LISA M GRONSKI (Credential# 1270972) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is May 1, 2020. The license expiration date date is April 30, 2021. The license status is ACTIVE.
LISA M GRONSKI is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.054041-DO. The credential type is physician/surgeon. The effective date is May 1, 2020. The expiration date is April 30, 2021. The business address is 339 W Main St, Avon, CT 06001-4322. The current status is active.
| Licensee Name | LISA M GRONSKI |
| Credential ID | 1270972 |
| Credential Number | 1.054041-DO |
| Credential Type | Physician/Surgeon |
| Credential SubCategory | DO |
| Business Address |
339 W Main St Avon CT 06001-4322 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2015-04-21 |
| Effective Date | 2020-05-01 |
| Expiration Date | 2021-04-30 |
| Refresh Date | 2020-04-09 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 945036 | CSP.0048259 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2010-09-10 | 2019-03-01 - 2021-02-28 | ACTIVE |
| Street Address | 339 W MAIN ST |
| City | AVON |
| State | CT |
| Zip Code | 06001-4322 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Julie R Deitch | 5 Bridle Path, Avon, CT 06001 | Dental Hygienist | 2020-07-01 ~ 2021-06-30 |
| Brigitte Nicole Heleniak | 16 Sunset Trail, Avon, CT 06001 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Coffee Trade Inc (the) | 21 West Main St, Avon, CT 06001 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Elizabeth Stockwell | 44 Applewood Lane, Avon, CT 06001 | Real Estate Salesperson | ~ |
| Mollie Velma Lahaie | 14 Red Mountain Lane, Avon, CT 06001 | Registered Nurse | 2020-06-26 ~ 2020-08-31 |
| Meiling Chen | Avon Nail 315 W Main Street, Avon, CT 06001 | Nail Technician | ~ |
| Richard J Kaiser | 72 Westland Road, Avon, CT 06001 | Architect | 2020-08-01 ~ 2021-07-31 |
| Michele L Sweitzer | 12 Bluestone Lane, Avon, CT 06001 | Real Estate Salesperson | 2020-06-25 ~ 2021-05-31 |
| Caroline O Amin | 5 Colby Way, Avon, CT 06001 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
| Christine Burns | 102 New Road, Avon, CT 06001 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Find all Licenses in zip 06001 | |||
| City | AVON |
| Zip Code | 06001 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + AVON |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Ana Lisa Carr | Po Box 34457, Omaha, NE 68134-0457 | Physician/surgeon | ~ |
| Lisa Das | 26 Tamie Way, Pittsfield, MA 01201 | Physician/surgeon | 2000-01-24 ~ 2001-03-31 |
| Nicole M Absar | 58 Lisa Ave, Plymouth, MA 02360-5016 | Physician/surgeon | ~ |
| Lisa J Trencher | 2-11 B Peck Ave, Rye, NY 10580 | Physician/surgeon | 1999-05-20 ~ 2000-05-31 |
| Lisa M Donofrio | 71 Wall St, Madison, CT 06443 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
| Lisa M Gill | 181 River St, Norwell, MA 02061-2213 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Lisa I Ramdhanie | 1 Benedict St, Norwalk, CT 06850 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Lisa T Canter Md | 39 May Brook Rd, Woodstock, CT 06281 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Lisa Rho | 1 Cityplace Dr Ste 570, Saint Louis, MO 63141-7067 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Lisa M Bienia Kenton | 4 Fox Run, Sturbridge, MA 01566-1514 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
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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).