LEE WALLACE MD (Credential# 158896) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2015. The license expiration date date is February 28, 2017. The license status is INACTIVE.
LEE WALLACE MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0017125. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2015. The expiration date is February 28, 2017. The business address is 40 Hart Street, New Britain, CT 06052. The current status is inactive.
| Licensee Name | LEE WALLACE MD |
| Credential ID | 158896 |
| Credential Number | CSP.0017125 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
40 Hart Street New Britain CT 06052 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE |
| Issue Date | 1999-03-01 |
| Effective Date | 2015-03-01 |
| Expiration Date | 2017-02-28 |
| Refresh Date | 2019-01-09 |
| Street Address | 40 HART STREET |
| City | NEW BRITAIN |
| State | CT |
| Zip Code | 06052 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Sharon R Goldberg Md | 40 Hart Street, New Britain, CT 06052 | Controlled Substance Registration for Practitioner | 2009-03-01 ~ 2011-02-28 |
| John J Brunette | 40 Hart Street, New Britain, CT 06052 | Physician/surgeon | 1992-06-25 ~ 1993-05-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Lisa G Ibsen | 126 Winthrop Street, New Britain, CT 06052 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Angelo's Market | 349 W Main St, New Britain, CT 06052 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Mya S Tillman | 285 Monroe Street, New Britain, CT 06052 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Victoria Karolczyk | 20 Caral Street, New Britain, CT 06052 | Hairdresser/cosmetician | 2020-08-01 ~ 2022-07-31 |
| Joanne Walker | 61 Brookside Road, New Britain, CT 06052 | Real Estate Salesperson | ~ |
| Elizabeth J Laska | 425 Lincoln Street, New Britain, CT 06052 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Amparo Channer | 290 Corbin Avenue, New Britain, CT 06052 | Hairdresser/cosmetician | 2020-09-01 ~ 2022-08-31 |
| Renee' Christa Joseph-ervin | 8 West End Ave, New Britian, CT 06052 | Notary Public Appointment | 2020-06-17 ~ 2025-06-30 |
| Susan B Vitelli | 141 Streamside Lane, New Britain, CT 06052 | Hairdresser/cosmetician | 2020-09-01 ~ 2022-08-31 |
| Kaylie Jean Washburn | 105 South Burritt St. Apt. 2, New Britain, CT 06052 | Professional Counselor Associate | 2020-06-17 ~ 2021-03-31 |
| Find all Licenses in zip 06052 | |||
| City | NEW BRITAIN |
| Zip Code | 06052 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + NEW BRITAIN |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| E F Wallace Dvm | Torrington Rd, Litchfield, CT 06759 | Controlled Substance Registration for Practitioner | 1994-04-15 ~ 1996-05-01 |
| Suemoy Wallace | 80 Seymour St, Hartford, CT 06102-8000 | Controlled Substance Registration for Practitioner | 2009-09-14 ~ 2011-02-28 |
| Richard B Wallace Md | 7 Devonshire Dr, Waterford, CT 06385-1701 | Controlled Substance Registration for Practitioner | 2003-03-01 ~ 2004-02-28 |
| Lydia Wallace | 289 Green St, Boston, MA 02130-2660 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Wallace B Hirschberg | 27 Bridge Street, Stamford, CT 06905 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Angela B Pressley-wallace | 15 Butler Dr, Glastonbury, CT 06033-3510 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| James M Crowley Pa | 23 Wallace Road, Sturbridge, MA 01566 | Controlled Substance Registration for Practitioner | 2006-03-01 ~ 2007-02-28 |
| Matthew C Wallace Md | 4330 Spectrum One, San Antonio, TX 78230 | Controlled Substance Registration for Practitioner | 2009-03-01 ~ 2011-02-28 |
| Ryan Wallace | 100 Stevenson Road, New Haven, CT 06515 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Ramesh B Bandagorla | 2138 Wallace Ave Apt 268, Bronx, NY 10462-2584 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
Please comment or provide details below to improve the information on LEE WALLACE MD.
| 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).