ELIZAVETA HOUSE APRN (Credential# 997170) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2015. The license expiration date date is February 28, 2017. The license status is INACTIVE.
ELIZAVETA HOUSE APRN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0050120. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2015. The expiration date is February 28, 2017. The business address is 39 Munnisunk Dr, Simsbury, CT 06070-1259. The current status is inactive.
Licensee Name | ELIZAVETA HOUSE APRN |
Credential ID | 997170 |
Credential Number | CSP.0050120 |
Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
Business Address |
39 Munnisunk Dr Simsbury CT 06070-1259 |
Business Type | INDIVIDUAL |
Status | INACTIVE |
Issue Date | 2011-05-16 |
Effective Date | 2015-03-01 |
Expiration Date | 2017-02-28 |
Refresh Date | 2018-01-29 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
584386 | 10.080384 | Registered Nurse | 2006-11-09 | 2015-02-01 - 2016-01-31 | INACTIVE |
993111 | 12.004645 | Advanced Practice Registered Nurse | 2011-04-29 | 2015-02-01 - 2016-01-31 | INACTIVE |
Street Address | 39 MUNNISUNK DR |
City | SIMSBURY |
State | CT |
Zip Code | 06070-1259 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Laura Schless | 63 Munnisunk Dr, Simsbury, CT 06070-1259 | Pharmacy Technician | 2013-04-01 ~ 2014-03-31 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Henry Withers | 571 Hopmeadow St, Simsbury, CT 06070 | Landscape Architect | 2020-08-01 ~ 2021-07-31 |
Nancy W Flanagan | 9 Carver Circle, Simsbury, CT 06070 | Real Estate Salesperson | 2020-06-23 ~ 2021-05-31 |
Catharina A Bates | 12 East View Dr., Simsbury, CT 06070 | Real Estate Salesperson | 2020-06-25 ~ 2021-05-31 |
Faith E Preato | 25 Squadron Line Rd, Simsbury, CT 06070 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
Diane Bragoni | 542 Hopmeadow Street, #128, Simsbury, CT 06070 | Architect | 2020-08-01 ~ 2021-07-31 |
Virginia S Durst · Banks | 20 Woodcliff Drive, Simsbury, CT 06070 | Registered Nurse | 2020-05-01 ~ 2021-04-30 |
Caitlin M Cornier | 18 Saxton Brook Drive, Simsbury, CT 06070 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
Nancy L Alleva · Maule | 1079 Hopmeadow St, Simsbury, CT 06070 | Respiratory Care Practitioner | 2020-09-01 ~ 2021-08-31 |
Stephen R Birghenti · Simsbury Inn | 397 Hopmeadow St, Simsbury, CT 06070 | Hotel Liquor (50000 Or More Population) | 2019-08-14 ~ 2020-12-13 |
Deborah L Poniatowski · Blase | 35 Munnisunk Dr, Simsbury, CT 06070 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
Find all Licenses in zip 06070 |
City | SIMSBURY |
Zip Code | 06070 |
License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + SIMSBURY |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Ann Burzynski Aprn | Po Box 158, Colchester, VT 05446-0158 | Controlled Substance Registration for Practitioner | 2009-03-01 ~ 2011-02-28 |
Jane F Moysak Aprn | 68 Rye Rd, Rye, NY 10580-2228 | Controlled Substance Registration for Practitioner | 2009-03-01 ~ 2011-02-28 |
Pamela M Gau Aprn | 25 Berndale Dr, Westport, CT 06880 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Ann C Golymbieski Aprn | 10 Gail Dr, Waterbury, CT 06704 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
Jennifer L Yau Aprn | 627 Chapel St Apt 3a, New Haven, CT 06511-6994 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
Rosemary C Kopec Aprn | Po Box 98, Foster, RI 02825 | Controlled Substance Registration for Practitioner | 2007-09-10 ~ 2008-02-29 |
Michael P Riordan Aprn | Niantic, CT 06357 | Controlled Substance Registration for Practitioner | 2007-03-01 ~ 2008-02-29 |
Janet M Bailey Aprn | Po Box 384, Silverton, OR 97381 | Controlled Substance Registration for Practitioner | 2005-03-01 ~ 2006-02-28 |
Lisa L Hoffer Aprn | 84 2nd St, New Haven, CT 06519-2604 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Carol J Monroe Aprn | 76 Elm St., New Canaan, CT 06840 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
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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).