MARY ELLEN LYON (Credential# 1465140) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is June 1, 2020. The license expiration date date is May 31, 2021. The license status is ACTIVE.
MARY ELLEN LYON is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.060501. The credential type is physician/surgeon. The effective date is June 1, 2020. The expiration date is May 31, 2021. The business address is 5 Pent Road, Madison, CT 06443. The current status is active.
| Licensee Name | MARY ELLEN LYON |
| Credential ID | 1465140 |
| Credential Number | 1.060501 |
| Credential Type | Physician/Surgeon |
| Business Address |
5 Pent Road Madison CT 06443 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2018-05-02 |
| Effective Date | 2020-06-01 |
| Expiration Date | 2021-05-31 |
| Refresh Date | 2020-06-02 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1513391 | CSP.0068013 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2018-05-14 | 2019-03-01 - 2021-02-28 | ACTIVE |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Mary Ellen Lyon | 109 Pheasant Run, Vernon, CT 06066 | Notary Public Appointment | 2011-06-01 ~ 2016-05-31 |
| Street Address | 5 Pent Road |
| City | Madison |
| State | CT |
| Zip Code | 06443 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Institute for Applied Marine Science Education Inc. | 5 Pent Road, Madison, CT 06443 | Public Charity-exempt From Financial Requirements | ~ |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Caitlyn Beverly Darosa | Lyle Dr, Madison, CT 06443 | Registered Nurse | ~ |
| Roberts Food Center · Rjf Inc Dba | 514 Old Toll Rd, Madison, CT 06443 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Karen D Leonetti · Rapuano | 553 Green Hill Rd, Madison, CT 06443 | Radiographer | 2020-09-01 ~ 2021-08-31 |
| Pasquale Sabatasso | 122 River Edge Farms Road, Madison, CT 06443 | Barber | 2020-07-01 ~ 2022-06-30 |
| Madision Health Foods · Jum Ok Coker | 59 Wall St, Madison, CT 06443 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Madison Community Services Inc. | P.o. Box 148, Madison, CT 06443 | Public Charity | 2020-12-01 ~ 2021-11-30 |
| Shaina Michele Levinson | 52 East Wharf Rd, Madison, CT 06443 | Master's Level Social Worker | ~ |
| Stephen G Lynch · Lynch, Stephen Gerard | 12 Milestone Lane, Madison, CT 06443 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| David F Courtney Md | 38 Old Duck Hole Road, Madison, CT 06443 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Sydni E Marmor | 560 Opening Hill Road, Madison, CT 06443 | Professional Counselor | 2020-07-01 ~ 2021-06-30 |
| Find all Licenses in zip 06443 | |||
| City | Madison |
| Zip Code | 06443 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + Madison |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Mary Ellen May | 16 Edna Court, Brookfield, CT 06804 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Grover A Lyon Md | 163 Mary Ellen Dr, Milford, CT 06460 | Controlled Substance Registration for Practitioner | 1996-03-01 ~ 1997-02-28 |
| Greggory Devore | 5232 Mary Ellen Ave, Van Nuys, CA 91401 | Physician/surgeon | 1978-09-19 ~ 1981-10-31 |
| Mary Ellen Betit Md | 1931 Fairfield Beach Rd, Fairfield, CT 06824-6566 | Physician/surgeon | 2019-11-01 ~ 2020-10-31 |
| Andrea J Rock | 30 Lyon St # 3, New Haven, CT 06511-4926 | Physician/surgeon | 2012-06-01 ~ 2013-05-31 |
| Oreoluwa O Ojutiku Md | 84 Lyon St Fl 1, New Haven, CT 06511-4927 | Physician/surgeon | 2010-05-01 ~ 2011-04-30 |
| James G Longhurst Md | 14 Lyon St #3, New Haven, CT 06511 | Physician/surgeon | 1997-05-08 ~ 1998-05-31 |
| Benjamin J Oldfield | 100 Lyon Street, New Haven, CT 06511 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| David R Mckee | 221 W Lyon Farm Dr, Greenwich, CT 06831-4355 | Physician/surgeon | 2016-02-01 ~ 2017-01-31 |
| Christopher Lyon | 3814 Topside La, Corona-del-mar, CA 92625 | Physician/surgeon | 1997-02-03 ~ 1998-01-31 |
Please comment or provide details below to improve the information on MARY ELLEN LYON.
| 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).