LISA M BIENIA KENTON (Credential# 1613148) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is June 1, 2020. The license expiration date date is May 31, 2021. The license status is ACTIVE.
LISA M BIENIA KENTON is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.062219. The credential type is physician/surgeon. The effective date is June 1, 2020. The expiration date is May 31, 2021. The business address is 4 Fox Run, Sturbridge, MA 01566-1514. The current status is active.
| Licensee Name | LISA M BIENIA KENTON |
| Credential ID | 1613148 |
| Credential Number | 1.062219 |
| Credential Type | Physician/Surgeon |
| Business Address |
4 Fox Run Sturbridge MA 01566-1514 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2018-12-31 |
| Effective Date | 2020-06-01 |
| Expiration Date | 2021-05-31 |
| Refresh Date | 2020-05-05 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1613688 | CSP.0069841 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2018-12-31 | 2018-12-31 - 2021-02-28 | ACTIVE |
| Street Address | 4 FOX RUN |
| City | STURBRIDGE |
| State | MA |
| Zip Code | 01566-1514 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Ashley Maeve Condon | 49 Seneca Lane, Sturbridge, MA 01566 | Registered Nurse | 2020-06-17 ~ 2020-12-31 |
| Seth Ryan Southall | 90 Hall Rd, Stubridge, MA 01566 | Registered Nurse | 2018-12-03 ~ 2019-12-31 |
| David R Mcguill | 1 Adams Rd, Sturbridge, MA 01566 | Real Estate Salesperson | 2019-06-01 ~ 2020-05-31 |
| Gracellen M Riel | 19 Vinton Rd, Sturbridge, MA 01566 | Real Estate Salesperson | 2017-06-01 ~ 2018-05-31 |
| Dana R. Kroll | 163 Willow Ave, Sturbridge, MA 01566 | Hoisting Equipment Operator | 2020-05-20 ~ 2022-05-19 |
| Robert J Engell | 60 Fiske Hill Road, Sturbridge, MA 01566 | Nursing Home Administrator | 2020-06-01 ~ 2022-05-31 |
| Michelle A Fanion | 56 Fiske Hill Rd., Sturbridge, MA 01566 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| Renee L Moynagh | P.o. Box 792, Sturbridge, MA 01566 | Tax Preparer/facilitator Permit | 2020-04-18 ~ 2022-04-30 |
| Christine L Carter | Coldwell Banker Residential Brokerage, Sturbridge, MA 01566 | Real Estate Broker | 2019-04-01 ~ 2020-03-31 |
| Peter J Vamvilis | 178 Shepard Rd, Sturbridge, MA 01566 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| Find all Licenses in zip 01566 | |||
| City | STURBRIDGE |
| Zip Code | 01566 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + STURBRIDGE |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Amanda B Chavez | 5055 Taylor Kenton, San Antonio, TX 78240-5424 | Physician/surgeon | ~ |
| Kenton Edward Kagy | 11995 Singletree Lane, Suite 500, Eden Prairie, MN 55344 | Physician/surgeon | 2019-10-01 ~ 2020-09-30 |
| Kenton & Co LLC | 18 Old Rock Rd, Weston, CT 06883-2553 | Home Improvement Contractor | 2019-12-10 ~ 2020-11-30 |
| Lisa J Trencher | 2-11 B Peck Ave, Rye, NY 10580 | Physician/surgeon | 1999-05-20 ~ 2000-05-31 |
| Ana Lisa Carr | Po Box 34457, Omaha, NE 68134-0457 | Physician/surgeon | ~ |
| Lisa Das | 26 Tamie Way, Pittsfield, MA 01201 | Physician/surgeon | 2000-01-24 ~ 2001-03-31 |
| Nicole M Absar | 58 Lisa Ave, Plymouth, MA 02360-5016 | Physician/surgeon | ~ |
| Lisa M Smith | 60 Montoya Dr, Branford, CT 06405 | Physician/surgeon | 1992-04-24 ~ 1993-03-31 |
| Lisa Y Howard Md | 43 West St, Litchfield, CT 06759-3501 | Physician/surgeon | 2018-12-01 ~ 2019-11-30 |
| Lisa Rho | 1 Cityplace Dr Ste 570, Saint Louis, MO 63141-7067 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
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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).