LEWIS BADER MD (Credential# 541728) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is August 1, 2020. The license expiration date date is July 31, 2021. The license status is ACTIVE.
LEWIS BADER MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.015987. The credential type is physician/surgeon. The effective date is August 1, 2020. The expiration date is July 31, 2021. The business address is 710 Colonial Dr, Hilton Head Island, SC 29926-4213. The current status is active.
Licensee Name | LEWIS BADER MD |
Credential ID | 541728 |
Credential Number | 1.015987 |
Credential Type | Physician/Surgeon |
Business Address |
710 Colonial Dr Hilton Head Island SC 29926-4213 |
Business Type | INDIVIDUAL |
Status | ACTIVE - CURRENT |
Active | 1 |
Issue Date | 1973-04-23 |
Effective Date | 2020-08-01 |
Expiration Date | 2021-07-31 |
Refresh Date | 2020-05-26 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
150580 | CSP.0003636 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2013-03-01 - 2015-02-28 | INACTIVE |
Street Address | 710 COLONIAL DR |
City | HILTON HEAD ISLAND |
State | SC |
Zip Code | 29926-4213 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Nancy Devanna Miller | 3 Rusty Rail Lane, Hilton Head Island, SC 29926 | Physician Assistant | 2020-07-01 ~ 2021-06-30 |
Patricia Marsh | 25 Crosswinds Dr, Hilton Head Island, SC 29926 | Real Estate Broker | 2020-04-01 ~ 2021-03-31 |
Jill Suzanne Conrad | 34 Tansyleaf Dr, Hilton Head Island, SC 29926 | Registered Nurse | 2020-02-01 ~ 2021-01-31 |
John J Carreiro | 21 Lenox Lane, Hilton Head Island, SC 29926 | Notary Public Appointment | 2008-04-01 ~ 2013-03-31 |
June B Leclair | 1 King William Court, Hilton Head Island, SC 29926 | Registered Nurse | 2019-10-01 ~ 2020-09-30 |
Warren S Baudendistel · Ridgefield Realty Group Inc | 50 Myrtle Bank Rd, Hilton Head Island, SC 29926 | Real Estate Salesperson | 2003-06-01 ~ 2004-05-31 |
Nancy B Baldwin | 9 Sailwing Club Dr, Hilton Head Island, SC 29926 | Real Estate Salesperson | 2005-02-01 ~ 2005-05-31 |
Allison L Dwyer | 2 Toppin Drive, Hilton Head Island, SC 29926 | Advanced Practice Registered Nurse | 2015-07-01 ~ 2016-06-30 |
Thomas J. Mccarthy | 15 Marsh Winds, Hilton Head, SC 29926 | Certified Public Accountant License | 1996-01-01 ~ 1996-12-31 |
Sara Remigio | 30 West Morgan Court, Hilton Head Island, SC 29926 | Registered Nurse | 2012-07-01 ~ 2013-06-30 |
Find all Licenses in zip 29926 |
City | HILTON HEAD ISLAND |
Zip Code | 29926 |
License Type | Physician/Surgeon |
License Type + County | Physician/Surgeon + HILTON HEAD ISLAND |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Eric M Bader | 16 Sands St, Waterbury, CT 06710 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
Feras M Bader | 40 Prospect Avenue, Norwalk, CT 06850 | Physician/surgeon | 2002-10-17 ~ 2003-04-30 |
Bader J Aldossary | Saudi Arabia, Dhahran, OC 31431 | Physician/surgeon | 2019-10-01 ~ 2020-09-30 |
Aurangzeb A Ali Md | 455 Lewis Ave Ste 216, Meriden, CT 06451 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
Ali Hemdan Md | 455 Lewis Ave., Meriden, CT 06451 | Physician/surgeon | 2020-01-01 ~ 2020-12-31 |
Amy B Lewis | 111 E 75th St Apt 3a, New York, NY 10021-2816 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
Bader Construction LLC | 45 Hawthorne St Apt D1, Bristol, CT 06010-7033 | New Home Construction Contractor | 2015-10-01 ~ 2017-09-30 |
Lewis A Hofmann | 2427 Kemper Rd, Crofton, MD 21114-2552 | Physician/surgeon | ~ |
Diana P. Lewis | 701 5th Avenue, Seattle, WA 98104 | Physician/surgeon | 2019-09-01 ~ 2020-08-31 |
Barry Gordon Do | 455 Lewis Ave, Meriden, CT 06451 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
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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).