LISA CHRISTINE MARTIN (Credential# 1459339) is licensed (Physician Assistant) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2020. The license expiration date date is February 28, 2021. The license status is ACTIVE.
LISA CHRISTINE MARTIN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #23.004035. The credential type is physician assistant. The effective date is March 1, 2020. The expiration date is February 28, 2021. The business address is 381 Willow St, Mansfield, MA 02048. The current status is active.
| Licensee Name | LISA CHRISTINE MARTIN |
| Credential ID | 1459339 |
| Credential Number | 23.004035 |
| Credential Type | Physician Assistant |
| Business Address |
381 Willow St Mansfield MA 02048 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2018-02-16 |
| Effective Date | 2020-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2020-01-30 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1493200 | CSP.0067466 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2018-02-20 | 2019-03-09 - 2021-02-28 | ACTIVE |
| Street Address | 381 Willow St |
| City | Mansfield |
| State | MA |
| Zip Code | 02048 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Amerisourcebergen Drug Corp | 101 Norfolk St, Mansfield, MA 02048 | Wholesaler of Drugs, Cosmetics & Medical Devices | 2020-07-01 ~ 2021-06-30 |
| Rubicon Builders LLC | 800 South Main Street, Mansfield, MA 02048 | Major Contractor | 2020-07-01 ~ 2021-06-30 |
| Judith Crowley | 10 Ingrid Drive, Mansfield, MA 02048 | Tax Preparer/facilitator Permit | 2020-02-11 ~ 2022-02-28 |
| Eric R Lindstrom | 7 Wayside Dr, Mansfield, MA 02048 | Crane Operator | 2017-02-18 ~ 2019-02-17 |
| Stephen F Olsen | 1013 East St, Mansfield, MA 02048 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
| Basil B Bantimba | 419 South Main St, Mansfield, MA 02048 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
| Christopher Sibicky | 19 Carriage House Lane, Mansfield, MA 02048 | Pharmacist | 2020-02-01 ~ 2022-01-31 |
| Stephen G Makris | 11 Ephriam Dr, Mansfield, MA 02048 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
| Paul R Mcdonough | 798 Ware St, Mansfield, MA 02048 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
| James H Buchanan | 356 Essex St, Mansfield, MA 02048 | Repairer of Weighing & Measuring Devices | 2018-01-01 ~ 2018-12-31 |
| Find all Licenses in zip 02048 | |||
| City | Mansfield |
| Zip Code | 02048 |
| License Type | Physician Assistant |
| License Type + County | Physician Assistant + Mansfield |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Lisa Christine Turtzo | 640 Blossom Dr, Rockville, MD 20850-2041 | Physician/surgeon | 2009-04-15 ~ 2010-05-31 |
| Christine Keenan | 7 Southview, Sherman, CT 06784 | Physician Assistant | 2019-10-01 ~ 2020-09-30 |
| Christine Mullaney Pa | 43 Monadnock Rd, Worcester, MA 01609 | Physician Assistant | 2005-02-03 ~ 2006-03-31 |
| Christine B Morrison Pa | 22 Prospect St, Bloomfield, CT 06002 | Physician Assistant | 2008-08-14 ~ 2009-09-30 |
| Courtney Christine Marquardt | 1 Dicardee Dr, Enfield, CT 06082-1905 | Physician Assistant | ~ |
| Christine K Shanahan | 245 Unquowa Rd, Fairfield, CT 06824 | Physician Assistant | 2020-03-01 ~ 2021-02-28 |
| Christine A Rowland | 6 Shortell Dr, Ansonia, CT 06401 | Physician Assistant | 2020-06-01 ~ 2021-05-31 |
| Christine M Maffucci | 51 Woodland Ln, Berlin, CT 06037-1129 | Physician Assistant | 2020-08-01 ~ 2021-07-31 |
| Kara Martin | 82 Hartford Ave W, Mendon, MA 01756-1035 | Physician Assistant | 2020-06-20 ~ 2021-03-31 |
| Christine Haley · Stokes | 7 Jerimoth Dr, Branford, CT 06405-2226 | Physician Assistant | 2020-04-01 ~ 2021-03-31 |
Please comment or provide details below to improve the information on LISA CHRISTINE MARTIN.
| 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).