CT 06473 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Jacqueline N Sancho | 9 Corey Rd, North Haven, CT 06473 | Physical Therapist Assistant | 2020-08-01 ~ 2021-07-31 |
| Irene L Smith | 35 Debra Lane, North Haven, CT 06473 | Radiographer | 2020-08-01 ~ 2021-07-31 |
| Jane S Jane | 380 Skiff Street, North Haven, CT 06473 | Psychologist | 2020-09-01 ~ 2021-08-31 |
| Shana Kathleen Lipp | [email protected], North Haven, CT 06473 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Haifeng Piao | 201 Universal Drive, North Haven, CT 06473 | Nail Technician | ~ |
| Xuefan Piao | 32 Lexington Gardens, North Haven, CT 06473 | Nail Technician | ~ |
| Zachary A Cuzzocreo | 45 Thorpe Street, North Haven, CT 06473 | Real Estate Salesperson | 2020-06-20 ~ 2021-05-31 |
| Find all Licenses in zip 06473 | |||
| City | NORTH HAVEN |
| Zip Code | 06473 |
| License Type | Physician Assistant |
| License Type + County | Physician Assistant + NORTH HAVEN |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Philip H Wootton · Peter Wootton Assoc | 58 Hannah Ln, Monroe, CT 06468-1247 | Home Improvement Contractor | 2008-10-30 ~ 2009-11-30 |
| Jones Lang Wootton Usa Inc · J Michael Dow | 101 East 52nd St, New York, NY 10022 | Real Estate Broker | 1998-06-01 ~ 1999-05-31 |
| Elizabeth C Grasso | Elizabeth Grasso, Stamford, CT 06905 | Physician Assistant | 2019-09-01 ~ 2020-08-31 |
| Elizabeth Carbonell | 33 Woodfield Rd, Bristol, CT 06010-2655 | Physician Assistant | ~ |
| Elizabeth C Indorf | 211 New Britain Rd Ste 105, Kensington, CT 06037-3167 | Physician Assistant | 2020-04-01 ~ 2021-03-31 |
| Elizabeth J Pecoy | 499 Ridge Rd, Wilbraham, MA 01095-2311 | Physician Assistant | 2020-03-01 ~ 2021-02-28 |
| Elizabeth V Philbrick | 211 E Main St Apt 58, Branford, CT 06405-3148 | Physician Assistant | 2020-04-01 ~ 2021-03-31 |
| Elizabeth A Hulinsky | 260 Willow St, Southport, CT 06890-1430 | Physician Assistant | 2020-04-01 ~ 2021-03-31 |
| Esta Kleyman | 621 Westminster Ave, Elizabeth, NJ 07208 | Physician Assistant | 2019-10-01 ~ 2020-09-30 |
| Sarah Elizabeth Hill | 211 Park Rd, Oxford, CT 06478-6127 | Physician Assistant | ~ |
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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).