AMANDA M LEWIS (Credential# 1597970) 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.
AMANDA M LEWIS is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0069482. 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 30 Old Farms Rd, West Suffield, CT 06093-2829. The current status is active.
| Licensee Name | AMANDA M LEWIS |
| Credential ID | 1597970 |
| Credential Number | CSP.0069482 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
30 Old Farms Rd West Suffield CT 06093-2829 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2018-10-16 |
| Effective Date | 2019-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2019-01-31 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1594459 | 23.004281 | Physician Assistant | 2018-10-16 | 2020-01-01 - 2020-12-31 | ACTIVE |
| 1033129 | 70.014244 | Emergency Medical Technician | 2011-09-20 | 2013-12-20 - 2017-06-30 | INACTIVE |
| Street Address | 30 OLD FARMS RD |
| City | WEST SUFFIELD |
| State | CT |
| Zip Code | 06093-2829 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Carolyn L Morneau | 28 Old Farms Rd, West Suffield, CT 06093-2829 | Licensed Practical Nurse | 2019-12-01 ~ 2020-11-30 |
| Les A Manness · Aluma Enterprises LLC | 2 Old Farms Rd, West Suffield, CT 06093-2829 | Flat Glass Unlimited Contractor | 2019-09-01 ~ 2021-08-31 |
| Aimee R Richter | 28 Old Farms Rd, West Suffield, CT 06093-2829 | Master's Level Social Worker | 2019-11-01 ~ 2020-10-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Michael J Grillo · Grillo Brothers | 188 Birch Rd, West Suffield, CT 06093 | Home Improvement Contractor | 2020-06-27 ~ 2020-11-30 |
| Pediatric Prosthetic Specialists LLC | 75c Hazard Ave, Enfield, CT 06093 | Manufacturer of Drugs, Cosmetics & Medical Devices | 2020-07-01 ~ 2021-06-30 |
| Lawrence P Kraiza | 279 South Grand St., West Suffield, CT 06093 | Sub-surface Sewage Installer | 2020-07-01 ~ 2021-06-30 |
| Victoria I Nocik | 1091 Sheldon Street, West Suffield, CT 06093 | Real Estate Salesperson | ~ |
| Bojana Dukanovic | 282 Colony Rd, West Suffield, CT 06093 | Architect | 2020-08-01 ~ 2021-07-31 |
| Heather Van Deusen | 3749 Phelps Rd, W Suffield, CT 06093 | Architect | 2020-08-01 ~ 2021-07-31 |
| Sydney J Waicunas | 1728 Mountain Road, West Suffield, CT 06093 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-17 ~ 2022-03-31 |
| Alaina V De Cesare · Andreyev | 55 Ridgewood Drive, West Suffield, CT 06093 | Licensed Clinical Social Worker | 2020-09-01 ~ 2021-08-31 |
| Christina D Bray-smith | 2 South Grand Street, West Suffield, CT 06093 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Julie Kristin Brookman | 2 Warnertown Road, West Suffield, CT 06093 | Esthetician | ~ |
| Find all Licenses in zip 06093 | |||
| City | WEST SUFFIELD |
| Zip Code | 06093 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + WEST SUFFIELD |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Amanda N Rea | 195 Broadmere Rd, Stratford, CT 06614 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Amanda Lu | 71 Haynes St, Manchester, CT 06040-4131 | Controlled Substance Registration for Practitioner | 2019-05-29 ~ 2021-02-28 |
| Amanda H Uva | 6 Chiltern St, Farmington, CT 06032-1533 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Felicia M Lewis Md | New Haven, CT 06511 | Controlled Substance Registration for Practitioner | 2004-02-29 ~ 2005-02-28 |
| Amanda L Gosling | 32 Highview Ter Apt D7, Hamden, CT 06514-2241 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
| Amanda Shreders | 772 Westover Rd, Stamford, CT 06902-1329 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
| Amanda R Cook | 28 Augusta Dr, Milford, CT 06461-1683 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Amanda E Renschler | 24 Eagle St, Southwick, MA 01077-9606 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Amanda J Maki Pa-c | 19 Davis Ave # A, Vernon, CT 06066-3101 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Saadi Alhalbouni | 216 Amanda St Apt B, Russell, KY 41169-1313 | Controlled Substance Registration for Practitioner | ~ |
Please comment or provide details below to improve the information on AMANDA M 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).