LISA M WARYCH (Credential# 279248) 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 WARYCH is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0030964. 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 54 Tridell Drive, Plantsville, CT 06479. The current status is active.
| Licensee Name | LISA M WARYCH |
| Credential ID | 279248 |
| Credential Number | CSP.0030964 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
54 Tridell Drive Plantsville CT 06479 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2001-06-01 |
| Effective Date | 2019-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2019-01-25 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 742612 | 23.000863 | Physician Assistant | 1999-06-25 | 2019-12-01 - 2020-11-30 | ACTIVE |
| 488324 | CSP.0042861 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2007-11-21 | 2007-11-21 - 2008-02-29 | INACTIVE |
| 879178 | 72.000971 | Paramedic | 1997-10-01 | 2005-09-28 - 2006-11-30 | INACTIVE |
| 859782 | 70.900934 | Emergency Medical Technician | 1990-06-14 | - 1991-06-30 | INACTIVE |
| Street Address | 54 Tridell Drive |
| City | Plantsville |
| State | CT |
| Zip Code | 06479 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Kim E Graham | 54 Tridell Drive, Plantsville, CT 06479 | Hairdresser/cosmetician | 2020-04-01 ~ 2022-03-31 |
| Mary B Mackessy Md | 54 Tridell Drive, Plantsville, CT 06479 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Karen Slonus | 9 Wilbur St, Plantsville, CT 06479 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Ann-kristin Friedrich | 77 Carter Lane, Plantsville, CT 06479 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Trevor Steskla | 1157 Marion Ave, Plantsville, CT 06479 | Heating, Piping & Cooling Limited Journeyperson | ~ |
| Rebecca L Fernandes | 29 Fleetwood Rd, Plantsville, CT 06479 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Pawan K Karanam | 33 Hubeny Drive, Plantsville, CT 06479 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
| Charles A Moss | 105 Roxbury Rd, Plantsville, CT 06479 | Architect | 2020-08-01 ~ 2021-07-31 |
| Marceille M Crookes | 30 Hillside Ave, Plantsville, CT 06479 | Hairdresser/cosmetician | 2020-08-01 ~ 2022-07-31 |
| Lino L Gelada | 221 Burritt Street, Plantsville, CT 06479 | Licensed Practical Nurse | 2020-09-01 ~ 2021-08-31 |
| Tony's Restaurant & Pizza Palace | 1315 Meriden Wtby Rd, Plantsville, CT 06479 | Bakery | 2020-07-01 ~ 2021-06-30 |
| Richard Oulundsen II | 924 Prospect Street, Plantsville, CT 06479 | Notary Public Appointment | 2020-10-01 ~ 2025-09-30 |
| Find all Licenses in zip 06479 | |||
| City | Plantsville |
| Zip Code | 06479 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + Plantsville |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Lisa J Mao | 49 Lake Ave, Greenwich, CT 06830-4501 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Lisa D Picascia | Middletown, CT 06457 | Controlled Substance Registration for Practitioner | 2018-04-04 ~ 2019-02-28 |
| Lisa K Yoo Do | 121 Gower Rd, New Canaan, CT 06840 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Lisa Phuong | 440 W End Ave Apt 12f, New York, NY 10024-5358 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Lisa Kim | 56 Franklin St, Waterbury, CT 06706-1253 | Controlled Substance Registration for Practitioner | 2015-04-23 ~ 2017-02-28 |
| Lisa M Fox | 50 Woodland Dr, Northford, CT 06472-1206 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Lisa J Uri Md | 219 Saddle Hill Rd, Stamford, CT 06903 | Controlled Substance Registration for Practitioner | 2006-03-01 ~ 2007-02-28 |
| Lisa Goebel Pa | 528 Cypress Rd, Newington, CT 06111 | Controlled Substance Registration for Practitioner | 1997-03-01 ~ 1998-02-28 |
| Lisa Mh Dries Do | 90 Ludlow Rd, Windsor, CT 06095 | Controlled Substance Registration for Practitioner | 2008-03-19 ~ 2009-02-28 |
| Lisa O'donovan | 20 York St Rm 226, New Haven, CT 06510-3220 | Controlled Substance Registration for Practitioner | 2019-06-05 ~ 2021-02-28 |
Please comment or provide details below to improve the information on LISA M WARYCH.
| 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).