LISA A FRALEIGH DO (Credential# 563211) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is April 1, 2010. The license expiration date date is March 31, 2011. The license status is INACTIVE.
LISA A FRALEIGH DO is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.045629-DO. The credential type is physician/surgeon. The effective date is April 1, 2010. The expiration date is March 31, 2011. The business address is 8 Oakland Ave, Farmington, CT 06032. The current status is inactive.
| Licensee Name | LISA A FRALEIGH DO |
| Credential ID | 563211 |
| Credential Number | 1.045629-DO |
| Credential Type | Physician/Surgeon |
| Credential SubCategory | DO |
| Business Address |
8 Oakland Ave Farmington CT 06032 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 2007-07-09 |
| Effective Date | 2010-04-01 |
| Expiration Date | 2011-03-31 |
| Refresh Date | 2011-07-01 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 482330 | CSP.0042602 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2007-09-17 | 2009-03-12 - 2011-02-28 | INACTIVE |
| Street Address | 8 OAKLAND AVE |
| City | FARMINGTON |
| State | CT |
| Zip Code | 06032 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Sairah Ahmed Md | 8 Oakland Ave, Farmington, CT 06032 | Physician/surgeon | 2007-03-26 ~ 2008-04-30 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Kyeongsuk Lee Lee | 11- A1 Lakeshore Dr, Farmington, CT 06032 | Nail Technician | ~ |
| Lynne M Ramer · Sobowicz | 13 Wentworth Park, Farmington, CT 06032 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Scott's Townline Mobil LLC | 435 Main St, Farmington, CT 06032 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Glenna E Voytovich · Mietz | 47 Carriage Dr, Farmington, CT 06032 | Marital and Family Therapist | 2020-09-01 ~ 2021-08-31 |
| Munsons Chocolates | 463 Westfarms Mall, Farmington, CT 06032 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Kimberly A. Caprio | Hartford Healthcare Medical Group, Farmington, CT 06032 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Stephanie A. Fink | 22 Kent Lane, Farmington, CT 06032 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Farmington Donuts LLC · Dunkins Donuts | 348 Colt Hwy, Farmington, CT 06032 | Bakery | 2020-07-01 ~ 2021-06-30 |
| Angham Zakko | 2 Stratford Rd., Farmington, CT 06032 | Architect | 2020-08-01 ~ 2021-07-31 |
| Thomas N Taylor | 222 Main St # 264, Farmington, CT 06032 | Architect | 2020-08-01 ~ 2021-07-31 |
| Find all Licenses in zip 06032 | |||
| City | FARMINGTON |
| Zip Code | 06032 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + FARMINGTON |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Lisa Das | 26 Tamie Way, Pittsfield, MA 01201 | Physician/surgeon | 2000-01-24 ~ 2001-03-31 |
| Ana Lisa Carr | Po Box 34457, Omaha, NE 68134-0457 | Physician/surgeon | ~ |
| Lisa J Trencher | 2-11 B Peck Ave, Rye, NY 10580 | Physician/surgeon | 1999-05-20 ~ 2000-05-31 |
| Nicole M Absar | 58 Lisa Ave, Plymouth, MA 02360-5016 | Physician/surgeon | ~ |
| Lisa Rho | 1 Cityplace Dr Ste 570, Saint Louis, MO 63141-7067 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Lisa T Canter Md | 39 May Brook Rd, Woodstock, CT 06281 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Lisa M Bienia Kenton | 4 Fox Run, Sturbridge, MA 01566-1514 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Lisa A Burch | 119 Hart St, New Britain, CT 06052 | Physician/surgeon | 1994-02-14 ~ 1995-03-31 |
| Lisa S Visscher Md | 9 Washington Ave, Hamden, CT 06518 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
| Lisa G Fillmore Md | 196 Canner St, New Haven, CT 06511-2233 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
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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).