LISA A MALONE PA (Credential# 421597) 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 A MALONE PA is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0038548. 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 48 Carriage Drive, Avon, CT 06001. The current status is active.
| Licensee Name | LISA A MALONE PA |
| Credential ID | 421597 |
| Credential Number | CSP.0038548 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
48 Carriage Drive Avon CT 06001 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2005-11-15 |
| Effective Date | 2019-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2019-01-15 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 741783 | 23.000034 | Physician Assistant | 1993-06-25 | 2019-12-01 - 2020-11-30 | ACTIVE |
| 200528 | CSP.0027617 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 1998-10-28 - 1999-02-28 | INACTIVE |
| Street Address | 48 CARRIAGE DRIVE |
| City | AVON |
| State | CT |
| Zip Code | 06001 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Julie R Deitch | 5 Bridle Path, Avon, CT 06001 | Dental Hygienist | 2020-07-01 ~ 2021-06-30 |
| Brigitte Nicole Heleniak | 16 Sunset Trail, Avon, CT 06001 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Coffee Trade Inc (the) | 21 West Main St, Avon, CT 06001 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Elizabeth Stockwell | 44 Applewood Lane, Avon, CT 06001 | Real Estate Salesperson | ~ |
| Mollie Velma Lahaie | 14 Red Mountain Lane, Avon, CT 06001 | Registered Nurse | 2020-06-26 ~ 2020-08-31 |
| Meiling Chen | Avon Nail 315 W Main Street, Avon, CT 06001 | Nail Technician | ~ |
| Richard J Kaiser | 72 Westland Road, Avon, CT 06001 | Architect | 2020-08-01 ~ 2021-07-31 |
| Michele L Sweitzer | 12 Bluestone Lane, Avon, CT 06001 | Real Estate Salesperson | 2020-06-25 ~ 2021-05-31 |
| Caroline O Amin | 5 Colby Way, Avon, CT 06001 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
| Christine Burns | 102 New Road, Avon, CT 06001 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Find all Licenses in zip 06001 | |||
| City | AVON |
| Zip Code | 06001 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + AVON |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Erin Malone | 144 Gannet Dr, Southington, CT 06489-1715 | Controlled Substance Registration for Practitioner | ~ |
| Brian B Malone | 18 Byron Dr, Avon, CT 06001-4506 | Controlled Substance Registration for Practitioner | 2015-03-13 ~ 2019-02-28 |
| Kathryn E Malone | 5647 Cabot Dr, Oakland, CA 94611 | Controlled Substance Registration for Practitioner | 1994-05-04 ~ 1996-01-01 |
| Kevin M Malone | 107a Fiddler Green Rd, Stratford, CT 06614 | Controlled Substance Registration for Practitioner | 2006-03-01 ~ 2007-02-28 |
| Patricia C Malone Aprn | 36 Plainfield Road, West Hartford, CT 06117 | Controlled Substance Registration for Practitioner | 1999-03-01 ~ 2000-02-28 |
| Marian Catherine Malone | 2655 Northwinds Pkwy, Alpharetta, GA 30009-2280 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Matthew T Malone Do | 28312 Town Walk Drive, Hamden, CT 06518 | Controlled Substance Registration for Practitioner | 2006-01-09 ~ 2007-02-28 |
| 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 |
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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).