DAVID K LISLE (Credential# 561597) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is January 29, 2007. The license expiration date date is October 31, 2007. The license status is INACTIVE.
DAVID K LISLE is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.044015. The credential type is physician/surgeon. The effective date is January 29, 2007. The expiration date is October 31, 2007. The business address is 2952 Ne 178th Street, Lake Forest Park, WA 98155. The current status is inactive.
| Licensee Name | DAVID K LISLE |
| Credential ID | 561597 |
| Credential Number | 1.044015 |
| Credential Type | Physician/Surgeon |
| Business Address |
2952 Ne 178th Street Lake Forest Park WA 98155 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 2006-01-10 |
| Effective Date | 2007-01-29 |
| Expiration Date | 2007-10-31 |
| Refresh Date | 2009-07-08 |
| Street Address | 2952 NE 178th Street |
| City | Lake Forest Park |
| State | WA |
| Zip Code | 98155 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Alliance for Children Everywhere | Po Box 55145, Seattle, WA 98155 | Public Charity | 2019-12-01 ~ 2020-11-30 |
| T J Nesbitt | 3615 Ne 145th St, Seattle, WA 98155 | Professional Engineer | 1800-12-27 ~ 1987-01-31 |
| Moly Sam | 21st Place Ne, Shoreline, WA 98155 | Hairdresser/cosmetician | 2004-10-04 ~ 2006-10-31 |
| Fern B Balch | 2603 Ne 195th Lane, Seattle, WA 98155 | Registered Nurse | 2000-01-19 ~ 2001-02-28 |
| Kathleen G Ducey | 19502 14th Avenue Ne, Shoreline, WA 98155 | Registered Nurse | 2000-07-19 ~ 2001-04-30 |
| Petrie M Rainey | 5223 Ne 187th Street, Lake Forest Park, WA 98155 4345 | Physician/surgeon | 1999-06-15 ~ 2000-08-31 |
| Thomas K. Hazlet | 17015 37th Avenue Northeast, Lake Forest Park, WA 98155-5426 | Pharmacist | 2014-02-01 ~ 2016-01-31 |
| City | Lake Forest Park |
| Zip Code | 98155 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + Lake Forest Park |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| David Chu Md | 358 W Hyerdale Dr, Goshen, CT 06756 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| David Brian Feig | 701 5th Ave, Seattle, WA 98104 | Physician/surgeon | ~ |
| David R Widrow Md | 22 Fifth St, Stamford, CT 06905 | Physician/surgeon | 2002-08-20 ~ 2003-10-31 |
| David C Kim | 1345 Rxr Plz, Uniondale, NY 11556-1301 | Physician/surgeon | 2019-04-01 ~ 2020-03-31 |
| David S Wilcox | P.o. Box 384, Osterville, MA 02655 | Physician/surgeon | 1996-03-14 ~ 1997-05-31 |
| David A Crowe | Po Box 677, Millwood, NY 10546-0677 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| David Khaski | 372 Avenue U Ste 1b, Brooklyn, NY 11223-4052 | Physician/surgeon | ~ |
| David M Heydt | 34 Loft Dr, Martinsville, NJ 08836-2261 | Physician/surgeon | ~ |
| David I Soybel | Fmb 109, New Haven, CT 06511 | Physician/surgeon | 1992-10-23 ~ 1993-11-30 |
| David D Giardina | 10 Little Fox La, Westport, CT 06880 | Physician/surgeon | 2004-07-06 ~ 2005-07-31 |
Please comment or provide details below to improve the information on DAVID K LISLE.
| 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).