LISA K HINCKLEY (Credential# 563812) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is January 1, 2010. The license expiration date date is December 31, 2010. The license status is INACTIVE.
LISA K HINCKLEY is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.046230. The credential type is physician/surgeon. The effective date is January 1, 2010. The expiration date is December 31, 2010. The business address is 27363 431st Ave, Freeman, SD 57029-6012. The current status is inactive.
| Licensee Name | LISA K HINCKLEY |
| Credential ID | 563812 |
| Credential Number | 1.046230 |
| Credential Type | Physician/Surgeon |
| Business Address |
27363 431st Ave Freeman SD 57029-6012 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 2008-02-20 |
| Effective Date | 2010-01-01 |
| Expiration Date | 2010-12-31 |
| Refresh Date | 2011-04-04 |
| Street Address | 27363 431ST AVE |
| City | FREEMAN |
| State | SD |
| Zip Code | 57029-6012 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Nicole M Trusty | 1241 Smoky Ordinary Rd, Freeman, VA 23856-2012 | Registered Nurse | 2015-02-01 ~ 2016-01-31 |
| City | FREEMAN |
| Zip Code | 57029 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + FREEMAN |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Lisa J Trencher | 2-11 B Peck Ave, Rye, NY 10580 | Physician/surgeon | 1999-05-20 ~ 2000-05-31 |
| 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 | ~ |
| Nicole M Absar | 58 Lisa Ave, Plymouth, MA 02360-5016 | Physician/surgeon | ~ |
| Lisa M Cannon | 9 Cedar Dr, Danbury, CT 06810 | Physician/surgeon | 1994-11-18 ~ 1995-09-30 |
| Lisa Rho | 1 Cityplace Dr Ste 570, Saint Louis, MO 63141-7067 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Lisa C Zuckerwise | 35 French St, Fairfield, CT 06824-6331 | Physician/surgeon | 2016-04-01 ~ 2017-03-31 |
| Lisa V Knopf | 85 Seymour St Ste 815, Hartford, CT 06106-5527 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Lisa G Fillmore Md | 196 Canner St, New Haven, CT 06511-2233 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Lisa A Fraleigh Do | 8 Oakland Ave, Farmington, CT 06032 | Physician/surgeon | 2010-04-01 ~ 2011-03-31 |
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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).