LISA PHUONG (Credential# 1275207) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2017. The license expiration date date is February 28, 2019. The license status is LAPSED.
LISA PHUONG is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0059773. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2017. The expiration date is February 28, 2019. The business address is 440 W End Ave Apt 12f, New York, NY 10024-5358. The current status is lapsed.
| Licensee Name | LISA PHUONG |
| Credential ID | 1275207 |
| Credential Number | CSP.0059773 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
440 W End Ave Apt 12f New York NY 10024-5358 |
| Business Type | INDIVIDUAL |
| Status | LAPSED |
| Active | 1 |
| Issue Date | 2015-05-08 |
| Effective Date | 2017-03-01 |
| Expiration Date | 2019-02-28 |
| Refresh Date | 2019-03-06 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1488760 | 1.058155-RES | Resident Physician | 2015-06-28 | 2015-06-28 - 2018-06-30 | INACTIVE |
| Street Address | 440 W END AVE APT 12F |
| City | NEW YORK |
| State | NY |
| Zip Code | 10024-5358 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Che-yu J Tai | 440 W End Ave Apt 11b, New York, NY 10024-5358 | Emergency Medical Technician | 2010-01-28 ~ 2011-04-01 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Saul Zion | 2166 Broadway, New York, NY 10024 | Physical Therapist | ~ |
| Antonia Molyneux Devine | 35 West 90th Street, New York, NY 10024 | Architect | 2020-08-01 ~ 2021-07-31 |
| Dennis Hunsicker | 46 West 83 Street, 5e, New York, NY 10024 | Architect | 2020-08-01 ~ 2021-07-31 |
| Leonard Fusco | 344 West 87th St Apt 2r, New York, NY 10024 | Architect | 2020-08-01 ~ 2021-07-31 |
| Care Cooperative, Inc. | 366 Amsterdam Avenue, New York, NY 10024 | Public Charity | 2018-12-01 ~ 2019-11-30 |
| Christina M Luban | 142 W 82nd St, New York, NY 10024 | Massage Therapist | 2020-06-01 ~ 2022-05-31 |
| Mary-jo Amatruda | 15 W. 81st Street, New York, NY 10024 | Professional Counselor | 2020-05-01 ~ 2021-04-30 |
| Regina Jamieson | 50 Riverside Drive, New York, NY 10024 | Licensed Clinical Social Worker | 2020-04-01 ~ 2021-03-31 |
| Carolyn A Clyons | 203 West 85th Street, New York, NY 10024 | Physical Therapist | 2020-06-01 ~ 2021-05-31 |
| Danielle S Lurie | 241 Central Park West 15c, New York, NY 10024 | Real Estate Salesperson | 2018-06-01 ~ 2019-05-31 |
| Find all Licenses in zip 10024 | |||
| City | NEW YORK |
| Zip Code | 10024 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + NEW YORK |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Phuong L Tran | 10 B1 Lakeshore Dr, Farmington, CT 06032 | Controlled Substance Registration for Practitioner | 1993-10-29 ~ 1995-11-01 |
| Phuong Luu | Prime Healthcare, PC, Aveon, CT 06001 | Controlled Substance Registration for Practitioner | 2007-03-01 ~ 2008-02-29 |
| Lan Phuong V Pham Md | 16 Nottinghem Way, Mahopac, NY 10541 | Controlled Substance Registration for Practitioner | 2006-02-27 ~ 2007-02-28 |
| Phuong Q Tien | 65 Prospect St Apt T-5, Stamford, CT 06901 | Controlled Substance Registration for Practitioner | 2007-08-30 ~ 2008-02-29 |
| Phuong Thanh Nguyen Nhu | 290 Brittany Farms Rd Apt H, New Britain, CT 06053-1146 | Controlled Substance Registration for Practitioner | 2017-06-14 ~ 2019-02-28 |
| Phuong A Nguyen Od | 1402 Berlin Tpke, Wethersfield, CT 06109 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Phuong H Batouli | 5201 Levering Mill Rd, Apex, NC 27539-3640 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Thanh Phuong Trinh | 263 Farmington Ave, Farmington, CT 06030-0001 | Controlled Substance Registration for Practitioner | 2019-07-29 ~ 2021-02-28 |
| Lisa D Picascia | Middletown, CT 06457 | Controlled Substance Registration for Practitioner | 2018-04-04 ~ 2019-02-28 |
| Lisa Kim | 56 Franklin St, Waterbury, CT 06706-1253 | Controlled Substance Registration for Practitioner | 2015-04-23 ~ 2017-02-28 |
Please comment or provide details below to improve the information on LISA PHUONG.
| 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).