SAMANTHA L LYMAN (Credential# 1173158) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2019. The license expiration date date is February 28, 2021. The license status is ACTIVE.
SAMANTHA L LYMAN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0055333. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2019. The expiration date is February 28, 2021. The business address is 209 Cooper St, Agawam, MA 01001-2165. The current status is active.
| Licensee Name | SAMANTHA L LYMAN |
| Credential ID | 1173158 |
| Credential Number | CSP.0055333 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
209 Cooper St Agawam MA 01001-2165 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2013-07-09 |
| Effective Date | 2019-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2019-01-29 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1169377 | 23.002938 | Physician Assistant | 2013-07-09 | 2019-11-01 - 2020-10-31 | ACTIVE |
| Street Address | 209 COOPER ST |
| City | AGAWAM |
| State | MA |
| Zip Code | 01001-2165 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Alexander E White | 225 Cooper St, Agawam, MA 01001-2165 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Pamela J Freeman Brown | 1324 Main Street, Agawam, MA 01001 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Ashley Erin Dimauro | 25 Deer Run Road, Agawam, MA 01001 | Registered Nurse | ~ |
| Lou A Fitch | 60 Mallard Circle, Agawam, MA 01001 | Notary Public Appointment | 2015-04-01 ~ 2020-03-31 |
| Maryanne Catanzaro · Catanzaro,leone | 16 Channell Drive, Agawam, MA 01001 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Sunhee Hwang | 54 River Rd, Agawam, MA 01001 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-17 ~ 2021-10-31 |
| Taehoon An | 58 River Rd, Agawam, MA 01001 | Nail Technician | 2020-06-17 ~ 2022-05-31 |
| Ji Hye Safarik | 119 Albert St, Agawam, MA 01001 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-16 ~ 2022-02-28 |
| Consuelo Ana Leblanc | 39 Hunting Lane, Agawam, MA 01001 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
| Sangkeun Yi | 322 Meadow St, Agwam, MA 01001 | Nail Technician | 2020-06-12 ~ 2022-06-30 |
| Kyunghee Koh | 56 River Road, Agawam, MA 01001 | Nail Technician | 2020-06-12 ~ 2021-08-31 |
| Find all Licenses in zip 01001 | |||
| City | AGAWAM |
| Zip Code | 01001 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + AGAWAM |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Bruce T Lyman Md | Po Box 214, Woodstock, CT 06281-0214 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
| Syed A Ali Md | 106 Lyman Rd, West Hartford, CT 06117 | Controlled Substance Registration for Practitioner | 2004-03-02 ~ 2005-02-28 |
| Lyman A Page | 293 Governor St, Providence, RI 02906 | Controlled Substance Registration for Practitioner | 1995-01-25 ~ 1996-12-01 |
| Syeda L Abbas Md | 106 Lyman Rd, W Hartford, CT 06117 | Controlled Substance Registration for Practitioner | 2004-05-11 ~ 2005-02-28 |
| Karen M Myrick | 65 Lyman Rd, West Hartford, CT 06117-1312 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Tracy M Morales Do | 80 Lyman Rd, West Hartford, CT 06117-1311 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Thuraya Abdi Aprn | 66 Lyman Rd, West Hartford, CT 06117-1311 | Controlled Substance Registration for Practitioner | 2019-03-07 ~ 2021-02-28 |
| Maryellen Lyman Crna | 170 Windmill Hill, Wethersfield, CT 06109 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Lyman B Fogg Md · Radiology & Imaging | 31 Irene Drive, Vernon, CT 06066 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
| Samantha J Laclair Dvm | 53 Alvin St, Fairfield, CT 06825 | Controlled Substance Registration for Practitioner | 2009-03-01 ~ 2011-02-28 |
Please comment or provide details below to improve the information on SAMANTHA L LYMAN.
| 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).