MADENA L LEWIS (Credential# 1472634) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2019. The license expiration date date is February 28, 2021. The license status is ACTIVE.
MADENA L LEWIS is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0067372. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2019. The expiration date is February 28, 2021. The business address is 210 Morse Ave, Groton, CT 06340-5134. The current status is active.
| Licensee Name | MADENA L LEWIS |
| Credential ID | 1472634 |
| Credential Number | CSP.0067372 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
210 Morse Ave Groton CT 06340-5134 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2018-01-26 |
| Effective Date | 2019-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2019-01-22 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1465146 | 12.007408 | Advanced Practice Registered Nurse | 2017-12-12 | 2019-09-01 - 2020-08-31 | ACTIVE |
| 583997 | 10.079995 | Registered Nurse | 2006-09-19 | 2019-09-01 - 2020-08-31 | ACTIVE |
| Street Address | 210 MORSE AVE |
| City | GROTON |
| State | CT |
| Zip Code | 06340-5134 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| David T Johnson | 210 Morse Ave, Groton, CT 06340-5134 | Electrical Unlimited Contractor | 2019-10-01 ~ 2020-09-30 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Robert A Ormond | 192 Morse Ave, Groton, CT 06340-5134 | Emergency Medical Technician | 2015-03-17 ~ 2018-01-01 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Swatiben R. Patel | 81 Charlton Lane, Groton, CT 06340 | Pharmacy Technician | 2020-06-26 ~ 2021-03-31 |
| Susan E Mammone | 39 Chestnut Hill Sq, Groton, CT 06340 | Real Estate Salesperson | 2020-06-23 ~ 2021-05-31 |
| Jennifer L Lundie | 302b Meridian Street, Groton, CT 06340 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Jennifer Gauthier | 55 Fieldside Drive # B, Groton, CT 06340 | Master's Level Social Worker - Temporary Permit | ~ |
| Anthony Di Lullo Md | Thameside Ob/gyn Centre, Groton, CT 06340 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
| Carrien Williams | 186 Mirra Dr, Groton, CT 06340 | Nail Technician | ~ |
| Mustapha Kemal Md | 61 Leeward Lane, Groton, CT 06340 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Subway #309 | 967 Poquonnock Rd, Groton, CT 06340 | Bakery | 2020-07-01 ~ 2021-06-30 |
| Kathlene M Hunt | 75 Pleasant Street, Groton, CT 06340 | Notary Public Appointment | 2020-10-01 ~ 2025-09-30 |
| Paul A Morosky | 2 Cross Street, Groton, CT 06340 | Distribution System Operator - Class I | 2020-04-01 ~ 2023-03-31 |
| Find all Licenses in zip 06340 | |||
| City | GROTON |
| Zip Code | 06340 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + GROTON |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Felicia M Lewis Md | New Haven, CT 06511 | Controlled Substance Registration for Practitioner | 2004-02-29 ~ 2005-02-28 |
| Gerard Fumo | 435 Lewis Ave Ste 220, Meriden, CT 06451-2101 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Susan A Lewis | 381 Riverside Ave, Westport, CT 06880-4810 | Controlled Substance Registration for Practitioner | 2014-12-22 ~ 2017-02-28 |
| Thomas M Lewis Dmd | 10 Fairway Dr, Ledyard, CT 06339 | Controlled Substance Registration for Practitioner | 2007-03-01 ~ 2008-02-29 |
| Lewis Trusheim Dmd | 107 Newtown Rd, Danbury, CT 06810 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
| Peter Leff | 455 Lewis Ave Ste #216, Meriden, CT 06451 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Gary F Tansino | 435 Lewis Ave Ste 220, Meriden, CT 06451-2101 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Emilee C Lewis | 282 Washington St, Hartford, CT 06106-3322 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Richard S Allen Md | 455 Lewis Ave, Meriden, CT 06451 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Irfan S Chughtai | 455 Lewis Ave Ste 214, Meriden, CT 06451-2121 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Please comment or provide details below to improve the information on MADENA L LEWIS.
| 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).