STEPHEN M LEWIS (Credential# 1151754) is licensed (Physician Assistant) with Connecticut Department of Consumer Protection. The license effective date is November 1, 2017. The license expiration date date is October 31, 2018. The license status is INACTIVE.
STEPHEN M LEWIS is licensed with the Department of Consumer Protection of Connecticut. The credential number is #23.002917. The credential type is physician assistant. The effective date is November 1, 2017. The expiration date is October 31, 2018. The business address is 2958 Valley Ridge Dr, Decatur, GA 30032-5768. The current status is inactive.
| Licensee Name | STEPHEN M LEWIS |
| Credential ID | 1151754 |
| Credential Number | 23.002917 |
| Credential Type | Physician Assistant |
| Business Address |
2958 Valley Ridge Dr Decatur GA 30032-5768 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 2013-05-23 |
| Effective Date | 2017-11-01 |
| Expiration Date | 2018-10-31 |
| Refresh Date | 2019-02-03 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1152613 | CSP.0054340 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2013-05-29 | 2013-05-29 - 2015-02-28 | INACTIVE |
| Street Address | 2958 VALLEY RIDGE DR |
| City | DECATUR |
| State | GA |
| Zip Code | 30032-5768 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Mildred Bonner | 4151 Memorial Dr. Ste 104-c, Decatur, GA 30032 | Tax Preparer/facilitator Permit | 2019-01-24 ~ 2021-01-31 |
| Rose A Wituka | 3367 Tulie Dr, Decatur, GA 30032 | Registered Nurse | 2000-01-28 ~ 2000-05-31 |
| Genevieve Mclendon | 1424 Peachcrest Rd, Decatur, GA 30032 | Registered Nurse | 1995-04-07 ~ 1996-04-30 |
| Rosemary Lewis | 2040 Garden Circle, Decatur, GA 30032 | Registered Nurse | 1993-10-25 ~ 1994-07-31 |
| Terentia Mcintosh | 2258 Crestknoll Cir, Decatur, GA 30032 | Licensed Practical Nurse | 2007-10-09 ~ 2008-10-31 |
| James A Lipsky | 1341 Weston Dr, Decatur, GA 30032-2546 | Registered Nurse | 2014-09-01 ~ 2015-08-31 |
| Constance M English | 3005 Belvedere Ln, Decatur, GA 30032-2703 | Registered Nurse | 2015-05-01 ~ 2016-05-31 |
| Deborah B Meyersen | 1618 Sweetgum Hl, Decatur, GA 30032-3078 | Registered Nurse | 2018-05-01 ~ 2019-04-30 |
| Zita L Swan | 2996 Lauren Parc Rd Unit 49, Decatur, GA 30032-3633 | Registered Nurse | 2014-05-01 ~ 2015-04-30 |
| Sylvester D Wallace | 3982 Fireoak Dr, Decatur, GA 30032-3884 | Licensed Clinical Social Worker | ~ |
| Find all Licenses in zip 30032 | |||
| City | DECATUR |
| Zip Code | 30032 |
| License Type | Physician Assistant |
| License Type + County | Physician Assistant + DECATUR |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Stephen H Lewis Jr | 10 Eagles Blf, Rye Brook, NY 10573-1233 | Physician/surgeon | 2019-08-01 ~ 2020-07-31 |
| Sara Lewis | 45 Fletcher Ln, Shelburne, VT 05482-7597 | Physician Assistant | 2020-04-19 ~ 2021-04-30 |
| Lewis Andrew Dick | 44 Amberfield Dr, Delran, NJ 08075-2833 | Physician Assistant | 2017-05-01 ~ 2018-04-30 |
| Nicholas A Salvador | 435 Lewis Avenue, Meriden, CT 06451 | Physician Assistant | 2020-07-01 ~ 2021-06-30 |
| Stephen A Pollani | 121 Fan Hill Rd, Monroe, CT 06468-1830 | Physician Assistant | 2020-05-01 ~ 2021-04-30 |
| Stephen C Barresi Pa | 29-a Tylerwoods Rd, Haddam, CT 06438 | Physician Assistant | 2006-12-22 ~ 2007-12-31 |
| Stephen Weyel | 7 Cypress Dr, Branford, CT 06405-5906 | Physician Assistant | 2020-06-01 ~ 2021-05-31 |
| Stephen Sales | 13 Salem Road, Prospect, CT 06712 | Physician Assistant | 2019-11-01 ~ 2020-10-31 |
| Stephen J Burgess Pa | 218 Russell Street, Hadley, MA 01035 | Physician Assistant | 1998-09-08 ~ 1999-09-30 |
| Stephen Paul Welch | 14 Memory Ln, Waterford, CT 06385-1966 | Physician Assistant | 2020-05-01 ~ 2021-04-30 |
Please comment or provide details below to improve the information on STEPHEN M LEWIS.
| 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).