ANA G. LIZAMA (Credential# 1994923) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is December 26, 2019. The license expiration date date is February 28, 2021. The license status is ACTIVE.
ANA G. LIZAMA is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0072947. The credential type is controlled substance registration for practitioner. The effective date is December 26, 2019. The expiration date is February 28, 2021. The business address is 5089 Gregg Way, Auburn, CA 95602-9697. The current status is active.
| Licensee Name | ANA G. LIZAMA |
| Credential ID | 1994923 |
| Credential Number | CSP.0072947 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
5089 Gregg Way Auburn CA 95602-9697 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2019-12-26 |
| Effective Date | 2019-12-26 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2019-12-30 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1153079 | 1.051801 | Physician/Surgeon | 2013-04-15 | 2019-12-19 - 2020-11-30 | ACTIVE |
| 888088 | CSP.0046085 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2009-10-09 | 2013-06-18 - 2015-02-28 | INACTIVE |
| 952539 | CSP.0048928 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | - | INACTIVE |
| Street Address | 5089 GREGG WAY |
| City | AUBURN |
| State | CA |
| Zip Code | 95602-9697 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Laura Louise Ritchart | 27688 Table Meadow Road, Auburn, CA 95602 | Registered Nurse | ~ |
| Knee Deep Brewing Co | 13395 New Airport Rd Ste H, Auburn, CA 95602-7419 | Out of State Shipper Beer | 2019-12-04 ~ 2020-12-03 |
| Joanne B Groth | 1445 Shadow Mountain Court, Auburn, CA 95602-7607 | Registered Nurse | 2015-02-01 ~ 2016-01-31 |
| Aaron J Wise | 8155 Hubbard Rd, Auburn, CA 95602-7816 | Home Improvement Salesperson | 2016-12-01 ~ 2017-11-30 |
| Adam Kanoff | 14330 Torrey Pines Dr, Auburn, CA 95602-8045 | Home Improvement Salesperson | 2016-07-28 ~ 2016-11-30 |
| Jennifer L Hershon | 24650 Oro Valley Rd, Auburn, CA 95602-8234 | Registered Nurse | ~ |
| William Wright | 10556 Combie Rd # 6412, Auburn, CA 95602-8908 | Home Improvement Salesperson | 2016-04-22 ~ 2016-11-30 |
| United Natural Foods West Inc | 12745 Earhart Ave, Auburn, CA 95602-9027 | Wholesaler of Drugs, Cosmetics & Medical Devices | 2019-04-30 ~ 2020-06-30 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Yong Xue | 2 Schwartz Drive Standard Wood Apt L144, Auburn, NY 13021 | Nail Technician | ~ |
| Jinghua Jin | 2 Schwartz Drive Standard Woods, Auburn, NY 13021 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Allison Czaplicki | 34c Boyce St, Auburn, MA 01501-2112 | Audiologist | ~ |
| Marcus T Backlin | 15 Arrowhead Ave, Auburn, MA 01501-2314 | Athletic Trainer | 2020-07-01 ~ 2021-06-30 |
| Derek M Labrecque | 224 Reamer Street, Auburn, CA 95603 | Architect | 2020-08-01 ~ 2021-07-31 |
| Jessica Confer | 31 Goulding Dr, Auburn, MA 01501-1822 | Respiratory Care Practitioner | 2019-01-01 ~ 2019-12-31 |
| Deborah J Leblanc | 40 Pakachoag St, Auburn, MA 01501-3139 | Hairdresser/cosmetician | 2020-07-01 ~ 2022-06-30 |
| Erika Kristal Eucker | 45 Barnes St, Auburn, MA 01501-2711 | Real Estate Broker | 2020-06-03 ~ 2021-03-31 |
| Ariane V. Dasilva | 22 Highland St, Auburn, MA 01501-2011 | Real Estate Salesperson | 2020-06-02 ~ 2021-05-31 |
| Franziska Ramona Valenzuela | 742 12th St Ne, Auburn, WA 98002-4121 | Licensed Practical Nurse | 2020-09-01 ~ 2021-08-31 |
| Find all Licenses in AUBURN | |||
| City | AUBURN |
| Zip Code | 95602 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + AUBURN |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Steven Kassels Md · Community Substance Abuse Center | Comm. Physicians PC/125 North Elm Street, Westfield, MA 01085 | Controlled Substance Registration for Practitioner | 2018-06-15 ~ 2019-02-28 |
| Shu-i Lin | CT | Controlled Substance Registration for Practitioner | 2017-06-12 ~ 2019-02-28 |
| Hae J Kim Pa | New Haven, CT 06511 | Controlled Substance Registration for Practitioner | 2008-03-31 ~ 2009-02-28 |
| Huu Duc D Luu | 630 Mix Ave Apt 6p, Hamden, CT 06514-2320 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
| Qi Che Md | Bridgeport, CT 06610 | Controlled Substance Registration for Practitioner | 2006-03-01 ~ 2007-02-28 |
| Erin K Fee | CT | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Arundati Rao | CT | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Min Jin Kim | 639 4th Ave Apt 5c, Brooklyn, NY 11232-1048 | Controlled Substance Registration for Practitioner | 2012-05-10 ~ 2013-02-28 |
| Tao Zheng | 17 Mae Ln, Wallingford, CT 06492-6060 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Hsuan-yin R Chu | Farmington, CT 06032 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
Please comment or provide details below to improve the information on ANA G. LIZAMA.
| 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).