LISAN T DO (Credential# 586211) is licensed (Registered Nurse) with Connecticut Department of Consumer Protection. The license effective date is August 1, 2020. The license expiration date date is July 31, 2021. The license status is ACTIVE.
LISAN T DO is licensed with the Department of Consumer Protection of Connecticut. The credential number is #10.082209. The credential type is registered nurse. The effective date is August 1, 2020. The expiration date is July 31, 2021. The business address is 11 Humiston Brook Dr, Plantsville, CT 06479-1208. The current status is active.
| Licensee Name | LISAN T DO |
| Credential ID | 586211 |
| Credential Number | 10.082209 |
| Credential Type | Registered Nurse |
| Business Address |
11 Humiston Brook Dr Plantsville CT 06479-1208 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2007-07-02 |
| Effective Date | 2020-08-01 |
| Expiration Date | 2021-07-31 |
| Refresh Date | 2020-06-24 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1236136 | 12.005845 | Advanced Practice Registered Nurse | 2014-08-07 | 2018-08-01 - 2019-07-31 | INACTIVE |
| 1239243 | CSP.0058453 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2014-08-30 | 2017-03-01 - 2019-02-28 | LAPSED |
| Street Address | 11 HUMISTON BROOK DR |
| City | PLANTSVILLE |
| State | CT |
| Zip Code | 06479-1208 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Karen L Gannon | 11 Humiston Brook Dr, Plantsville, CT 06479 | Notary Public Appointment | 1998-01-01 ~ 2002-12-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| J Don Colwick | 47 Humiston Brook Dr, Plantsville, CT 06479-1208 | Home Improvement Salesperson | 2011-03-01 ~ 2011-11-30 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Karen Slonus | 9 Wilbur St, Plantsville, CT 06479 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Ann-kristin Friedrich | 77 Carter Lane, Plantsville, CT 06479 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Trevor Steskla | 1157 Marion Ave, Plantsville, CT 06479 | Heating, Piping & Cooling Limited Journeyperson | ~ |
| Rebecca L Fernandes | 29 Fleetwood Rd, Plantsville, CT 06479 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Pawan K Karanam | 33 Hubeny Drive, Plantsville, CT 06479 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
| Charles A Moss | 105 Roxbury Rd, Plantsville, CT 06479 | Architect | 2020-08-01 ~ 2021-07-31 |
| Marceille M Crookes | 30 Hillside Ave, Plantsville, CT 06479 | Hairdresser/cosmetician | 2020-08-01 ~ 2022-07-31 |
| Lino L Gelada | 221 Burritt Street, Plantsville, CT 06479 | Licensed Practical Nurse | 2020-09-01 ~ 2021-08-31 |
| Tony's Restaurant & Pizza Palace | 1315 Meriden Wtby Rd, Plantsville, CT 06479 | Bakery | 2020-07-01 ~ 2021-06-30 |
| Richard Oulundsen II | 924 Prospect Street, Plantsville, CT 06479 | Notary Public Appointment | 2020-10-01 ~ 2025-09-30 |
| Find all Licenses in zip 06479 | |||
| City | PLANTSVILLE |
| Zip Code | 06479 |
| License Type | Registered Nurse |
| License Type + County | Registered Nurse + PLANTSVILLE |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Lisan S Peng | 333 Kenwood Ave, Hamden, CT 06518 | Controlled Substance Registration for Practitioner | 2006-03-01 ~ 2007-02-28 |
| Roshiny Achiamma Alex | Post Box 5254,registered Nurse, Abudhabi | Registered Nurse | 2018-11-01 ~ 2019-10-31 |
| Nydia I Lugaro | S Main St C/o Nurse Network 653, Plantsville, CT 06479-1549 | Registered Nurse | ~ |
| April Tan | C/o Liberty Nurse Recruiting, Kingsport, TN 37663 | Registered Nurse | 2016-05-01 ~ 2017-04-30 |
| Caryn S Nurse | 4159 Palm Dr, Snellville, GA 30039-3323 | Registered Nurse - Temporary | 2012-02-29 ~ 2012-06-28 |
| Michele C Rose · Martin | C/o Liberty Nurse Recruiting, Kingsport, TN 37663 | Registered Nurse | 2008-12-05 ~ 2009-12-31 |
| Umadevi Janne | Staff Nurse,2d Department, 2nd Floor, Abudhabi, Uae, 2951 | Registered Nurse | 2020-06-01 ~ 2021-05-31 |
| Sherrie-lynn Nurse | Avalon Walk Apts, Hamden, CT 06518 | Registered Nurse | ~ 1998-02-28 |
| Kingsley C Nurse | 12 Westwood Dr, Stamford, CT 06902-4653 | Registered Nurse | 2018-12-01 ~ 2019-11-30 |
| India M Nurse | 38 Padanaram Ave., 8a, Danbury, CT 06811 | Registered Nurse | 2007-03-02 ~ 2007-11-30 |
Please comment or provide details below to improve the information on LISAN T DO.
| 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).