LORI A BASTIAN (Credential# 1065555) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is April 1, 2020. The license expiration date date is March 31, 2021. The license status is ACTIVE.
LORI A BASTIAN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.050874. The credential type is physician/surgeon. The effective date is April 1, 2020. The expiration date is March 31, 2021. The business address is 139 Morningside Drive, Milford, CT 06460. The current status is active.
| Licensee Name | LORI A BASTIAN |
| Credential ID | 1065555 |
| Credential Number | 1.050874 |
| Credential Type | Physician/Surgeon |
| Business Address |
139 Morningside Drive Milford CT 06460 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2012-04-30 |
| Effective Date | 2020-04-01 |
| Expiration Date | 2021-03-31 |
| Refresh Date | 2020-01-07 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1065987 | CSP.0052266 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2012-05-25 | 2019-03-01 - 2021-02-28 | ACTIVE |
| Street Address | 139 Morningside Drive |
| City | Milford |
| State | CT |
| Zip Code | 06460 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Milford Council On Aging | 9 Jepson Drive, Milford, CT 06460 | Public Charity | 2019-06-01 ~ 2020-05-31 |
| James J Melanson | 319 Welch's Point Road, Milford, CT 06460 | Optician | 2020-08-01 ~ 2021-07-31 |
| Robert J Colum | 61 Melba St, Milford, CT 06460 | Professional Engineer | 2020-06-16 ~ 2021-01-31 |
| James E Phillips | 88 Noble Ave, Milford, CT 06460 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Douglas H Gruber | 33 Lincoln Ave, Milford, CT 06460 | Licensed Alcohol and Drug Counselor | 2020-06-01 ~ 2021-05-31 |
| Christine D Rettig | 1 Schooner Lane, Milford, CT 06460 | Physical Therapist | 2020-07-01 ~ 2021-06-30 |
| Golden Dragon Inc | 262 D Quarry Rd, Mildord, CT 06460 | Food Warehouse | ~ |
| Kelli-ann Armstrong | 50 Cherry Street, Milford, CT 06460 | Optometrist | 2020-07-01 ~ 2021-06-30 |
| Mary C Cohen | 9 Stevens Street, Milford, CT 06460 | Notary Public Appointment | 2020-07-01 ~ 2025-06-30 |
| Nicole Wilson | 26 Daggett Street, Milford, CT 06460 | Hairdresser/cosmetician | 2020-08-01 ~ 2022-07-31 |
| Find all Licenses in zip 06460 | |||
| City | Milford |
| Zip Code | 06460 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + Milford |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Lori B Garris Md | Danbury, CT 06810 | Physician/surgeon | 2008-03-06 ~ 2009-01-31 |
| Lori H Kwan Md | 39 Cavalry Rd, Weston, CT 06883-2939 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Lori Ann C Oliver | 333 Cedar St, New Haven, CT 06510-3206 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
| Lori L Greenwald | 1 Barnard Ln, Bloomfield, CT 06002-2481 | Physician/surgeon | 2019-09-01 ~ 2020-08-31 |
| Lori A Volles | 67 Sterling Hill Rd, Lyme, CT 06371 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| David Paul Bick | 25 Lori Ln, Meriden, CT 06450-3574 | Physician/surgeon | 1983-07-13 ~ 1988-05-31 |
| Lori C Stetz Md | 6 Crosstrees Hill Rd, Essex, CT 06426 | Physician/surgeon | 2019-10-01 ~ 2020-09-30 |
| Lori Storch Smith Md | 156 Kings Hwy N Ste 3, Westport, CT 06880-2400 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Lori Blauwet | Mayo Clinic, Rochester, MN 55905-0001 | Physician/surgeon | 2020-01-01 ~ 2020-12-31 |
| Lori Slezak Md | 371 Fountain Street, New Haven, CT 06515 | Physician/surgeon | 1999-11-02 ~ 2000-12-31 |
Please comment or provide details below to improve the information on LORI A BASTIAN.
| 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).