JACK LANCE LICHTOR (Credential# 1041056) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is April 1, 2019. The license expiration date date is March 31, 2020. The license status is ACTIVE.
JACK LANCE LICHTOR is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.050594. The credential type is physician/surgeon. The effective date is April 1, 2019. The expiration date is March 31, 2020. The business address is 333 Cedar Street, New Haven, CT 06520. The current status is active.
| Licensee Name | JACK LANCE LICHTOR |
| Credential ID | 1041056 |
| Credential Number | 1.050594 |
| Credential Type | Physician/Surgeon |
| Business Address |
333 Cedar Street New Haven CT 06520 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2012-02-07 |
| Effective Date | 2019-04-01 |
| Expiration Date | 2020-03-31 |
| Refresh Date | 2019-01-08 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1054637 | CSP.0052073 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2012-03-08 | 2017-03-01 - 2019-02-28 | LAPSED |
| Street Address | 333 CEDAR STREET |
| City | NEW HAVEN |
| State | CT |
| Zip Code | 06520 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Molly Elizabeth Mcadow | 333 Cedar Street, New Haven, CT 06510 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Mamatha Punjala Md | 333 Cedar Street, New Haven, CT 06520-8051 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Katherine Nash | 333 Cedar Street, New Haven, CT 06511 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Richard Bronen Md | 333 Cedar Street, New Haven, CT 06520-8042 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Dianne Lee | 333 Cedar Street, New Haven, CT 06520 | Resident Physician | 2017-07-01 ~ 2021-06-30 |
| Lavanya Bellumkonda | 333 Cedar Street, New Haven, CT 06520-8017 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Zachary A Corbin | 333 Cedar Street, New Haven, CT 06520 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Engin Deniz Md | 333 Cedar Street, New Haven, CT 06510 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Daniel P Petrylak | 333 Cedar Street, New Haven, CT 06520 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Kelly May Werner | 333 Cedar Street, New Haven, CT 06520 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Find all Licenses in the same address | |||
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Orchestra New England | P.o. Box 200123, New Haven, CT 06520 | Public Charity | 2019-06-01 ~ 2020-05-31 |
| Catherine A Dinauer | 333 Cedar St., Fmb 131, New Haven, CT 06520 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Kofi Agyare Mensah | 300 Cedar Street, New Haven, CT 06520 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Kevin Huang | 330 Cedar Street, New Haven, CT 06520 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
| Mubdiul Imtiaz Ali | 300 Cedar St, Tac S425, New Haven, CT 06520 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Dr Akhil Khosla | 300 Cedar St, Tac S425 P.o. Box 208057, New Haven, CT 06520 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
| Scott N Gettinger Md | 333 Cedar St-yale Cancer Center, New Haven, CT 06520 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
| Lindsay Sarah Mcalpine | Yale -new Haven Hospital, New Haven, CT 06520 | Resident Physician | 2020-07-01 ~ 2021-06-30 |
| Michael Hurwitz | 333 Cedar St Www211, New Haven, CT 06520 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
| Patrick M Popiel | Yale University, Department of Ob/gyn, New Haven, CT 06520 | Resident Physician | 2017-07-01 ~ 2021-06-30 |
| Find all Licenses in zip 06520 | |||
| City | NEW HAVEN |
| Zip Code | 06520 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + NEW HAVEN |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Annemarie S Welch | 95 Broken Lance Way, Sedona, AZ 86351 | Physician/surgeon | 1996-08-28 ~ 1997-08-31 |
| Lance J Brownstein | 1105 Parkway East, Utica, NY 13501 | Physician/surgeon | 2010-01-01 ~ 2010-12-31 |
| Paul Lance Walker | 1634 White Cir Ste 101, Marietta, GA 30066-5809 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Lance R Eriksen | 255 North El Cielo Rd., Suite 140-607, Palm Springs, CA 92262 | Physician/surgeon | 2013-04-01 ~ 2014-03-31 |
| Jack Liu | 1345 Rxr Plz, Uniondale, NY 11556-1301 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Jack M Charney | Cblpath, Inc., Rye Brook, NY 10573 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
| Jack Hajjar Md | 169 South Rd, Farmington, CT 06032 | Physician/surgeon | 2001-05-08 ~ 2002-06-30 |
| Jack H Pincus | Pca Century, Tampa, FL 33607 | Physician/surgeon | 1993-04-23 ~ 1994-04-30 |
| Jack W Snyder Md | 104 Hilary Cir, Fairfield, CT 06432 | Physician/surgeon | 2003-08-04 ~ 2004-07-31 |
| Jack A Miller | 384 West Rd, Alford, MA 01266 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
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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).