JEAN W LEE (Credential# 1301483) 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.
JEAN W LEE is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0061063. 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 1 Hospital Plaza, Stamford, CT 06902-3628. The current status is lapsed.
| Licensee Name | JEAN W LEE |
| Credential ID | 1301483 |
| Credential Number | CSP.0061063 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
1 Hospital Plaza Stamford CT 06902-3628 |
| Business Type | INDIVIDUAL |
| Status | LAPSED |
| Active | 1 |
| Issue Date | 2015-08-26 |
| Effective Date | 2017-03-01 |
| Expiration Date | 2019-02-28 |
| Refresh Date | 2019-03-06 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1488052 | 1.057626-RES | Resident Physician | 2015-07-01 | 2015-07-01 - 2018-06-30 | INACTIVE |
| Street Address | 1 Hospital Plaza |
| City | STAMFORD |
| State | CT |
| Zip Code | 06902-3628 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Lauren Page | 1 Hospital Plaza, Stamford, CT 06902 | Resident Physician | 2020-07-01 ~ 2024-06-30 |
| Kristen Langan | 1 Hospital Plaza, Stamford, CT 06902 | Resident Physician | 2020-07-01 ~ 2024-06-30 |
| Brady Coad | 1 Hospital Plaza, Stamford, CT 06902 | Resident Physician | 2020-07-01 ~ 2024-06-30 |
| Marie Sullivan | 1 Hospital Plaza, Stamford, CT 06902 | Resident Physician | 2020-07-01 ~ 2024-06-30 |
| Takiyah Mitchell | 1 Hospital Plaza, Stamford, CT 06902 | Resident Physician | 2019-07-01 ~ 2023-06-30 |
| Lisa Mcnamee | 1 Hospital Plaza, Stamford, CT 06902 | Resident Physician | 2019-07-01 ~ 2023-06-30 |
| Colleen Delaney | 1 Hospital Plaza, Stamford, CT 06902 | Resident Physician | 2019-07-01 ~ 2023-06-30 |
| Rachel Silverstein | 1 Hospital Plaza, Stamford, CT 06902 | Resident Physician | 2018-03-01 ~ 2022-06-30 |
| Azlyn Goff | 1 Hospital Plaza, Stamford, CT 06902 | Resident Physician | 2017-07-01 ~ 2021-06-30 |
| Rachel Talley-bruns | 1 Hospital Plaza, Stamford, CT 06902 | Resident Physician | 2017-11-01 ~ 2021-06-30 |
| Find all Licenses in the same address | |||
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Nicole S Feagin | 30 Shelburne Rd, Stamford, CT 06902-3628 | Physician Assistant | 2020-05-01 ~ 2021-04-30 |
| Randall D Grant | 30 Shelburne Rd, Stamford, CT 06902-3628 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Tracy Shevell Md | 30 Shelburne Rd, Stamford, CT 06902-3628 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| John F Ciannella Md | One Hospital Plaza, Stamford, CT 06902-3628 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Hebroon Obaid | 30 Shelburne Rd, Stamford, CT 06902-3628 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Shelley Smith Tickett | 30 Shelburne Rd, Stamford, CT 06902-3628 | Physician/surgeon | 2018-04-01 ~ 2019-03-31 |
| Kamal Addagatla | Department of Surgery, Stamford, CT 06902-3628 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Michelle R Maly | 30 Shelburne Rd, Stamford, CT 06902-3628 | Controlled Substance Registration for Practitioner | 2017-04-21 ~ 2019-02-28 |
| Chao Guo | 59 Liberty Street, Stamford, CT 06902-3628 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Molly Findley | 30 Shelburne Rd, Stamford, CT 06902-3628 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Find all Licenses in zip 06902-3628 | |||
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Jeris Maydeli Flores | 153 Fairfield Av, Stamford, CT 06902 | Nail Technician | ~ |
| Reynaldo De La Cruz | 64 Brookside Drive, Stamford, CT 06902 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Darren J Petillo | 5 Hundley Court, Stamford, CT 06902 | Licensed Clinical Social Worker | 2020-09-01 ~ 2021-08-31 |
| Antonios Restaurant | 405 West Main St, Stamford, CT 06902 | Bakery | 2020-07-01 ~ 2021-06-30 |
| Edward Smith | 184 Fairfield Ave., Stamford, CT 06902 | Home Improvement Contractor | ~ |
| Margaret A Dorrance | 24c Hamilton Court, Stamford, CT 06902 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Carolyn Maguire | 48 Nelson St, Stamford, CT 06902 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Evelyne Joassin | 17 George St., Stamford, CT 06902 | Licensed Practical Nurse | 2020-07-01 ~ 2021-06-30 |
| Andrea Bynoe | 34 Melrose Pl, Stamford, CT 06902 | Notary Public Appointment | 1994-04-06 ~ 1999-04-30 |
| Ravi K Ahuja | 296 Westover Rd, Stamford, CT 06902 | Architect | 2020-08-01 ~ 2021-07-31 |
| Find all Licenses in zip 06902 | |||
| City | STAMFORD |
| Zip Code | 06902 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + STAMFORD |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Jean Y Lin | 123 York St Apt 10k, New Haven, CT 06511-5626 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Jean Sun | 333 Cedar St, New Haven, CT 06510-3206 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Jean C Carstensen | 20 Front St #20, New Haven, CT 06513 | Controlled Substance Registration for Practitioner | 2007-03-21 ~ 2008-02-29 |
| Jean Lafayette | 1 Northwestern Dr Fl 201, Bloomfield, CT 06002-3400 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Jean Stadalnik Md | 38 Marshall Ave, Guilford, CT 06437-3516 | Controlled Substance Registration for Practitioner | 2005-03-01 ~ 2006-02-28 |
| Elizabeth Jean Fedorko | Po Box 599, Brookfield, CT 06804-0599 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Jean D Vulte | 63 Grove St, Branford, CT 06405 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Jean Sun | 1551 Minor Ave. Apt 511, Seattle, WA 98101 | Controlled Substance Registration for Practitioner | 2019-12-13 ~ 2021-02-28 |
| Men-jean Lee | 5 East 98th Street, Ny, NY 10029 | Controlled Substance Registration for Practitioner | 2007-03-01 ~ 2008-02-29 |
| Jean Corstensen Md | 56 Franklin St, Waterbury, CT 06706 | Controlled Substance Registration for Practitioner | ~ |
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| 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).