LISA S FERAYORNI
Physician/surgeon


Address: 33-b Buena Vista Rd, Stony Creek, CT 06405

LISA S FERAYORNI (Credential# 549548) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is February 24, 1997. The license expiration date date is March 31, 1998. The license status is INACTIVE.

Business Overview

LISA S FERAYORNI is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.031870. The credential type is physician/surgeon. The effective date is February 24, 1997. The expiration date is March 31, 1998. The business address is 33-b Buena Vista Rd, Stony Creek, CT 06405. The current status is inactive.

Basic Information

Licensee Name LISA S FERAYORNI
Credential ID 549548
Credential Number 1.031870
Credential Type Physician/Surgeon
Business Address 33-b Buena Vista Rd
Stony Creek
CT 06405
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 1991-08-30
Effective Date 1997-02-24
Expiration Date 1998-03-31
Refresh Date 2009-07-08

Other licenses

ID Credential Code Credential Type Issue Term Status
163120 CSP.0021946 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 1997-03-01 - 1998-02-28 INACTIVE

Office Location

Street Address 33-B BUENA VISTA RD
City STONY CREEK
State CT
Zip Code 06405

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Competitor

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City STONY CREEK
Zip Code 06405
License Type Physician/Surgeon
License Type + County Physician/Surgeon + STONY CREEK

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Dataset Information

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).

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