PIPER P LILLARD (Credential# 563830) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2020. The license expiration date date is February 28, 2021. The license status is ACTIVE.
PIPER P LILLARD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.046248-DO. The credential type is physician/surgeon. The effective date is March 1, 2020. The expiration date is February 28, 2021. The business address is 182 S. Bedlam Rd, Mansfield Center, CT 06250. The current status is active.
| Licensee Name | PIPER P LILLARD |
| Credential ID | 563830 |
| Credential Number | 1.046248-DO |
| Credential Type | Physician/Surgeon |
| Credential SubCategory | DO |
| Business Address |
182 S. Bedlam Rd Mansfield Center CT 06250 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2008-02-28 |
| Effective Date | 2020-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2020-02-25 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 497754 | CSP.0043258 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2008-03-25 | 2019-03-01 - 2021-02-28 | ACTIVE |
| Street Address | 182 S. Bedlam Rd |
| City | Mansfield Center |
| State | CT |
| Zip Code | 06250 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Carissa A Zlotnick | 31 Jude Lane, Mansfield, CT 06250 | Licensed Practical Nurse | 2020-07-01 ~ 2021-06-30 |
| Sara Hollow Heumann | 103 Mansfield Hollow Road, Mansfield Center, CT 06250 | Esthetician | ~ |
| Mary Catherine D'amico | 156 Coventry Rd, Mansfield Center, CT 06250 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Petco 3728 | 86 Storrs Rd, Mansfield, CT 06250 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Christine D Njuki | 15 Crest Road, Mansfield Center, CT 06250 | Audiologist | 2020-07-01 ~ 2021-06-30 |
| David L. Simon Md | 2 Ledgebrook Drive, Mansfield Center, CT 06250 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
| Lisa G Orcutt | 5 Pequot Square, Mansfield Center, CT 06250 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| Laurie J Smaglis | 28 Thornbush Rd, Mansfield, CT 06250 | Hairdresser/cosmetician | 2020-09-01 ~ 2022-08-31 |
| Loni C Cohen | 23c Eastbrook Heights, Mansfield Center, CT 06250 | Notary Public Appointment | 2020-04-01 ~ 2025-03-31 |
| Joanne Frederick | 69 Circle Drive, Mansfield Center, CT 06250 | Licensed Practical Nurse | 2020-07-01 ~ 2021-06-30 |
| Find all Licenses in zip 06250 | |||
| City | Mansfield Center |
| Zip Code | 06250 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + Mansfield Center |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Akosua B Domfeh | 5111 Piper Glen Drive, Charlotte, NC 28277 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Bond & Lillard | Connecticut Brand Registration, Hartford, CT 06103 | Liquor Brand Label | 2017-04-18 ~ 2020-04-17 |
| Piper Lane | 48 Piper Lane, East Hartford, CT 06118 | Community Living Arrangement | 2019-12-01 ~ 2021-11-30 |
| Corinne L C Denucci Pa | 38 Piper Lane, Somers, CT 06071 | Physician Assistant | 2006-02-27 ~ 2007-04-30 |
| Golden Piper | Connecticut Brand Registration, Hartford, CT 06106 | Liquor Brand Label | 2012-02-21 ~ 2015-02-20 |
| Piper Saison Ale | Connecticut Brand Registration, Hartford, CT 06106 | Liquor Brand Label | 2015-07-31 ~ 2018-07-30 |
| Piper Down Scottish Ale | Connecticut Brand Registration, Hartford, CT 06106 | Liquor Brand Label | 2018-08-27 ~ 2021-08-25 |
| Lillard R Lewis Sr | 362 Rood Ave, Windsor, CT 06095 | Embalmer | 2020-01-01 ~ 2020-12-31 |
| Shelley M Lillard | 40 Whitehall Ave, Mystic, CT 06355 | Registered Nurse | 2004-04-22 ~ 2004-09-30 |
| Roger Grano · Piper Brook Restaurant | 977 New Britain Avenue, West Hartford, CT 06110 | Restaurant Liquor | 2005-04-14 ~ 2006-04-13 |
Please comment or provide details below to improve the information on PIPER P LILLARD.
| 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).