CHAD LEWICK OD (Credential# 143480) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2009. The license expiration date date is February 28, 2011. The license status is INACTIVE.
CHAD LEWICK OD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0027502. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2009. The expiration date is February 28, 2011. The business address is 52 Victoria Dr, Poughquag, NY 12570. The current status is inactive.
Licensee Name | CHAD LEWICK OD |
Credential ID | 143480 |
Credential Number | CSP.0027502 |
Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
Business Address |
52 Victoria Dr Poughquag NY 12570 |
Business Type | INDIVIDUAL |
Status | INACTIVE |
Effective Date | 2009-03-01 |
Expiration Date | 2011-02-28 |
Refresh Date | 2013-03-07 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
763073 | 3.002445 | Optometrist | 1997-05-09 | 2003-07-25 - 2004-09-30 | INACTIVE |
Street Address | 52 VICTORIA DR |
City | POUGHQUAG |
State | NY |
Zip Code | 12570 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Jennifer Cappelletti | 770 Route 216, Poughquag, NY 12570 | Speech and Language Pathologist | ~ |
Marissa N Cavallo | 39 Thomas Road, Hopewell Junction, NY 12570 | Hairdresser/cosmetician | 2020-06-01 ~ 2022-05-31 |
Anne F Clarke | 25 Teddy Bear Hill Road, Poughquag, NY 12570 | Registered Nurse | 2020-04-01 ~ 2021-03-31 |
Joan M Cohen | 225 Gardner Hollow Rd, Poughquag, NY 12570 | Registered Nurse | 2020-04-01 ~ 2021-03-31 |
Susan Murphy | 50 Van Scoy Rd, Poughquag, NY 12570 | Registered Nurse | 2020-04-01 ~ 2021-03-31 |
Katherine H Curcio | 105 Beach Rd., Poughquag, NY 12570 | Licensed Clinical Social Worker | 2019-12-01 ~ 2020-11-30 |
Rachele Palmentiero | 490 Depot Hill Rd, Poughquag, NY 12570 | Pharmacist | 2020-02-01 ~ 2022-01-31 |
Michael R Piela | 437 Depot Hill Rd, Poughquag, NY 12570 | Pharmacist | 2020-02-01 ~ 2022-01-31 |
John Curran | 74 Emma Way, Poughquag, NY 12570 | Pharmacist | 2020-02-01 ~ 2022-01-31 |
Sandra J Doyle | 162 Roosevelt Drive, Poughquag, NY 12570 | Certified Public Accountant License | 2020-01-01 ~ 2020-12-31 |
Find all Licenses in zip 12570 |
City | POUGHQUAG |
Zip Code | 12570 |
License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + POUGHQUAG |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Chad P Huot Md | 449 Euclid Ave Ne, Atlanta, GA 30307 | Controlled Substance Registration for Practitioner | 2003-03-24 ~ 2004-02-28 |
Chad Gretzula | Hospital of St.raphael, New Haven, CT 06511 | Controlled Substance Registration for Practitioner | 2008-03-01 ~ 2009-02-28 |
Chad Kristopher Zambon Dds | 174 Beard Dr, New Milford, CT 06776 | Controlled Substance Registration for Practitioner | 2003-03-01 ~ 2004-02-28 |
Chad Park Gier | 20 York St, New Haven, CT 06510-3220 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Chad L Mcdonald | 51 Stonefield Trail, South Windsor, CT 06074 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Chad Howard | 1353 Boston Post Rd, Madison, CT 06443 | Controlled Substance Registration for Practitioner | 2001-03-01 ~ 2002-02-28 |
Chad R. Marion Do | 76 Shailer Pond Rd, Deep River, CT 06417-1568 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
Steven Kassels Md · Community Substance Abuse Center | Comm. Physicians PC/125 North Elm Street, Westfield, MA 01085 | Controlled Substance Registration for Practitioner | 2018-06-15 ~ 2019-02-28 |
Chad's Landscaping & Design LLC · Chad Landscapes | 375 Courtland Ave, Bridgeport, CT 06605 | Home Improvement Contractor | 2014-12-01 ~ 2015-11-30 |
Shu-i Lin | CT | Controlled Substance Registration for Practitioner | 2017-06-12 ~ 2019-02-28 |
Please comment or provide details below to improve the information on CHAD LEWICK OD.
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).