LISA M GAGNON APRN (Credential# 357344) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2019. The license expiration date date is February 28, 2021. The license status is ACTIVE.
LISA M GAGNON APRN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0034391. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2019. The expiration date is February 28, 2021. The business address is 148 Blue Hills Trl, Glastonbury, CT 06033-2854. The current status is active.
| Licensee Name | LISA M GAGNON APRN |
| Credential ID | 357344 |
| Credential Number | CSP.0034391 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
148 Blue Hills Trl Glastonbury CT 06033-2854 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2003-12-26 |
| Effective Date | 2019-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2019-01-11 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 619787 | 10.E50610 | Registered Nurse | 1987-09-14 | 2019-12-01 - 2020-11-30 | ACTIVE |
| 680688 | 12.002510 | Advanced Practice Registered Nurse | 2001-06-13 | 2019-12-01 - 2020-11-30 | ACTIVE |
| Street Address | 148 BLUE HILLS TRL |
| City | GLASTONBURY |
| State | CT |
| Zip Code | 06033-2854 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Gina Rossetti | 79 Blue Hills Trl, Glastonbury, CT 06033-2854 | Emergency Medical Technician | 2020-03-05 ~ 2021-12-31 |
| Tessa L Plummer | 44 Blue Hills Trl, Glastonbury, CT 06033-2854 | Emergency Medical Technician | 2019-08-08 ~ 2022-06-30 |
| Michelle L Hill | 174 Blue Hills Trl, Glastonbury, CT 06033-2854 | Speech and Language Pathologist | 2019-10-01 ~ 2020-09-30 |
| Marci Kantor · Aforismo | 128 Blue Hills Trl, Glastonbury, CT 06033-2854 | Registered Nurse | 2019-07-01 ~ 2020-06-30 |
| Darley K Chandy | 117 Blue Hills Trl, Glastonbury, CT 06033-2854 | Radiographer | 2017-10-31 ~ 2018-12-31 |
| Shuaike Ma | 210 Blue Hills Trl, Glastonbury, CT 06033-2854 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Vanessa Segal | 46 Salem Court, Glastonbury, CT 06033 | Hairdresser/cosmetician | ~ |
| Laura Nadeau | 3641 Hebron Ave, Glastonbury, CT 06033 | Respiratory Care Practitioner | 2020-08-01 ~ 2021-07-31 |
| Abigail Lynn Hubbard | 55 Brookview Drive, Glastonbury, CT 06033 | Emergency Medical Technician | ~ |
| Maureen E Booth | 36 Hubbard Run Drive, Glastonbury, CT 06033 | Speech and Language Pathologist | 2020-07-01 ~ 2021-06-30 |
| Wendy B Johnson | 1789 Main St, Glastonbury, CT 06033 | Architect | 2020-08-01 ~ 2021-07-31 |
| Michael D Devanney Pa | 28 Evergreen Ln, Glastonbury, CT 06033 | Physician Assistant | 2020-09-01 ~ 2021-08-31 |
| Sophie C Gomez · Pirog | 81 Three Mile Rd, Glastonbury, CT 06033 | Licensed Practical Nurse | 2020-07-01 ~ 2021-06-30 |
| Jennifer R Briones | 90 Deerfield Drive, Glastonbury, CT 06033 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Munson's Chocolates | 135 Glastonbury Blvd, Glastonbury, CT 06033 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Yulhun Sung | 245 Griswold St Unit A, Glastonbury, CT 06033 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Find all Licenses in zip 06033 | |||
| City | GLASTONBURY |
| Zip Code | 06033 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + GLASTONBURY |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Lisa L Hoffer Aprn | 84 2nd St, New Haven, CT 06519-2604 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Lisa C Rivera Aprn | 94 Cow Hill Rd, Killingworth, CT 06419-2402 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Lisa J Bedard Aprn | 19 Sparrow Dr, Westerly, RI 02891 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Lisa Consiglio Aprn | 92 Ridgewood Drive, Middlebury, CT 06762 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Lisa M Marvin-smith Aprn | 48 Stonewall Lane, Madison, CT 06443 | Controlled Substance Registration for Practitioner | 2019-03-06 ~ 2021-02-28 |
| Lisa Q Corbett Aprn | 243 Silver Street, North Granby, CT 06060 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Lisa Stern Aprn | 324 Saint John St Unit 1, New Haven, CT 06511-4913 | Controlled Substance Registration for Practitioner | 2009-03-01 ~ 2011-02-28 |
| Lisa Capobianco Aprn | Milford Pediatric Group PC, Milford, CT 06460 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Patrick L Gagnon | 2875 Main Street 2a, Stratford, CT 06614-4977 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Paul M Gagnon Md | 1865 Main St, East Hartford, CT 06108 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
Please comment or provide details below to improve the information on LISA M GAGNON APRN.
| 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).