LUCAS ANISSIAN MD (Credential# 557635) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is October 1, 2013. The license expiration date date is September 30, 2014. The license status is INACTIVE.
LUCAS ANISSIAN MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.040052. The credential type is physician/surgeon. The effective date is October 1, 2013. The expiration date is September 30, 2014. The business address is 551 Linden, Shreveport, LA 71105. The current status is inactive.
| Licensee Name | LUCAS ANISSIAN MD |
| Credential ID | 557635 |
| Credential Number | 1.040052 |
| Credential Type | Physician/Surgeon |
| Business Address |
551 Linden Shreveport LA 71105 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 2001-12-18 |
| Effective Date | 2013-10-01 |
| Expiration Date | 2014-09-30 |
| Refresh Date | 2015-01-03 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 306363 | CSP.0031915 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2009-03-01 - 2011-02-28 | INACTIVE |
| Street Address | 551 LINDEN |
| City | SHREVEPORT |
| State | LA |
| Zip Code | 71105 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Kayla Brianne Kinnebrew | 317 Haynes Ave, Shreveport, LA 71105 | Registered Nurse | 2019-12-01 ~ 2020-11-30 |
| Veronica L Czarzasty | 1820 E. Kings Hwy #41, Shreveport, LA 71105 | Hairdresser/cosmetician | 2014-06-01 ~ 2016-05-31 |
| Sadaf Javaid | 2600 Celebration Cove, Shreveport, LA 71105 | Physician/surgeon | 2014-10-01 ~ 2015-09-30 |
| Anne W Gilbert | 6122 Burgundy Dr, Shreveport, LA 71105 | Registered Nurse | 1999-10-19 ~ 2000-10-31 |
| Carol A Pierce | 109 E. Southfield, Shreveport, LA 71105 | Physician/surgeon | 1978-08-08 ~ 1981-10-31 |
| Lami Yates | 1820 E Kings Hwy #56, Shreveport, LA 71105 | Registered Nurse | 2002-12-13 ~ 2003-11-30 |
| Dustin A Yates | 1820 E Kings Hwy #56, Shreveport, LA 71105 | Registered Nurse | 2002-05-06 ~ 2003-05-31 |
| Frederick W Gilbert | 6122 Burgundy Dr, Shreveport, LA 71105 | Professional Engineer | 1996-02-01 ~ 1997-01-31 |
| Kristina K Prestridge | 1925 E 70th St #52482, Shreveport, LA 71105-0002 | Registered Nurse | 2020-05-01 ~ 2020-12-31 |
| Nitish Badhwar Md | 3215 Knight St, Shreveport, LA 71105-2722 | Controlled Substance Registration for Practitioner | 1999-03-01 ~ 2000-02-28 |
| Find all Licenses in zip 71105 | |||
| City | SHREVEPORT |
| Zip Code | 71105 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + SHREVEPORT |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Laura E. Anissian | 13056 Knaus Rd, Lake Oswego, OR 97034 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Lucas V Terranova | 177 Vlei Rd, Rhinebeck, NY 12572 | Physician/surgeon | 2011-06-01 ~ 2012-05-31 |
| Lucas Meira Benchaya | 13 Forbes Ter, Pittsburgh, PA 15217-1413 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Tanya P Lucas | 2 Park Street, Enfield, CT 06082 | Physician/surgeon | 2000-09-01 ~ 2001-05-31 |
| Joseph J Lucas Jr | 22 Blackberry Lane, Chilmark, MA 02535 | Physician/surgeon | 1999-03-04 ~ 2000-04-30 |
| Lucas M Sheldon | 11995 Singletree Ln Ste 500, Eden Prairie, MN 55344-5349 | Physician/surgeon | 2017-06-01 ~ 2018-05-31 |
| Daniel Nathan Lucas | 8518 N 82nd St, Scottsdale, AZ 85258-2315 | Physician/surgeon | 1987-10-09 ~ 1989-06-30 |
| Lucas P Bachmann | 111 Opening Hill Road, Guilford, CT 06437-4703 | Physician/surgeon | 2016-05-01 ~ 2017-04-30 |
| Robin S Lucas | Chest & Intensive Care Medicine, Somerset, NJ 08873 | Physician/surgeon | 2011-04-01 ~ 2012-03-31 |
| Lucas Benjamin Ohmes | 473 Jersey Ave Apt# 101, Jersey City, NJ 07302 | Physician/surgeon | 2017-01-13 ~ 2017-02-28 |
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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).