JON M LEWIS MD (Credential# 564728) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is May 1, 2020. The license expiration date date is April 30, 2021. The license status is ACTIVE.
JON M LEWIS MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.047146. The credential type is physician/surgeon. The effective date is May 1, 2020. The expiration date is April 30, 2021. The business address is 2678 South Rd Ste 202, Poughkeepsie, NY 12601-5254. The current status is active.
| Licensee Name | JON M LEWIS MD |
| Credential ID | 564728 |
| Credential Number | 1.047146 |
| Credential Type | Physician/Surgeon |
| Business Address |
2678 South Rd Ste 202 Poughkeepsie NY 12601-5254 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2008-11-07 |
| Effective Date | 2020-05-01 |
| Expiration Date | 2021-04-30 |
| Refresh Date | 2020-02-11 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 523861 | CSP.0045062 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2009-03-20 | 2019-03-01 - 2021-02-28 | ACTIVE |
| Street Address | 2678 SOUTH RD STE 202 |
| City | POUGHKEEPSIE |
| State | NY |
| Zip Code | 12601-5254 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Bruce R Gendron Md | 2678 South Rd Ste 202, Poughkeepsie, NY 12601-5254 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
| Nancy A Cooper | 2678 South Rd Ste 202, Poughkeepsie, NY 12601-5254 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
| Emil Shih Md | 2678 South Rd Ste 202, Poughkeepsie, NY 12601-5254 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Yiping Zhang | 2678 South Rd Ste 202, Poughkeepsie, NY 12601-5254 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Richard J Friedland Md | 2678 South Rd Ste 202, Poughkeepsie, NY 12601-5254 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Michael Bromley Md | 2678 South Rd Ste 202, Poughkeepsie, NY 12601-5254 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Mira Herman | 2678 South Rd Ste 202, Poughkeepsie, NY 12601-5254 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Victor D Gaines Md | 2678 South Rd Ste 202, Poughkeepsie, NY 12601-5254 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Jonathan J Crystal Md | 2678 South Rd Ste 202, Poughkeepsie, NY 12601-5254 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Benjamin D Seckler Md · Imagining PC | 2678 South Rd Ste 202, Poughkeepsie, NY 12601-5254 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Find all Licenses in the same address | |||
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Dudley A Watson | 246 Mansion St., Poughkeepsie, NY 12601 | Asbestos Abatement Supervisor | 2020-06-01 ~ 2021-05-31 |
| Craig M Shannon | 47 Kingwood Dr, Poughkeepsie, NY 12601 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Maxwell Risch | 6 Marwood Dr, Poughkeepsie, NY 12601 | Registered Nurse | 2020-05-01 ~ 2021-04-30 |
| Chazen Engineering, Land Surveying & Landscape Architecture Ct LLC | 21 Fox St, Poughkeepsie, NY 12601 | Joint Practice | 2020-05-01 ~ 2021-04-30 |
| Paul Wright | 21 Reade Pl, Poughkeepsie, NY 12601 | Controlled Substance Registration for Practitioner | 2020-02-20 ~ 2021-02-28 |
| Faiz Y Bhora | 45 Reade Place, Dyson Cancer Center, 3rd Floor, Poughkeepsie, NY 12601 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| David M Quinn | 45 Reade Pl, Poughkeepsie, NY 12601 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Kelly Lynn Philiba | 12 Hanscom Ave, Poughkeepsie, NY 12601 | Naturopathic Physician | 2020-02-01 ~ 2021-01-31 |
| Danielle Williams | 2678 South Road, Suite 202, Poughkeepsie, NY 12601 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Laura M Baird | 350 Violet Ave, Poughkeepsie, NY 12601 | Registered Nurse | 2020-02-01 ~ 2021-01-31 |
| Find all Licenses in zip 12601 | |||
| City | POUGHKEEPSIE |
| Zip Code | 12601 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + POUGHKEEPSIE |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Ali Hemdan Md | 455 Lewis Ave., Meriden, CT 06451 | Physician/surgeon | 2020-01-01 ~ 2020-12-31 |
| Aurangzeb A Ali Md | 455 Lewis Ave Ste 216, Meriden, CT 06451 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
| Amy B Lewis | 111 E 75th St Apt 3a, New York, NY 10021-2816 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Isaac Troiano | 435 Lewis Ave, Meriden, CT 06451-2101 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Lewis A Hofmann | 2427 Kemper Rd, Crofton, MD 21114-2552 | Physician/surgeon | ~ |
| David M Sack | 455 Lewis Ave Ste 106, Meriden, CT 06451-2121 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Roopkiranjot K Kahlon | 455 Lewis Ave Ste 214, Meriden, CT 06451-2121 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Lewis I Levenson | 150 Hazard Ave C-6, Enfield, CT 06082 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Madhavi Bhoomagoud | 455 Lewis Ave Ste 105, Meriden, CT 06451-2121 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Richard C Lewis | 29 Broad St, Guilford, CT 06437-2613 | Physician/surgeon | 2019-12-01 ~ 2020-11-30 |
Please comment or provide details below to improve the information on JON M LEWIS 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).