ELIZABETH C GARDNER
Controlled Substance Registration for Practitioner


Address: 446 Humphrey St, New Haven, CT 06511-3710

ELIZABETH C GARDNER (Credential# 971456) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2019. The license expiration date date is February 28, 2021. The license status is ACTIVE.

Business Overview

ELIZABETH C GARDNER is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0049170. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2019. The expiration date is February 28, 2021. The business address is 446 Humphrey St, New Haven, CT 06511-3710. The current status is active.

Basic Information

Licensee Name ELIZABETH C GARDNER
Credential ID 971456
Credential Number CSP.0049170
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 446 Humphrey St
New Haven
CT 06511-3710
Business Type INDIVIDUAL
Status ACTIVE - CURRENT
Active 1
Issue Date 2011-03-23
Effective Date 2019-03-01
Expiration Date 2021-02-28
Refresh Date 2019-02-19

Other licenses

ID Credential Code Credential Type Issue Term Status
1153083 1.051754 Physician/Surgeon 2013-04-01 2019-11-01 - 2020-10-31 ACTIVE
479689 CSP.0042399 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 2007-10-23 2008-03-01 - 2009-02-28 INACTIVE

Office Location

Street Address 446 HUMPHREY ST
City NEW HAVEN
State CT
Zip Code 06511-3710

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Alexander Paul 389 Humphrey St, New Haven, CT 06511-3710 Physician/surgeon ~

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Competitor

Search similar business entities

City NEW HAVEN
Zip Code 06511
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + NEW HAVEN

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Amy L Gardner 150 Union St Apt 606, Providence, RI 02903-1795 Controlled Substance Registration for Practitioner 2015-03-01 ~ 2017-02-28
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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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