EDWARD JK LEE (Credential# 1204399) 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.
EDWARD JK LEE is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0056649. 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 291 Queen St, Bristol, CT 06010-6379. The current status is active.
Licensee Name | EDWARD JK LEE |
Credential ID | 1204399 |
Credential Number | CSP.0056649 |
Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
Business Address |
291 Queen St Bristol CT 06010-6379 |
Business Type | INDIVIDUAL |
Status | ACTIVE - CURRENT |
Active | 1 |
Issue Date | 2014-02-25 |
Effective Date | 2019-03-01 |
Expiration Date | 2021-02-28 |
Refresh Date | 2019-01-03 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
1199534 | 1.052768 | Physician/Surgeon | 2014-02-25 | 2019-09-01 - 2020-08-31 | ACTIVE |
Street Address | 291 QUEEN ST |
City | BRISTOL |
State | CT |
Zip Code | 06010-6379 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Julia M. Toto | 291 Queen St, Bristol, CT 06010-6379 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
Valerie J Vitale Md | 291 Queen St, Bristol, CT 06010 | Physician/surgeon | 2018-10-01 ~ 2019-09-30 |
Armann O Ciccarelli Md | 291 Queen St, Bristol, CT 06010 | Physician/surgeon | 2018-05-01 ~ 2019-04-30 |
John J Ho | 291 Queen St, Bristol, CT 06010-6379 | Physician/surgeon | 2018-04-01 ~ 2019-03-31 |
Jeune G Bae | 291 Queen St, Bristol, CT 06010-6379 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
Wesley W Holden Md | 291 Queen St, Bristol, CT 06010 | Controlled Substance Registration for Practitioner | 1996-10-17 ~ 1997-02-28 |
Wesley W Holden | 291 Queen St, Bristol, CT 06010 | Physician/surgeon | 1995-11-14 ~ 1996-11-30 |
Armanno W Ciccarelli Md | 291 Queen St, Bristol, CT 06010 | Controlled Substance Registration for Practitioner | 1993-07-09 ~ 1995-08-01 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Deborah M Dube · Adamaitis | 33 Peck Lane, Bristol, CT 06010 | Licensed Practical Nurse | 2020-07-01 ~ 2021-06-30 |
Barbara M Williams | 45 Harrison Street, Bristol, CT 06010 | Notary Public Appointment | 2020-08-01 ~ 2025-07-31 |
Le Bao Linh Nguyen | 229 Silo Rd, Bristol, CT 06010 | Nail Technician | ~ |
Tara M Chipman | 38 Grove St, Bristol, CT 06010 | Licensed Practical Nurse | 2020-07-01 ~ 2021-06-30 |
Jaclyn J Brandolini | 424 Emmett St, Bristol, CT 06010 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
Hoa Le | 63 Seminary St, Bristol, CT 06010 | Nail Technician | ~ |
Barbara E Trench | 25 Peacedale St, Bristol, CT 06010 | Hairdresser/cosmetician | 2020-07-01 ~ 2022-06-30 |
Tisha A Balfour | 379 West Street, Bristol, CT 06010 | Licensed Practical Nurse | 2020-08-01 ~ 2021-07-31 |
Meredith Rose Martineau | 15 Bishop Street, Bristol, CT 06010 | Master's Level Social Worker - Temporary Permit | 2020-06-26 ~ 2020-09-06 |
Jaime L Krueger | 130 Garfield Road, Bristol, CT 06010 | Notary Public Appointment | 2020-06-26 ~ 2025-06-30 |
Find all Licenses in zip 06010 |
City | BRISTOL |
Zip Code | 06010 |
License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + BRISTOL |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Edward L Osborn | Po Box 245, Torrington, CT 06790-0245 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Edward T Sze | 152 Temple St Apt 513, New Haven, CT 06510-2613 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
Edward F Fox Md | 111 Oakridge Rd, Bristol, CT 06010 | Controlled Substance Registration for Practitioner | 1998-03-01 ~ 1999-02-28 |
Edward W Akeyson Md | Po Box 189, Durham, CT 06422-0189 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
Edward H Kim | 2 Sparrow La, Unionville, CT 06085 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
Edward P Monico Md | 201 Bartlett Dr., Madison, CT 06443 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Edward Feliciano Md | 940 Danbury Rd, Wilton, CT 06897 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Edward Felix Lin | 622 W 168th St, New York, NY 10032-3720 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Edward P Wilmer Md | 135 State St, Wethersfield, CT 06109 | Controlled Substance Registration for Practitioner | 2006-03-20 ~ 2007-02-28 |
Edward G Bednar Dds | 445 New Haven Ave, Derby, CT 06418 | Controlled Substance Registration for Practitioner | 2009-03-01 ~ 2011-02-28 |
Please comment or provide details below to improve the information on EDWARD JK 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).