LISA C GAMACHE
Controlled Substance Registration for Practitioner


Address: 20 Harris St, Pittsfield, MA 01201

LISA C GAMACHE (Credential# 161519) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is September 7, 1994. The license expiration date date is September 1, 1996. The license status is INACTIVE.

Business Overview

LISA C GAMACHE is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0022464. The credential type is controlled substance registration for practitioner. The effective date is September 7, 1994. The expiration date is September 1, 1996. The business address is 20 Harris St, Pittsfield, MA 01201. The current status is inactive.

Basic Information

Licensee Name LISA C GAMACHE
Credential ID 161519
Credential Number CSP.0022464
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 20 Harris St
Pittsfield
MA 01201
Business Type INDIVIDUAL
Status INACTIVE
Effective Date 1994-09-07
Expiration Date 1996-09-01
Refresh Date 2004-04-23

Other licenses

ID Credential Code Credential Type Issue Term Status
702524 2.008056 Dentist 1994-07-29 1995-05-25 - 1996-05-31 INACTIVE

Office Location

Street Address 20 HARRIS ST
City PITTSFIELD
State MA
Zip Code 01201

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Competitor

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City PITTSFIELD
Zip Code 01201
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + PITTSFIELD

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Lisa J Uri Md 219 Saddle Hill Rd, Stamford, CT 06903 Controlled Substance Registration for Practitioner 2006-03-01 ~ 2007-02-28
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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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