ANNE L LALLY MD (Credential# 557884) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is July 1, 2020. The license expiration date date is June 30, 2021. The license status is ACTIVE.
ANNE L LALLY MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.040301. The credential type is physician/surgeon. The effective date is July 1, 2020. The expiration date is June 30, 2021. The business address is 505 Willard Ave, Newington, CT 06111-2650. The current status is active.
| Licensee Name | ANNE L LALLY MD |
| Credential ID | 557884 |
| Credential Number | 1.040301 |
| Credential Type | Physician/Surgeon |
| Business Address |
505 Willard Ave Newington CT 06111-2650 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2002-04-03 |
| Effective Date | 2020-07-01 |
| Expiration Date | 2021-06-30 |
| Refresh Date | 2020-06-24 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 300484 | CSP.0031848 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2002-04-04 | 2019-03-01 - 2021-02-28 | ACTIVE |
| Street Address | 505 WILLARD AVE |
| City | NEWINGTON |
| State | CT |
| Zip Code | 06111-2650 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Scott M Benson | 505 Willard Ave, Newington, CT 06111-2650 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Hartford Hospital Eye Surgery Center · Constitution Eye Surgery Center, LLC | 505 Willard Ave, Newington, CT 06111-2650 | Out-patient Surgical Facility | 2009-10-01 ~ 2011-09-30 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Douglas H Macgilpin | 505 Willard Ave Bldg 2, Newington, CT 06111-2650 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Solinsky Eye Care LLC | 505 Willard Ave Bldg 2, Newington, CT 06111-2650 | Optical Selling Permit | 2019-09-01 ~ 2020-08-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Anastasya Anisimova | 114 Fox Run Court, Newington, CT 06111 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Karen S Cleaveland | 52 Amidon Ave, Newington, CT 06111 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Leeann R Johnson | 17 Cinnamon Rd, Newington, CT 06111 | Notary Public Appointment | 2020-09-01 ~ 2025-08-31 |
| Isma Mian | 65 Cortland Way, Newington, CT 06111 | Physician/surgeon | ~ |
| Danielle Rocha | 1582 Willard Ave, Newington, CT 06111 | Notary Public Appointment | 2020-06-26 ~ 2025-06-30 |
| Munson's Chocolates | 3157 Berlin Tpke, Newington, CT 06111 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Shandea Edwards | 21 Hartford Ave #14, Newington, CT 06111 | Medication Administration Certification | ~ |
| Hengchao Xiong | 47 Adam Dr, Newington, CT 06111 | Nail Technician | ~ |
| Tuyen Le Phan | 71 Lantern Hill, Newington, CT 06111 | Nail Technician | ~ |
| Smita Parth Dave | 192 Brookside Rd, Newington, CT 06111 | Esthetician | ~ |
| Find all Licenses in zip 06111 | |||
| City | NEWINGTON |
| Zip Code | 06111 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + NEWINGTON |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Anne Lally | 20 Wolf Hill Road, Wolcott, CT 06716 | Registered Nurse | 2012-07-01 ~ 2013-06-30 |
| Harold J Lally · Hj Lally Construction | 51 Kibbe Rd, Ellington, CT 06029 | Home Improvement Contractor | 2006-12-01 ~ 2007-11-30 |
| Cafe Lally | 7 Railroad St, West Cornwall, CT 06796 | Bakery | 2000-08-16 ~ 2001-06-30 |
| Anne S Davidson | Randolph, NJ 07869-1243 | Physician/surgeon | 2009-10-01 ~ 2010-09-30 |
| Anne Pearl | 17 Keeler Pl, Ridgefield, CT 06877 | Physician/surgeon | 1992-10-23 ~ 1993-11-30 |
| Anne R Bass | 535 E 70th St, New York, NY 10021-4823 | Physician/surgeon | 1991-03-15 ~ 1995-04-30 |
| Anne B. Platt | 127 Beethoven Ct, Eastport, NY 11941-1603 | Physician/surgeon | 2015-04-01 ~ 2016-03-31 |
| Anne E Allan | 28 Kingswood Rd., Auburndale, MA MA | Physician/surgeon | 2001-04-16 ~ 2002-05-31 |
| Anne M Ferris | 62 Rockledge Rd #1a, Hartsdale, NY 10530 | Physician/surgeon | 2000-03-06 ~ 2000-09-30 |
| Marie-anne Denayer Md | 31 Lee Dr, Southington, CT 06489-2926 | Physician/surgeon | 2016-01-01 ~ 2016-12-31 |
Please comment or provide details below to improve the information on ANNE L LALLY MD.
| 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).