LYNN K DAVIS MD (Credential# 152864) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2015. The license expiration date date is February 28, 2017. The license status is INACTIVE.
LYNN K DAVIS MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0003071. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2015. The expiration date is February 28, 2017. The business address is 273 Founders Rd, Glastonbury, CT 06033-3213. The current status is inactive.
Licensee Name | LYNN K DAVIS MD |
Credential ID | 152864 |
Credential Number | CSP.0003071 |
Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
Business Address |
273 Founders Rd Glastonbury CT 06033-3213 |
Business Type | INDIVIDUAL |
Status | INACTIVE |
Issue Date | 2006-03-01 |
Effective Date | 2015-03-01 |
Expiration Date | 2017-02-28 |
Refresh Date | 2018-01-29 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
542581 | 1.017849 | Physician/Surgeon | 1976-06-03 | 2015-10-01 - 2016-09-30 | INACTIVE |
Street Address | 273 FOUNDERS RD |
City | GLASTONBURY |
State | CT |
Zip Code | 06033-3213 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Donna P Davis | 273 Founders Rd, Glastonbury, CT 06033 | Registered Nurse | 2020-06-01 ~ 2021-05-31 |
Katherine L Davis | 273 Founders Rd, Glastonbury, CT 06033-3213 | Registered Nurse | 2019-08-01 ~ 2020-07-31 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Kathryn Rose Iamonaco | 297 Founders Rd, Glastonbury, CT 06033-3213 | Registered Nurse | 2020-04-01 ~ 2021-03-31 |
Laura J Iamonaco | 297 Founders Rd, Glastonbury, CT 06033-3213 | Registered Nurse | 2020-03-01 ~ 2021-02-28 |
Christopher R Iamonaco | 297 Founders Rd, Glastonbury, CT 06033-3213 | Emergency Medical Technician | 2013-01-24 ~ 2015-10-01 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Vanessa Segal | 46 Salem Court, Glastonbury, CT 06033 | Hairdresser/cosmetician | ~ |
Laura Nadeau | 3641 Hebron Ave, Glastonbury, CT 06033 | Respiratory Care Practitioner | 2020-08-01 ~ 2021-07-31 |
Abigail Lynn Hubbard | 55 Brookview Drive, Glastonbury, CT 06033 | Emergency Medical Technician | ~ |
Maureen E Booth | 36 Hubbard Run Drive, Glastonbury, CT 06033 | Speech and Language Pathologist | 2020-07-01 ~ 2021-06-30 |
Wendy B Johnson | 1789 Main St, Glastonbury, CT 06033 | Architect | 2020-08-01 ~ 2021-07-31 |
Michael D Devanney Pa | 28 Evergreen Ln, Glastonbury, CT 06033 | Physician Assistant | 2020-09-01 ~ 2021-08-31 |
Sophie C Gomez · Pirog | 81 Three Mile Rd, Glastonbury, CT 06033 | Licensed Practical Nurse | 2020-07-01 ~ 2021-06-30 |
Jennifer R Briones | 90 Deerfield Drive, Glastonbury, CT 06033 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
Munson's Chocolates | 135 Glastonbury Blvd, Glastonbury, CT 06033 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
Yulhun Sung | 245 Griswold St Unit A, Glastonbury, CT 06033 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
Find all Licenses in zip 06033 |
City | GLASTONBURY |
Zip Code | 06033 |
License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + GLASTONBURY |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
W Bradley Davis Dvm | Davis Companion Animal Hospital, Woodbury, CT 06798 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Ben Shneider Md | 64 Davis Dr, Guilford, CT 06437 | Controlled Substance Registration for Practitioner | 1997-03-04 ~ 1998-02-28 |
Amanda J Maki Pa-c | 19 Davis Ave # A, Vernon, CT 06066-3101 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
Jason Davis | 24 Hospital Ave, Danbury, CT 06810 | Controlled Substance Registration for Practitioner | 2009-09-02 ~ 2011-02-28 |
Kari A Davis | 40 Mansfield Ave, Willimantic, CT 06226-2018 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
Douglas J Davis | 30 Kneeland Rd, New Haven, CT 06512-5005 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
April Davis | 24 Shunpike Rd., Durham, CT 06422 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Venetia Kyriakos | 416 Davis Ave, Greenwich, CT 06830-7235 | Controlled Substance Registration for Practitioner | 2017-02-16 ~ 2019-02-28 |
Jonathan Rie Md | 33 Davis Ave, White Plains, NY 10605 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
Meglis Davis | 28 Magnolia Ave, Norwalk, CT 06850-3631 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
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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).