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 |
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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).