EDWARD WAHN LEE (Credential# 1650270) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is May 29, 2019. The license expiration date date is February 28, 2021. The license status is ACTIVE.
EDWARD WAHN LEE is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0070680. The credential type is controlled substance registration for practitioner. The effective date is May 29, 2019. The expiration date is February 28, 2021. The business address is 64 Crystal Ln Apt B, Storrs, CT 06268-1172. The current status is active.
| Licensee Name | EDWARD WAHN LEE |
| Credential ID | 1650270 |
| Credential Number | CSP.0070680 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
64 Crystal Ln Apt B Storrs CT 06268-1172 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2019-05-29 |
| Effective Date | 2019-05-29 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2019-05-30 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1663367 | 1.063525-RES | Resident Physician | 2019-07-01 | 2019-07-01 - 2020-06-30 | ACTIVE |
| Street Address | 64 CRYSTAL LN APT B |
| City | STORRS |
| State | CT |
| Zip Code | 06268-1172 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Kevin M Duignan | 64 Crystal Ln Apt D, Storrs Mansfield, CT 06268-1172 | Resident Physician | 2020-07-01 ~ 2023-06-30 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Craig D Sweeney Md | 7 Eastwood Rd, Storrs, CT 06268 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Scott W Edington | 414 Woodland Rd., Storrs, CT 06268 | Psychologist | 2020-09-01 ~ 2021-08-31 |
| Diane Boudreau | 999 Stafford Rd, Storrs, CT 06268 | Public Weigher | 2020-07-01 ~ 2021-06-30 |
| Prabha Pokhrel | 239 Baxter Road, Storrs, CT 06268 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Jacqueline M Russell | 127b Dog Lane, Mansfield, CT 06268 | Resident Physician | 2020-07-01 ~ 2023-06-30 |
| Carrie Ann Waldron | 829 Stafford Rd., Storrs, CT 06268 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Scott Forand · Scott Forand Construction | 17 Cedar Swamp Rd, Storrs, CT 06268 | Sub-surface Sewage Installer | 2020-09-01 ~ 2021-08-31 |
| Carrie Silver-bernstein | 56 Jonathan Lane, Mansfield, CT 06268 | Physical Therapist | 2020-08-01 ~ 2021-07-31 |
| Stafford Road C-75 | 1279 Stafford Road, Storrs, CT 06268 | Public Community Living Arrangement | 2018-07-01 ~ 2020-06-30 |
| Middle Turnpike | 505 Middle Turnpike, Storrs, CT 06268 | Public Community Living Arrangement | 2018-12-01 ~ 2020-11-30 |
| Find all Licenses in zip 06268 | |||
| City | STORRS |
| Zip Code | 06268 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + STORRS |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Edward L Osborn | Po Box 245, Torrington, CT 06790-0245 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Edward T Sze | 152 Temple St Apt 513, New Haven, CT 06510-2613 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
| Edward Jk Lee | 291 Queen St, Bristol, CT 06010-6379 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Edward F Fox Md | 111 Oakridge Rd, Bristol, CT 06010 | Controlled Substance Registration for Practitioner | 1998-03-01 ~ 1999-02-28 |
| Edward W Akeyson Md | Po Box 189, Durham, CT 06422-0189 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Edward H Kim | 2 Sparrow La, Unionville, CT 06085 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Edward W Hughes | 139 Hazard Ave, Enfield, CT 06082 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
| Edward Feliciano Md | 940 Danbury Rd, Wilton, CT 06897 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Edward Felix Lin | 622 W 168th St, New York, NY 10032-3720 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Edward P Wilmer Md | 135 State St, Wethersfield, CT 06109 | Controlled Substance Registration for Practitioner | 2006-03-20 ~ 2007-02-28 |
Please comment or provide details below to improve the information on EDWARD WAHN LEE.
| 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).