LISA R BROWN PA (Credential# 419510) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2013. The license expiration date date is February 28, 2015. The license status is INACTIVE.
LISA R BROWN PA is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0038467. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2013. The expiration date is February 28, 2015. The business address is 1046 Castine Rd, Orland, ME 04472-3712. The current status is inactive.
Licensee Name | LISA R BROWN PA |
Credential ID | 419510 |
Credential Number | CSP.0038467 |
Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
Business Address |
1046 Castine Rd Orland ME 04472-3712 |
Business Type | INDIVIDUAL |
Status | INACTIVE |
Issue Date | 2005-10-24 |
Effective Date | 2013-03-01 |
Expiration Date | 2015-02-28 |
Refresh Date | 2016-01-29 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
743428 | 23.001679 | Physician Assistant | 2005-09-16 | 2014-03-01 - 2015-02-28 | INACTIVE |
Street Address | 1046 CASTINE RD |
City | ORLAND |
State | ME |
Zip Code | 04472-3712 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Lanae J Moline | 7 Fox Run Rd., Orland, ME 04472 | Speech and Language Pathologist | 2004-10-06 ~ 2005-10-31 |
Linda Mcallian | P O Box 228, Orland, ME 04472 | Registered Nurse | 1994-07-08 ~ 1995-08-31 |
Edward L Albert Jr | Po Box 543, Orland, ME 04472 | Electrical Unlimited Journeyperson | ~ |
Shawn P Evans | Po Box 98, Orland, ME 04472-0098 | Heating, Piping & Cooling Limited Journeyperson | 2010-09-01 ~ 2011-08-31 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Michele Wetmore Aprn | 10536 Demilo Pl 101a, Orland, FL 32836 | Advanced Practice Registered Nurse | 2006-11-28 ~ 2007-11-30 |
City | ORLAND |
Zip Code | 04472 |
License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + ORLAND |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Amy K Brown | 43 Palisade Ter, Glastonbury, CT 06033-3145 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Patricia Brown Pa | P O Box 315, Southwick, MA 01077 | Controlled Substance Registration for Practitioner | 1997-03-01 ~ 1998-02-28 |
Leah Brown | 8 E Porter Rd, Ellington, CT 06029-2711 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Taylor C Brown | 198 Alden Ave, New Haven, CT 06515-2112 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Erica R Brown | 65 Mcallister Rd, Bedford, NH 03110-5327 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Matthew A Brown | 5 Perryridge Rd, Greenwich, CT 06830-4608 | Controlled Substance Registration for Practitioner | 2011-03-07 ~ 2013-02-28 |
Leslie N Brown | 23 Gateway Rd, Colchester, CT 06415-1420 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Robert J Brown | 80 Seymour St, Hartford, CT 06102-8000 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
Milton F Brown | 3 Norman Dr, Bloomfield, CT 06002-2716 | Controlled Substance Registration for Practitioner | 2009-03-04 ~ 2011-02-28 |
Jessica Fowler | 95 Brown Ave Apt 3r, Holyoke, MA 01040-3528 | Controlled Substance Registration for Practitioner | 2020-05-29 ~ 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).