LISA A LICARE (Credential# 1284720) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is October 3, 2019. The license expiration date date is February 28, 2021. The license status is ACTIVE.
LISA A LICARE is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0060235. The credential type is controlled substance registration for practitioner. The effective date is October 3, 2019. The expiration date is February 28, 2021. The business address is 30 Red Feather Trl N, Wakefield, RI 02879-2003. The current status is active.
| Licensee Name | LISA A LICARE |
| Credential ID | 1284720 |
| Credential Number | CSP.0060235 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
30 Red Feather Trl N Wakefield RI 02879-2003 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2015-05-15 |
| Effective Date | 2019-10-03 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2019-10-03 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1280375 | 1.054140-DO | Physician/Surgeon | 2015-05-14 | 2020-01-01 - 2020-12-31 | ACTIVE |
| Street Address | 30 RED FEATHER TRL N |
| City | WAKEFIELD |
| State | RI |
| Zip Code | 02879-2003 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Samantha A Franco | 7 Watch Hill Way, South Kingstown, RI 02879 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Jamie Lynne Vangieri | 13 Pier Marketplace, Narragansett, RI 02879 | Real Estate Salesperson | 2020-06-13 ~ 2021-05-31 |
| John P Walsh | 285 Iacuele Dr, S Kingstown, RI 02879 | Architect | 2020-08-01 ~ 2021-07-31 |
| John E Blair | 42 Emerson Way, South Kingstown, RI 02879 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| Brian Mcdonald | 51c Old Shannock Rd, South Kingstown, RI 02879 | Real Estate Salesperson | 2019-10-09 ~ 2020-05-31 |
| Alexander Mcgovern Champagne | 51a Old Shannock Rd., South Kingstown, RI 02879 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| Bruce E Thunberg | 501 Matunuck School House Rd, Wakefield, RI 02879 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| Ruth Chappell Meeks | 60e Chappell Road, Wakefield, RI 02879 | Registered Nurse | 2020-05-27 ~ 2020-11-30 |
| Kristin E Schwab | 61 Matunuck School House Road, Wakefield, RI 02879 | Landscape Architect | 2018-08-01 ~ 2019-07-31 |
| Nima Behazin | 4959 Tower Hill Rd, Wakefield, RI 02879 | Dentist | 2020-06-01 ~ 2021-05-31 |
| Find all Licenses in zip 02879 | |||
| City | WAKEFIELD |
| Zip Code | 02879 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + WAKEFIELD |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Lisa J Mao | 49 Lake Ave, Greenwich, CT 06830-4501 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Lisa D Picascia | Middletown, CT 06457 | Controlled Substance Registration for Practitioner | 2018-04-04 ~ 2019-02-28 |
| Lisa M Fox | 50 Woodland Dr, Northford, CT 06472-1206 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Lisa K Yoo Do | 121 Gower Rd, New Canaan, CT 06840 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Lisa Phuong | 440 W End Ave Apt 12f, New York, NY 10024-5358 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Lisa Kim | 56 Franklin St, Waterbury, CT 06706-1253 | Controlled Substance Registration for Practitioner | 2015-04-23 ~ 2017-02-28 |
| Lisa M Lee | 60 Westview Terrace, Shelton, CT 06484 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Lisa M Collison Pa | 116 Howard Ave, Ansonia, CT 06401 | Controlled Substance Registration for Practitioner | 1994-02-24 ~ 1995-08-01 |
| Lisa M Decarlo | 36 Peck St, Norwich, CT 06360-5515 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Lisa N Chin-lue Md | 103 Promenade Dr, Hamden, CT 06514 | Controlled Substance Registration for Practitioner | 2008-03-01 ~ 2009-02-28 |
Please comment or provide details below to improve the information on LISA A LICARE.
| 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).