LACEY WHITMIRE (Credential# 1399217) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is September 1, 2020. The license expiration date date is August 31, 2021. The license status is ACTIVE.
LACEY WHITMIRE is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.056178. The credential type is physician/surgeon. The effective date is September 1, 2020. The expiration date is August 31, 2021. The business address is 135 Foster St, New Haven, CT 06511-2610. The current status is active.
Licensee Name | LACEY WHITMIRE |
Credential ID | 1399217 |
Credential Number | 1.056178 |
Credential Type | Physician/Surgeon |
Business Address |
135 Foster St New Haven CT 06511-2610 |
Business Type | INDIVIDUAL |
Status | ACTIVE - CURRENT |
Active | 1 |
Issue Date | 2017-02-24 |
Effective Date | 2020-09-01 |
Expiration Date | 2021-08-31 |
Refresh Date | 2020-06-13 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
1171526 | CSP.0055196 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2013-07-01 | 2019-03-01 - 2021-02-28 | ACTIVE |
Street Address | 135 FOSTER ST |
City | NEW HAVEN |
State | CT |
Zip Code | 06511-2610 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Benjamin A Howell | 135 Foster St, New Haven, CT 06511-2610 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Michael T Philbin | 115 Foster St, New Haven, CT 06511-2610 | Emergency Medical Technician | 2013-12-05 ~ 2016-04-01 |
Noelene K Jeffers | 141 Foster St Apt 2, New Haven, CT 06511-2610 | Registered Nurse | 2011-10-01 ~ 2012-09-30 |
Janna Shub | 145 Foster St, New Haven, CT 06511-2610 | Engineer-in-training | 2011-06-14 ~ 2021-06-14 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Montessori School On Edgewood Inc. | 230 Edgewood Avenue, New Haven, CT 06511 | Public Charity | 2019-06-01 ~ 2020-05-31 |
Therese Parks · Visel Drug Store | 264 Munson St, New Haven, CT 06511 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
Dazjia Monet Green | 115 Edgewood Ave Apt 64, New Haven, CT 06511 | Registered Nurse | 2020-06-27 ~ 2021-05-31 |
Carol Yam | 343 Humphrey St, New Haven, CT 06511 | Registered Nurse | ~ |
Marwan S Haddad | 38 Lincoln Street, New Haven, CT 06511 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
Mary Lou Gaeta Md | 558 Chapel Street, New Haven, CT 06511 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
Cary M Tucker | 64 Bishop St, New Haven, CT 06511 | Architect | 2020-08-01 ~ 2021-07-31 |
Frank J Pannenborg | 505 Ellsworth Ave, New Haven, CT 06511 | Architect | 2020-08-01 ~ 2021-07-31 |
Crystal E Gooding | 26 Woodland Street, New Haven, CT 06511 | Notary Public Appointment | 2020-07-01 ~ 2025-06-30 |
Kieran Jones | 260 Crown St Unit 1f, New Haven, CT 06511 | Registered Nurse | ~ |
Find all Licenses in zip 06511 |
City | NEW HAVEN |
Zip Code | 06511 |
License Type | Physician/Surgeon |
License Type + County | Physician/Surgeon + NEW HAVEN |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
John Booss Md | 88 Lacey Rd, Bethany, CT 06524-3021 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
Aswini Rajaram | 7 Jane Lacey Dr Apt B, Endicott, NY 13760-3715 | Physician/surgeon | 2009-04-17 ~ 2009-10-31 |
Ann Y Teng | 19 Jane Lacey Drive, Endicott, NY 13760 | Physician/surgeon | 2015-02-01 ~ 2016-01-31 |
Patrick William Wright | 4352 Dudley Ct Ne, Lacey, WA 98516 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
James P Lacey · Lacey Construction Co Inc | 14 Oak Grove Rd, Brookfield, CT 06804047 | Home Improvement Contractor | 1996-04-04 ~ 1996-11-30 |
Lacey Construction Inc | 14 Oak Grove Rd, Brookfield, CT 06804047 | Home Improvement Contractor | 1997-06-03 ~ 1997-11-30 |
Lacey Luneau | 43 Red Oak Dr, Danielson, CT 06239-4263 | Physician Assistant | 2020-05-01 ~ 2021-04-30 |
Gwen Whitmire | 28 Woodland St, Simsbury, CT 06070 | Pharmacy Technician | 2004-04-01 ~ 2005-03-31 |
Amber M Whitmire | 329 Alden Ave, New Haven, CT 06515-2122 | Emergency Medical Technician | ~ |
Jozelle Whitmire | 535 N Olive St, Orange, CA 92867-6621 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
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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).