LISA STATES MD (Credential# 168713) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 1997. The license expiration date date is February 28, 1998. The license status is INACTIVE.
LISA STATES MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0024295. The credential type is controlled substance registration for practitioner. The effective date is March 1, 1997. The expiration date is February 28, 1998. The business address is 5500 Wissahickon Ave, Philadelphia, PA 19144. The current status is inactive.
| Licensee Name | LISA STATES MD |
| Credential ID | 168713 |
| Credential Number | CSP.0024295 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
5500 Wissahickon Ave Philadelphia PA 19144 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE |
| Effective Date | 1997-03-01 |
| Expiration Date | 1998-02-28 |
| Refresh Date | 2009-01-26 |
| Street Address | 5500 WISSAHICKON AVE |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19144 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Jonathan Joseph Vitti | 5500 Wissahickon Ave, Philadelphia, PA 19144 | Registered Nurse | 2019-05-28 ~ 2020-05-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Sabaa N Alvi | 2979 W School House Ln, Philadelphia, PA 19144 | Physician/surgeon | 2015-11-02 ~ 2016-11-30 |
| Sqa Pharmacy Services | 4700 Wissahickon Ave, Philadelphia, PA 19144 | Nonresident Pharmacy | 2014-09-01 ~ 2015-08-31 |
| Opportunities Industrialization Centers International | 240 West Tulpehocken Street, Philadelphia, PA 19144 | Public Charity | 2005-10-01 ~ 2006-02-28 |
| Theodore J Colterelli | 42-1 Ferne Blvd., Drexel Hill, PA 19144 | Physician/surgeon | 2009-10-01 ~ 2010-06-30 |
| Lisa M Carter | 35 Ashmead Place, South Philaelphia, PA 19144 | Occupational Therapist | 1994-05-23 ~ 1995-07-31 |
| Kareem H Taylor | 6345 Ross Street, Philadelphia, PA 19144 | Asbestos Abatement Worker | 2002-03-13 ~ 2003-01-31 |
| Emily Levitt-gopie | 152 West Penn St., Philadelphia, PA 19144 | Registered Nurse | 2004-08-12 ~ 2005-04-30 |
| Gaynell Pullen | 6233 Mccallum Street, Philadelphia, PA 19144 | Registered Nurse | 2006-06-01 ~ 2007-05-31 |
| Judith Bonita Oliver | 6137 Morton Street, Philadelphia, PA 19144-1002 | Physical Therapist Assistant | 2018-04-03 ~ 2018-10-31 |
| Ambria Reid | 6345 Ross St, Philadelphia, PA 19144-1650 | Registered Nurse | 2019-02-19 ~ 2019-12-31 |
| Find all Licenses in zip 19144 | |||
| City | PHILADELPHIA |
| Zip Code | 19144 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + PHILADELPHIA |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Lisa Phuong | 440 W End Ave Apt 12f, New York, NY 10024-5358 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Lisa J Mao | 49 Lake Ave, Greenwich, CT 06830-4501 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Lisa D Picascia | Middletown, CT 06457 | Controlled Substance Registration for Practitioner | 2018-04-04 ~ 2019-02-28 |
| Lisa K Yoo Do | 121 Gower Rd, New Canaan, CT 06840 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Lisa M Fox | 50 Woodland Dr, Northford, CT 06472-1206 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Lisa Kim | 56 Franklin St, Waterbury, CT 06706-1253 | Controlled Substance Registration for Practitioner | 2015-04-23 ~ 2017-02-28 |
| Lisa Walker | 91 Mather Rd, Stamford, CT 06903-3026 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Lisa L. Boule' | 26 Sugar St, Newtown, CT 06470-2020 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Lisa B Namerow | 200 Retreat Ave., Hartford, CT 06106 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Lisa O'donovan | 20 York St Rm 226, New Haven, CT 06510-3220 | Controlled Substance Registration for Practitioner | 2019-06-05 ~ 2021-02-28 |
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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).