GRACE S LEE (Credential# 927554) 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.
GRACE S LEE is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.049049. The credential type is physician/surgeon. The effective date is May 1, 2020. The expiration date is April 30, 2021. The business address is 27 Stacey Ln, Madison, CT 06443-2465. The current status is active.
| Licensee Name | GRACE S LEE |
| Credential ID | 927554 |
| Credential Number | 1.049049 |
| Credential Type | Physician/Surgeon |
| Business Address |
27 Stacey Ln Madison CT 06443-2465 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2010-07-26 |
| Effective Date | 2020-05-01 |
| Expiration Date | 2021-04-30 |
| Refresh Date | 2020-02-10 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 479661 | CSP.0042384 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2007-10-15 | 2019-03-01 - 2021-02-28 | ACTIVE |
| Street Address | 27 STACEY LN |
| City | MADISON |
| State | CT |
| Zip Code | 06443-2465 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| William G Chang | 27 Stacey Ln, Madison, CT 06443 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Caitlyn Beverly Darosa | Lyle Dr, Madison, CT 06443 | Registered Nurse | ~ |
| Roberts Food Center · Rjf Inc Dba | 514 Old Toll Rd, Madison, CT 06443 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Karen D Leonetti · Rapuano | 553 Green Hill Rd, Madison, CT 06443 | Radiographer | 2020-09-01 ~ 2021-08-31 |
| Pasquale Sabatasso | 122 River Edge Farms Road, Madison, CT 06443 | Barber | 2020-07-01 ~ 2022-06-30 |
| Madision Health Foods · Jum Ok Coker | 59 Wall St, Madison, CT 06443 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Madison Community Services Inc. | P.o. Box 148, Madison, CT 06443 | Public Charity | 2020-12-01 ~ 2021-11-30 |
| Shaina Michele Levinson | 52 East Wharf Rd, Madison, CT 06443 | Master's Level Social Worker | ~ |
| Stephen G Lynch · Lynch, Stephen Gerard | 12 Milestone Lane, Madison, CT 06443 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| David F Courtney Md | 38 Old Duck Hole Road, Madison, CT 06443 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Sydni E Marmor | 560 Opening Hill Road, Madison, CT 06443 | Professional Counselor | 2020-07-01 ~ 2021-06-30 |
| Find all Licenses in zip 06443 | |||
| City | MADISON |
| Zip Code | 06443 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + MADISON |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Grace Cha | 38 Ward St Apt 5, Middletown, CT 06457-4185 | Physician/surgeon | ~ |
| Grace K Suh Md | 641 Whitney Ave 2c, New Haven, CT 06511-2253 | Physician/surgeon | 2007-01-18 ~ 2008-03-31 |
| Grace P Kim Md | 169 Cheesespring Rd, Wilton, CT 06897-2308 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Grace K Mandigo | 2150 Broadway # 126, New York, NY 10023-8255 | Physician/surgeon | ~ |
| Grace H Lee | 631 East 6th Street, Hinsdale, IL 60521 | Physician/surgeon | 2009-05-26 ~ 2010-07-31 |
| Jaspreet S. Joneja | 14 Grace Dr, Old Westbury, NY 11568-1221 | Physician/surgeon | 2011-04-06 ~ 2011-12-31 |
| Grace Chang | 17 Hillhouse Ave, New Haven, CT 06511-8965 | Physician/surgeon | 1984-07-05 ~ 1992-02-29 |
| Grace Jenq Md | 55 Hickory Rd, Woodbridge, CT 06525 | Physician/surgeon | 2016-05-01 ~ 2017-04-30 |
| Grace M Jere Md | 12 Bailey Rd, Middletown, CT 06457 | Physician/surgeon | 2006-01-17 ~ 2007-02-28 |
| Grace M Steere | 12 Tallwood Rd, Woodbridge, CT 06525 | Physician/surgeon | 2000-12-01 ~ 2001-09-25 |
Please comment or provide details below to improve the information on GRACE S LEE.
| 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).