LANCE E KISBY DMD
Controlled Substance Registration for Practitioner


Address: 2412 Silverside Rd, Wilmington, DE 19810-4521

LANCE E KISBY DMD (Credential# 332553) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2007. The license expiration date date is February 29, 2008. The license status is INACTIVE.

Business Overview

LANCE E KISBY DMD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0033277. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2007. The expiration date is February 29, 2008. The business address is 2412 Silverside Rd, Wilmington, DE 19810-4521. The current status is inactive.

Basic Information

Licensee Name LANCE E KISBY DMD
Credential ID 332553
Credential Number CSP.0033277
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 2412 Silverside Rd
Wilmington
DE 19810-4521
Business Type INDIVIDUAL
Status INACTIVE
Effective Date 2007-03-01
Expiration Date 2008-02-29
Refresh Date 2009-02-05

Other licenses

ID Credential Code Credential Type Issue Term Status
703567 2.009115 Dentist 2003-01-30 2006-10-23 - 2007-10-31 INACTIVE

Office Location

Street Address 2412 SILVERSIDE RD
City WILMINGTON
State DE
Zip Code 19810-4521

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Nathan W Buttorff 3327 S. Rockfield Dr., Wilmington, DE 19810 Professional Engineer 2020-02-01 ~ 2021-01-31
Joseph M Nattress 4 Crenshaw Drive, Wilmington, DE 19810 Professional Engineer 2020-02-01 ~ 2021-01-31
Brian P Monaghan 2400 Kingman Dr, Wilmington, DE 19810 Engineer-in-training 2006-05-09 ~ 2016-05-09
Douglas R Iserman 2324 Thomas Ln, Wilmington, DE 19810 Professional Engineer 1996-02-01 ~ 1997-01-31
Carl M Koch 1919 Gravers Ln, Wilmington, DE 19810 Professional Engineer 2009-02-01 ~ 2010-01-31
David Campbell 9 Birch Knoll Rd, Wilmington, DE 19810 Professional Engineer 1999-02-01 ~ 2000-01-31
Karen Kaithleen L Layug 2515 Cedar Tree Drive Apt 2d, Wilmington, DE 19810 Registered Nurse 2013-08-01 ~ 2014-07-31
Julianne M Derosa 2705 Grubb Rd, Wilmington, DE 19810 Registered Nurse 2009-01-20 ~ 2010-01-31
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Competitor

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City WILMINGTON
Zip Code 19810
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + WILMINGTON

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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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