LISA M DONOVAN MD (Credential# 177427) 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.
LISA M DONOVAN MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0024724. 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 27 Red Cross Ave, Newport, RI 02840. The current status is active.
| Licensee Name | LISA M DONOVAN MD |
| Credential ID | 177427 |
| Credential Number | CSP.0024724 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
27 Red Cross Ave Newport RI 02840 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 1999-03-01 |
| Effective Date | 2019-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2019-02-26 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 553131 | 1.035538 | Physician/Surgeon | 1996-09-06 | 2019-09-01 - 2020-08-31 | ACTIVE |
| Street Address | 27 Red Cross Ave |
| City | Newport |
| State | RI |
| Zip Code | 02840 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Coastal Extreme Brewing Co LLC · Newport Craft Brewing & Distilling | 293 Connell Hwy, Newport, RI 02840 | Out of State Shipper Liquor | 2020-07-10 ~ 2021-07-09 |
| Spencer C Mccombe · Cordtsen Design Architecture | 7 Thurston Ave, Newport, RI 02840 | Architect | 2020-08-01 ~ 2021-07-31 |
| Vera G Carbone | 141 Narragansett Avenue, Newport, RI 02840 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Robert H Lambert | Burgin Lambert Architects, Newport, RI 02840 | Architect | 2020-08-01 ~ 2021-07-31 |
| Melita M Warner | 10 Bull Street, Newport, RI 02840 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| Karen P Zeidenberg | 1 Oakwood Terrace, Newport, RI 02840 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| William A Crane | 320 Thames Street #1032, Newport, RI 02840 | Architect | 2018-08-01 ~ 2019-07-31 |
| Avani C Mchugh | 2 Wheatland Ct, Newport, RI 02840 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Liwei Lang | 6 Bosworth Court, Newport, RI 02840 | Casino Class I Employee | 2019-12-11 ~ 2020-10-31 |
| Jeffrey C. Adam | 41 Long Wharf Mall, Newport, RI 02840 | Tax Preparer/facilitator Permit | 2020-02-11 ~ 2022-02-28 |
| Find all Licenses in zip 02840 | |||
| City | Newport |
| Zip Code | 02840 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + Newport |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Lisa O'donovan | 20 York St Rm 226, New Haven, CT 06510-3220 | Controlled Substance Registration for Practitioner | 2019-06-05 ~ 2021-02-28 |
| Elaine Donovan | 188 Atkins St, Meriden, CT 06450 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Ryan J Donovan Pa | 40 Brookside Pl, Cheshire, CT 06410 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Kenneth W Donovan Md | 26 Dawley Dr, Stonington, CT 06378-2021 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| James F Donovan Md | 211 Farmcliff Dr, Glastonbury, CT 06033 | Controlled Substance Registration for Practitioner | 1993-05-14 ~ 1995-06-01 |
| Rachel Donovan Lnm | 531 Neipsic Road, Glastonbury, CT 06033 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Derek William Donovan | 484 Middletown Rd, Colchester, CT 06415-2230 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Cristina Donovan | 225 Brush Hill Rd, Litchfield, CT 06759-3218 | Controlled Substance Registration for Practitioner | ~ |
| Shannon Louise Donovan Mazur | 66 Amherst Rd, South Hadley, MA 01075-1202 | Controlled Substance Registration for Practitioner | ~ |
| Jayne Donovan | 263 Farmington Ave, Farmington, CT 06030-0001 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
Please comment or provide details below to improve the information on LISA M DONOVAN 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).