PRISCILLA LAM (Credential# 1504181) is licensed (Resident Physician) with Connecticut Department of Consumer Protection. The license effective date is July 1, 2019. The license expiration date date is June 30, 2025. The license status is ACTIVE.
PRISCILLA LAM is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.060277-RES. The credential type is resident physician. The effective date is July 1, 2019. The expiration date is June 30, 2025. The business address is 401 Frost Rd, Waterbury, CT 06705-2147. The current status is active.
| Licensee Name | PRISCILLA LAM |
| Credential ID | 1504181 |
| Credential Number | 1.060277-RES |
| Credential Type | Resident Physician |
| Credential SubCategory | RES |
| Business Address |
401 Frost Rd Waterbury CT 06705-2147 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2018-07-01 |
| Effective Date | 2019-07-01 |
| Expiration Date | 2025-06-30 |
| Refresh Date | 2019-07-17 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1532346 | CSP.0069159 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2018-07-25 | 2019-03-01 - 2021-02-28 | ACTIVE |
| Street Address | 401 FROST RD |
| City | WATERBURY |
| State | CT |
| Zip Code | 06705-2147 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Susan A Couture | 411 Frost Rd, Waterbury, CT 06705-2147 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Nancy L Gonzalez | 141 Decicco Road, Waterbury, CT 06705 | Licensed Practical Nurse | 2020-08-01 ~ 2021-07-31 |
| Cara Anne Mahony | 80 Craigie Ave, Waterbury, CT 06705 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Jocelyn Dennise Garcia | 38 Stonewall Lane, Waterbury, CT 06705 | Licensed Practical Nurse | 2020-07-01 ~ 2021-06-30 |
| Rosa Tenezaca | 24 Wall St Apt 1st, Waterbury, CT 06705 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Spinella Bakery | 53 Interstate Lane, Waterbury, CT 06705 | Bakery | 2020-07-01 ~ 2021-06-30 |
| Penelope Ortiz | 42 Gayridge Rd Apt 3-1, Waterbury, CT 06705 | Licensed Practical Nurse | 2020-06-01 ~ 2021-05-31 |
| Sandra Arias | 57 Howard St., Waterbury, CT 06705 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Waldemar Lopes | 10 Mansfield Ave, Waterbury, CT 06705 | Medication Administration Certification | 2020-05-16 ~ 2022-05-15 |
| Briana Yvette Hurdle | 235 Academy Avenue, Waterbury, CT 06705 | Esthetician | ~ |
| Jason Bradway | 93 Midland Road, Waterbury, CT 06705 | Notary Public Appointment | 2020-09-01 ~ 2025-08-31 |
| Find all Licenses in zip 06705 | |||
| City | WATERBURY |
| Zip Code | 06705 |
| License Type | Resident Physician |
| License Type + County | Resident Physician + WATERBURY |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Priscilla Cheng | 20 York St., New Haven, CT 06510-3220 | Resident Physician | 2015-07-01 ~ 2020-06-30 |
| Nana Priscilla Matsumoto | 20 York Street, New Haven, CT 06510 | Resident Physician | 2020-07-01 ~ 2021-06-30 |
| Zachary James Radford | 5 Priscilla Rd, West Haven, CT 06516-7944 | Resident Physician | 2020-06-09 ~ 2021-06-30 |
| Lauren Marie Mcallister | 5 Priscilla Rd, West Haven, CT 06516-7944 | Resident Physician | 2020-06-15 ~ 2021-06-30 |
| John C Friel Md | 4 Priscilla Ln, Westford, MA 01886-2151 | Physician/surgeon | 2016-05-01 ~ 2017-04-30 |
| Priscilla D Wong | 3248 Wrightwood Dr, Studio City, CA 91604-3936 | Physician/surgeon | 2017-01-01 ~ 2017-12-31 |
| Priscilla's Place | 25 Flat Rock Rd, Easton, CT 06612-1703 | Child Care Center | 2019-01-28 ~ 2023-01-31 |
| Priscilla | Connecticut Brand Registration, Hartford, CT 06106 | Liquor Brand Label | 2019-05-05 ~ 2022-05-03 |
| Jennifer A Guy | 6 Early Dr Apt K, Watervliet, NY 12189-2517 | Resident Physician | ~ |
| Yan Zhu | 27 Brainerd Rd # B, Branford, CT 06405-6302 | Resident Physician | 2020-07-01 ~ 2021-06-30 |
Please comment or provide details below to improve the information on PRISCILLA LAM.
| 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).