LAWRENCE J FORTIER (Credential# 545691) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is April 1, 2020. The license expiration date date is March 31, 2021. The license status is ACTIVE.
LAWRENCE J FORTIER is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.025854. The credential type is physician/surgeon. The effective date is April 1, 2020. The expiration date is March 31, 2021. The business address is Cosmetic Laser and Skin Care Center, Wethersfield, CT 06109. The current status is active.
Licensee Name | LAWRENCE J FORTIER |
Credential ID | 545691 |
Credential Number | 1.025854 |
Credential Type | Physician/Surgeon |
Business Address |
Cosmetic Laser and Skin Care Center Wethersfield CT 06109 |
Business Type | INDIVIDUAL |
Status | ACTIVE - CURRENT |
Active | 1 |
Issue Date | 1984-08-03 |
Effective Date | 2020-04-01 |
Expiration Date | 2021-03-31 |
Refresh Date | 2020-03-13 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
157168 | CSP.0013975 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 1999-03-01 | 2019-03-01 - 2021-02-28 | ACTIVE |
Street Address | Cosmetic Laser and Skin Care Center |
City | WETHERSFIELD |
State | CT |
Zip Code | 06109 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Susan E Dimauro | 330 Ridge Rd, Wethersfield, CT 06109 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
Mary Boccacio | 174 Longvue Drive, Wethersfield, CT 06109 | Esthetician | ~ |
Steven C Hine | 294 Hang Dog Ln, Wethersfield, CT 06109 | Architect | 2020-08-01 ~ 2021-07-31 |
Karolina Monika Fitrzyk | 41 Mountain Laurel, Wethersfield, CT 06109 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
Matthew R Dobos | 33 Oxford St, Wethersfield, CT 06109 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
Samantha Grabbe | 17 Rockland St, Wethersfield, CT 06109 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
Judith M Martz | 307 Nott Street, Wethersfield, CT 06109 | Licensed Practical Nurse | 2020-07-01 ~ 2021-06-30 |
Ups Store (the) | 1077 Silas Deane Hwy, Wethersfield, CT 06109 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
Amber H Washington | 103 Parkview Drive, Wethersfield, CT 06109 | Hairdresser/cosmetician | 2020-09-01 ~ 2022-08-31 |
Kathleen A Mullady · Brancati | 75 Dale Rd, Wethersfield, CT 06109 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
Find all Licenses in zip 06109 |
City | WETHERSFIELD |
Zip Code | 06109 |
License Type | Physician/Surgeon |
License Type + County | Physician/Surgeon + WETHERSFIELD |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Alexander J Fortier Md | 505 Willard Ave Ste 2b, Newington, CT 06111 | Physician/surgeon | 2016-07-01 ~ 2017-06-30 |
Jillian L Fortier | Uconn Health Center, Department of Surgery, Farmington, CT 06030-0001 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
Patrick J Fortier Inc · P Fortier & Sons Inc | 66 Locust St, West Haven, CT 06516 | Home Improvement Contractor | 2019-12-01 ~ 2020-11-30 |
Richard Fortier · Fortier Exteriors | 739 Mt Vernon Rd, Southington, CT 06489 | Home Improvement Contractor | 1999-12-01 ~ 2000-11-30 |
Jem M Fortier | 30 Lawrence Ln, Torrington, CT 06790-4444 | Real Estate Salesperson | 2016-06-01 ~ 2017-05-31 |
Danielle Fortier | 39 Lawrence Dr, Lebanon, CT 06249-2038 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
Yuk M Law | 253 Lawrence St, New Haven, CT 06511 | Physician/surgeon | 1993-11-30 ~ 1994-12-31 |
Lawrence Reed | 45 E 85 St, New York, NY 10028 | Physician/surgeon | 1999-02-18 ~ 2000-03-31 |
Lawrence N Deweil Do | 38 3rd St, Brooklyn, NY 11231-4852 | Physician/surgeon | 2008-11-17 ~ 2009-09-30 |
Lawrence G Lareau | 900 4th Ave, Warren, PA 16365-1888 | 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).