LISA S WATTS (Credential# 1300985) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is August 1, 2016. The license expiration date date is July 31, 2017. The license status is INACTIVE.
LISA S WATTS is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.054530. The credential type is physician/surgeon. The effective date is August 1, 2016. The expiration date is July 31, 2017. The business address is 6563 Kelsey Point Cir, Alexandria, VA 22315-5511. The current status is inactive.
| Licensee Name | LISA S WATTS |
| Credential ID | 1300985 |
| Credential Number | 1.054530 |
| Credential Type | Physician/Surgeon |
| Business Address |
6563 Kelsey Point Cir Alexandria VA 22315-5511 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 2015-08-13 |
| Effective Date | 2016-08-01 |
| Expiration Date | 2017-07-31 |
| Refresh Date | 2017-11-03 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1302209 | CSP.0061144 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2015-08-14 | 2015-08-14 - 2017-02-28 | INACTIVE |
| Street Address | 6563 KELSEY POINT CIR |
| City | ALEXANDRIA |
| State | VA |
| Zip Code | 22315-5511 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Jeffrey Mawhinney Do | 5810 Kingstown Center #120-195, Alexandria, VA 22315 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Jeffrey M Wood | 5811 Clapham Road, Alexandria, VA 22315 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
| Curtis L Dubay | 7445 Brighouse Ct, Alexandria, VA 22315 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
| Ellen V Makar | 6101 Fairview Farm Dr Unit 205, Alexandria, VA 22315 | Registered Nurse | 2019-12-01 ~ 2020-11-30 |
| Osman M Ahmedtaha | 6490 Brickleigh Ct, Alexandria, VA 22315 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Thao T Nguyen · Nguyen | 7155 Lake Cove Dr, Alexandria, VA 22315 | Registered Nurse | 2017-03-01 ~ 2018-02-28 |
| Nancy A Newton | 6608 Dunwich Way, Kingstowne, VA 22315 | Registered Nurse | 2012-12-01 ~ 2013-11-30 |
| Tanner C Armstrong | 6456 Waterfield Rd, Alexandria, VA 22315 | Engineer-in-training | ~ |
| Elizabeth W Trivett | 6208 Roudsby Lane, Alexandria, VA 22315 | Professional Counselor | 2004-02-20 ~ 2005-02-28 |
| Alice M Zawacki · Barbes | 6005 Liverpool Lane, Alexandria, VA 22315 | Nursing Home Administrator | 2002-11-22 ~ 2003-11-30 |
| Find all Licenses in zip 22315 | |||
| City | ALEXANDRIA |
| Zip Code | 22315 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + ALEXANDRIA |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Joe D Watts | 161 Stanwich Road, Greenwich, CT 06830 | Physician/surgeon | 2019-09-01 ~ 2020-08-31 |
| Mark C Watts | 500 N 21st St Apt 308, Philadelphia, PA 19130-4237 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
| Christopher J Watts Md | 31 Ridgecrest Dr, Wolcott, CT 06716 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Christopher William Carey | 507 Watts Ave, Greenville, SC 29601-4357 | Physician/surgeon | 2020-06-01 ~ 2021-06-30 |
| Stephen J Watts | 8940 S Tropical Tr, Merritt Island, FL 32952 | Physician/surgeon | 1995-08-29 ~ 1996-08-31 |
| Katherine Elizabeth Watts | Ameripath, Oakwood Village, OH 44146 | Physician/surgeon | 2020-02-01 ~ 2021-01-31 |
| Michelle Townsend-watts Md | 7726 Terraview Ct, Hanover, MD 21076-1867 | Physician/surgeon | 2014-12-01 ~ 2015-11-30 |
| H Joseph Watts · Watts Wood Work | 11 N Main St, Terryville, CT 06786 | Home Improvement Contractor | 2001-12-01 ~ 2002-11-30 |
| Lisa Das | 26 Tamie Way, Pittsfield, MA 01201 | Physician/surgeon | 2000-01-24 ~ 2001-03-31 |
| Lisa J Trencher | 2-11 B Peck Ave, Rye, NY 10580 | Physician/surgeon | 1999-05-20 ~ 2000-05-31 |
Please comment or provide details below to improve the information on LISA S WATTS.
| 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).