LISA C ZUCKERWISE (Credential# 1134495) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is April 1, 2016. The license expiration date date is March 31, 2017. The license status is INACTIVE.
LISA C ZUCKERWISE is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.051543. The credential type is physician/surgeon. The effective date is April 1, 2016. The expiration date is March 31, 2017. The business address is 35 French St, Fairfield, CT 06824-6331. The current status is inactive.
| Licensee Name | LISA C ZUCKERWISE |
| Credential ID | 1134495 |
| Credential Number | 1.051543 |
| Credential Type | Physician/Surgeon |
| Business Address |
35 French St Fairfield CT 06824-6331 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 2012-12-24 |
| Effective Date | 2016-04-01 |
| Expiration Date | 2017-03-31 |
| Refresh Date | 2017-07-04 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 894669 | CSP.0046503 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2009-09-24 | 2015-03-01 - 2017-02-28 | INACTIVE |
| Street Address | 35 FRENCH ST |
| City | FAIRFIELD |
| State | CT |
| Zip Code | 06824-6331 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Amy S Van Buren | 11 Larkspur Road, Fairfield, CT 06824 | Massage Therapist | 2020-08-01 ~ 2022-07-31 |
| Linda J Batchelder | 72 Ruane St, Fairfield, CT 06824 | Architect | 2020-08-01 ~ 2021-07-31 |
| Fairfield American Little League | 87 Charles St, Fairfield, CT 06824 | Public Charity | 2020-12-01 ~ 2021-11-30 |
| Robert D Sickeler | 175 Wakeman Rd, Fairfield, CT 06824 | Architect | 2020-08-01 ~ 2021-07-31 |
| Michael P Brennan | 338 Sturges Rd, Fairfield, CT 06824 | Real Estate Salesperson | 2020-06-23 ~ 2021-05-31 |
| Maria A Arduini | 499 Hemlock Rd, Fairfield, CT 06824 | Real Estate Salesperson | 2020-06-23 ~ 2021-05-31 |
| Ryan L Antisdale | 104 Rhoda Avenue, Fairfield, CT 06824 | Real Estate Salesperson | 2020-06-23 ~ 2021-05-31 |
| Szymlinska Eva Jucelin | 105 Churchill Street, Fairfield, CT 06824 | Licensed Practical Nurse | 2020-07-01 ~ 2021-06-30 |
| Afoofa, Inc · Afoofa | 298 South Benson Road, Fairfield, CT 06824 | Public Charity-exempt From Financial Requirements | 2020-06-25 ~ |
| Rachel Finlaw | 2546 North Benson Road, Fairfield, CT 06824 | Master's Level Social Worker | ~ |
| Find all Licenses in zip 06824 | |||
| City | FAIRFIELD |
| Zip Code | 06824 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + FAIRFIELD |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Ana Lisa Carr | Po Box 34457, Omaha, NE 68134-0457 | Physician/surgeon | ~ |
| Lisa J Trencher | 2-11 B Peck Ave, Rye, NY 10580 | Physician/surgeon | 1999-05-20 ~ 2000-05-31 |
| Nicole M Absar | 58 Lisa Ave, Plymouth, MA 02360-5016 | Physician/surgeon | ~ |
| Lisa Das | 26 Tamie Way, Pittsfield, MA 01201 | Physician/surgeon | 2000-01-24 ~ 2001-03-31 |
| Lisa A Burch | 119 Hart St, New Britain, CT 06052 | Physician/surgeon | 1994-02-14 ~ 1995-03-31 |
| Lisa M Gronski | 339 W Main St, Avon, CT 06001-4322 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Lisa G Fillmore Md | 196 Canner St, New Haven, CT 06511-2233 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Lisa Vi Doan | 550 First Avenue, New York, NY 10016 | Physician/surgeon | 2019-05-30 ~ 2020-05-31 |
| Lisa M Donofrio | 71 Wall St, Madison, CT 06443 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
| Lisa I Ramdhanie | 1 Benedict St, Norwalk, CT 06850 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
Please comment or provide details below to improve the information on LISA C ZUCKERWISE.
| 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).