JEFFREY S LUSTMAN MD (Credential# 158989) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is April 17, 2017. The license expiration date date is February 28, 2019. The license status is RETIRED.
JEFFREY S LUSTMAN MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0019095. The credential type is controlled substance registration for practitioner. The effective date is April 17, 2017. The expiration date is February 28, 2019. The business address is 215 Main St, Westport, CT 06880. The current status is retired.
| Licensee Name | JEFFREY S LUSTMAN MD |
| Credential ID | 158989 |
| Credential Number | CSP.0019095 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
215 Main St Westport CT 06880 |
| Business Type | INDIVIDUAL |
| Status | RETIRED - NOT ACTIVELY ENGAGING |
| Active | 1 |
| Issue Date | 1999-03-01 |
| Effective Date | 2017-04-17 |
| Expiration Date | 2019-02-28 |
| Refresh Date | 2019-01-31 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 542031 | 1.016699 | Physician/Surgeon | 1974-06-26 | 2018-02-01 - 2019-01-17 | INACTIVE |
| Street Address | 215 MAIN ST |
| City | WESTPORT |
| State | CT |
| Zip Code | 06880 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Andrew Lustbader Md | 215 Main St, Westport, CT 06880 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Stuart D Aaron Md | 215 Main St, Westport, CT 06880-3210 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Stuart D Aaron Optical | 215 Main St, Westport, CT 06880-3210 | Optical Selling Permit | 2014-09-01 ~ 2015-08-31 |
| Links Connections for Independent Living | 215 Main St, Westport, CT 06880-3210 | Public Charity | 2012-06-01 ~ 2013-05-31 |
| Calibre Corp | 215 Main St, Westport, CT 06880 | Home Improvement Contractor | 1995-11-13 ~ 1996-11-30 |
| Rick Compitello · Upstream Associates Inc | 215 Main St, Westport, CT 06880 | Home Improvement Contractor | 1995-11-13 ~ 1996-11-30 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Toni L Bucker | 4 Wild Rose Rd, Westport, CT 06880 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Jee Hyun Kim | 1 Allen Lane, Westport, CT 06880 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-26 ~ 2021-07-31 |
| Donna Vaccarella | 15 Keyser Rd, Westport, CT 06880 | Hairdresser/cosmetician | 2020-09-01 ~ 2022-08-31 |
| Sandra Gibson | 12 Bayberry Ln, Westport, CT 06880 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Adil Salam Md | 44 Crawford Rd, Westport, CT 06880 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Joanne C Sosnoski | 24 Hawatha Lane, Westport, CT 06880 | Dental Hygienist | 2020-08-01 ~ 2021-07-31 |
| Rachel Lynn | 495 Post Rd East, Westport, CT 06880 | Eyelash Technician | ~ |
| Beginnings: An Infant/toddler Program | 71 Hillandale Road, Westport, CT 06880 | Group Child Care Home | 2018-01-01 ~ 2021-12-31 |
| Shelley S Ross | 28 Old Hill Farms Rd, Westport, CT 06880 | Dietitian/nutritionist | 2020-08-01 ~ 2021-07-31 |
| Robert W Van Summern | 279 Wilton Rd, Westport, CT 06880 | Architect | 2020-08-01 ~ 2021-07-31 |
| Find all Licenses in zip 06880 | |||
| City | WESTPORT |
| Zip Code | 06880 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + WESTPORT |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Jeffrey Factor | Jeffrey M. Factor, Md, West Hartford, CT 06119 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Jeffrey M Ulis | 660 Mix Ave #1h, Hamden, CT 06514 | Controlled Substance Registration for Practitioner | 2010-12-08 ~ 2013-02-28 |
| Jeffrey Kleis Dpm | 201 Ann St Ste# 203, Hartford, CT 06103 | Controlled Substance Registration for Practitioner | 1997-03-19 ~ 1998-02-28 |
| Jeffrey N Masi | New Haven, CT 06510 | Controlled Substance Registration for Practitioner | 2011-06-13 ~ 2013-02-28 |
| Jeffrey Dempski Do | Po Box 283, Wiscasset, ME 04578-0283 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Jeffrey T Alwine | 31 River Rd Ste 100, Cos Cob, CT 06807-2152 | Controlled Substance Registration for Practitioner | 2013-04-10 ~ 2015-02-28 |
| Jeffrey M Kay | 38 Bonwit Rd, Riverside, CT 06878-1215 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Jeffrey W Moy | 8 Woodhill Rd, Milford, CT 06461-2368 | Controlled Substance Registration for Practitioner | 2013-09-27 ~ |
| Jeffrey A Carruth Md | Po Box 264, Shelton, CT 06484 | Controlled Substance Registration for Practitioner | 2019-03-10 ~ 2021-02-28 |
| Jeffrey R Uhl Dds | 75 Limerick Rd, Trumbull, CT 06611-1828 | Controlled Substance Registration for Practitioner | 2004-02-29 ~ 2005-02-28 |
Please comment or provide details below to improve the information on JEFFREY S LUSTMAN MD.
| 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).