ANDREA LYONS MD (Credential# 547025) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is April 6, 1998. The license expiration date date is April 30, 1999. The license status is INACTIVE.
ANDREA LYONS MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.028191. The credential type is physician/surgeon. The effective date is April 6, 1998. The expiration date is April 30, 1999. The business address is 21 Dingee Road, South Salem, NY 10590-1501. The current status is inactive.
| Licensee Name | ANDREA LYONS MD |
| Credential ID | 547025 |
| Credential Number | 1.028191 |
| Credential Type | Physician/Surgeon |
| Business Address |
21 Dingee Road South Salem NY 10590-1501 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 1987-06-19 |
| Effective Date | 1998-04-06 |
| Expiration Date | 1999-04-30 |
| Refresh Date | 2009-07-11 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 158815 | CSP.0019996 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 1998-03-01 - 1999-02-28 | INACTIVE |
| Street Address | 21 DINGEE ROAD |
| City | SOUTH SALEM |
| State | NY |
| Zip Code | 10590-1501 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Diane K Bowler | 21 Dingee Road, South Salem, NY 10590 | Registered Nurse | 2020-06-01 ~ 2021-05-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Merritt Commercial Realty LLC | 37 Dingee Rd, South Salem, NY 10590-1501 | Real Estate Broker | 2020-04-01 ~ 2021-03-31 |
| Patricia A Delapa · Bauer | 7 Dingee Rd, South Salem, NY 10590-1501 | Registered Nurse | 2019-10-01 ~ 2020-09-30 |
| John C Merritt Jr | 37 Dingee Rd, South Salem, NY 10590-1501 | Real Estate Broker | ~ |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Alice B Gottlieb | 51 Twin Lakes Rd, South Salem, NY 10590 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
| Lorraine M Gengo | 65 Grandview Road, South Salem, NY 10590 | Massage Therapist | 2020-06-01 ~ 2022-05-31 |
| Jon C Jensen | 11 Elmwood Rd, South Salem, NY 10590 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| Ann Marie Sementilli | 14 East Street, South Salem, NY 10590 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| Louis M Galasso | 162 Journeys End Rd, South Salem, NY 10590 | Real Estate Salesperson | 2019-06-01 ~ 2020-05-31 |
| Bozena Piechota | 4 Rainbow Hill Road, South Salem, NY 10590 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| Jane H Wakeman | 457 Smith Ridge Rd., South Salem, NY 10590 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| Mark A Caviola | 14 North Lake Circle, South Salem, NY 10590 | Sub-surface Sewage Installer | 2020-08-01 ~ 2021-07-31 |
| Ann M Nolan | 171journey's End Road, South Salem, NY 10590 | Physical Therapist | 2020-07-01 ~ 2021-06-30 |
| Denise T Mackin | 2 Country Lane, South Salem, NY 10590 | Notary Public Appointment | 2020-07-01 ~ 2025-06-30 |
| Find all Licenses in zip 10590 | |||
| City | SOUTH SALEM |
| Zip Code | 10590 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + SOUTH SALEM |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Lyons & Lyons PC | 898 Ethan Allen Highway Suite 1, Ridgefield, CT 06877-2831 | Certified Public Accountant Firm Permit | 2020-01-01 ~ 2020-12-31 |
| Edward A Longo | 60 Lyons Run Rd, Glenmoore, PA 19343 | Physician/surgeon | 1996-12-20 ~ 1998-02-28 |
| Anand Dave | 415 N Lanier St, Lyons, GA 30436-1241 | Physician/surgeon | 2020-06-01 ~ 2021-06-30 |
| Sheldon N Lyons | 14 Windsor Place, Longmeadow, MA 01106 | Physician/surgeon | 1996-10-31 ~ 1997-11-30 |
| Scott M Suchin | 178 Lyons Road, Scarsdale, NY 10583 | Physician/surgeon | 2004-08-02 ~ 2005-08-31 |
| Ramani Madhavan | 5 Lyons Lane, Coram, NY 11727 | Physician/surgeon | 1997-12-10 ~ 1998-09-30 |
| Wilbert A Lyons | 333 5 South 3rd Street, Perkasie, PA 18944 | Physician/surgeon | 2006-09-05 ~ 2007-09-30 |
| Robert W Lyons | 467 South Main St, Suffield, CT 06078 | Physician/surgeon | 2019-07-01 ~ 2020-06-30 |
| Benjamin Lyons | 2 Indian Point Lane, Westport, CT 06880 | Physician/surgeon | 1995-05-01 ~ 1996-03-31 |
| Thomas H Lyons | 21 Lake Meadow Lane, Newcastle, ME 04553 | Physician/surgeon | 2008-06-16 ~ 2009-08-31 |
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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).