MICHAELA M LIS (Credential# 1512242) is licensed (Advanced Practice Registered Nurse) with Connecticut Department of Consumer Protection. The license effective date is July 1, 2020. The license expiration date date is June 30, 2021. The license status is APPROVED.
MICHAELA M LIS is licensed with the Department of Consumer Protection of Connecticut. The credential number is #12.007703. The credential type is advanced practice registered nurse. The effective date is July 1, 2020. The expiration date is June 30, 2021. The business address is 264 Westmont St, West Hartford, CT 06117-2907. The current status is approved.
| Licensee Name | MICHAELA M LIS |
| Credential ID | 1512242 |
| Credential Number | 12.007703 |
| Credential Type | Advanced Practice Registered Nurse |
| Business Address |
264 Westmont St West Hartford CT 06117-2907 |
| Business Type | INDIVIDUAL |
| Status | APPROVED - CURRENT |
| Active | 1 |
| Issue Date | 2018-07-18 |
| Effective Date | 2020-07-01 |
| Expiration Date | 2021-06-30 |
| Refresh Date | 2020-06-27 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1219955 | 10.120312 | Registered Nurse | 2014-07-17 | 2020-07-01 - 2021-06-30 | APPROVED |
| 1512298 | CSP.0067974 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2018-07-18 | 2019-03-01 - 2021-02-28 | ACTIVE |
| Street Address | 264 WESTMONT ST |
| City | WEST HARTFORD |
| State | CT |
| Zip Code | 06117-2907 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Andrew D Ginsburg | 272 Westmont St, West Hartfrd, CT 06117-2907 | Wholesaler Salesman | 2017-02-01 ~ 2019-01-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Cathy Tran | 20 Lindy Lane, West Hartford, CT 06117 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Renaissance Craftsmen LLC | 263 Simsbury Road, West Hartford, CT 06117 | Home Improvement Contractor | 2020-06-27 ~ 2020-11-30 |
| Lev Tsarkov | 116 Lyman Road, West Hartford, CT 06117 | Registered Nurse | 2020-06-01 ~ 2021-05-31 |
| Scott Lee Ratchford | 67 Balfour Dr., West Hartford, CT 06117 | Professional Counselor | ~ |
| Gary Neidle | 8 Stratford Rd, West Hartford, CT 06117 | Real Estate Salesperson | 2020-06-26 ~ 2021-05-31 |
| Beverly Vincent | 37 Harwich Lane, West Hartford, CT 06117 | Hairdresser/cosmetician | 2020-07-01 ~ 2022-06-30 |
| Marc D Palter | 94 Beacon Hill Dr, West Hartford, CT 06117 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| David L Friar | 35 Porter Dr, W Hartford, CT 06117 | Architect | 2020-08-01 ~ 2021-07-31 |
| Adlin C Daye | 147 Mohawk Drive, West Hartford, CT 06117 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| Derek M Mcdermott | 61 Ferncliff Drive, West Hartford, CT 06117 | Emergency Medical Technician | ~ |
| Find all Licenses in zip 06117 | |||
| City | WEST HARTFORD |
| Zip Code | 06117 |
| License Type | Advanced Practice Registered Nurse |
| License Type + County | Advanced Practice Registered Nurse + WEST HARTFORD |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Michaela Dumais | 6 Lincoln St, Lunenburg, MA 01462-2020 | Advanced Practice Registered Nurse | 2020-05-01 ~ 2021-04-30 |
| Michaela J Hubbard | 514 White Tail Way, Danielson, CT 06239-2245 | Advanced Practice Registered Nurse | 2018-06-01 ~ 2019-05-31 |
| Kim E Cotnoir | Po Box 656, Johnson, VT 05656-0656 | Advanced Practice Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Lauren M Vo | 9 Cardinal Rd, Simsbury, CT 06070-1141 | Advanced Practice Registered Nurse | 2020-05-01 ~ 2021-04-30 |
| Peggy A Ashley | Po Box 2415, Cornelius, NC 28031-2415 | Advanced Practice Registered Nurse | ~ |
| Michelle O Itidiare | 255 Baltusrol Way, Springfield, NJ 07081-2107 | Advanced Practice Registered Nurse | ~ |
| Kathleen Dibiase | 26 Independence Way, Titusville, NJ 08560 | Advanced Practice Registered Nurse | ~ |
| Kristin Lee | 516 Kilburn Ct, Franklin, TN 37067-1371 | Advanced Practice Registered Nurse | 2016-08-01 ~ 2017-07-31 |
| Luz E Valentin | 16 Wakeley Rd, Newington, CT 06111-3159 | Advanced Practice Registered Nurse | 2020-05-01 ~ 2021-04-30 |
| Nicole Sandilands | 253 Woodrow Ave, Southport, CT 06890 | Advanced Practice Registered Nurse | ~ |
Please comment or provide details below to improve the information on MICHAELA M LIS.
| 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).