LIEN LAM
Controlled Substance Registration for Practitioner


Address: 103 Sheppard Ln, Nesconset, NY 11767

LIEN LAM (Credential# 1497385) 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.

Business Overview

LIEN LAM is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0067582. 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 103 Sheppard Ln, Nesconset, NY 11767. The current status is active.

Basic Information

Licensee Name LIEN LAM
Credential ID 1497385
Credential Number CSP.0067582
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 103 Sheppard Ln
Nesconset
NY 11767
Business Type INDIVIDUAL
Status ACTIVE - CURRENT
Active 1
Issue Date 2018-05-02
Effective Date 2019-03-01
Expiration Date 2021-02-28
Refresh Date 2019-02-28

Other licenses

ID Credential Code Credential Type Issue Term Status
1497267 1.060515 Physician/Surgeon 2018-05-02 2019-12-01 - 2020-11-30 ACTIVE

Office Location

Street Address 103 Sheppard Ln
City Nesconset
State NY
Zip Code 11767

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Tara F Stanislaw 16 Meryl Lane, Nesconset, NY 11767 Registered Nurse 2019-11-01 ~ 2020-10-31
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Jodi Laura Cohn 4 Tiffany Way, Nesconset, NY 11767 Registered Nurse 2016-05-01 ~ 2017-04-30
Thomas J Digiacomo 4 Viking Ct, Nesconset, NY 11767 Professional Engineer 1995-01-19 ~ 1996-01-31
Malcolm I Barkan 32 Empress Pines Drive, Nesconset, NY 11767 Professional Engineer 2004-02-01 ~ 2005-01-31
Charles A. Barragato 3 Gina Court, Nesconset, NY 11767 Certified Public Accountant License 2009-01-01 ~ 2009-12-31
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Competitor

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City Nesconset
Zip Code 11767
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + Nesconset

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Dataset Information

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).

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