KRISTINE M LISI (Credential# 389174) 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.
KRISTINE M LISI is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0036745. 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 11 Fairfield Boulevard, Wallingford, CT 06492. The current status is active.
| Licensee Name | KRISTINE M LISI |
| Credential ID | 389174 |
| Credential Number | CSP.0036745 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
11 Fairfield Boulevard Wallingford CT 06492 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2004-11-05 |
| Effective Date | 2019-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2019-01-28 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 560453 | 1.042871 | Physician/Surgeon | 2004-10-14 | 2019-11-01 - 2020-10-31 | ACTIVE |
| Street Address | 11 FAIRFIELD BOULEVARD |
| City | WALLINGFORD |
| State | CT |
| Zip Code | 06492 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Andrea Zola | 53 Alison Ave., Wallingford, CT 06492 | Esthetician | ~ |
| Kyungok Choi | 90 Ward St, Wallingford, CT 06492 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Giang Nguyen | 45 Country Club Lane, Wallingford, CT 06492 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-27 ~ 2021-11-30 |
| Lc Artistry | 207 North Colony Road, Wallingford, CT 06492 | Esthetician | ~ |
| Katie Lee | 20 Angela Dr, Wallingford, CT 06492 | Paramedic | 2020-09-01 ~ 2021-08-31 |
| Vinny's Deli | 567 Center St, Wallingford, CT 06492 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Michele Ruggiero | 26 Leigus Road, Wallingford, CT 06492 | Radiographer | 2020-07-01 ~ 2021-06-30 |
| Dianna K Ball | 104 Simpson Ave, Wallingford, CT 06492 | Speech and Language Pathologist | 2020-08-01 ~ 2021-07-31 |
| Ann Marie Richardson | 20 Mohawk Drive, Wallingford, CT 06492 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Joann Hummel | 60 Deer Run Road, Wallingford, CT 06492 | Medication Administration Certification | 2018-08-21 ~ 2020-08-20 |
| Find all Licenses in zip 06492 | |||
| City | WALLINGFORD |
| Zip Code | 06492 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + WALLINGFORD |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Kenneth R Lisi | 51 Old Dairy Rd, Trumbull, CT 06611-4966 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
| Kristine M Tingley | 15 Montclair Dr, Nashua, NH 03063-1329 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Kristine M Treml Pa-c | 440 Meridn Rd #406, Waterbury, CT 06705 | Controlled Substance Registration for Practitioner | 2008-03-01 ~ 2009-02-28 |
| Kristine M Smith | 7 Vintage Rd, Trumbull, CT 06611-1479 | Controlled Substance Registration for Practitioner | 2019-03-12 ~ 2021-02-28 |
| Kristine Kelliher | 85 Seymour St Ste 415, Hartford, CT 06106-5523 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Kristine Sp Hauser | 7 Reagan Ave, Franklin, MA 02038-3367 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Kristine Welsh | P.o. Box 1105, Orange, CT 06477 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Kristine M Callender | 71 Stoneheights Dr, Waterford, CT 06385-1936 | Controlled Substance Registration for Practitioner | 2019-11-12 ~ 2021-02-28 |
| Kristine Supple Pa | 71 Lake St, Hamden, CT 06517-2317 | Controlled Substance Registration for Practitioner | 1999-03-02 ~ 2000-02-28 |
| Kristine M Bessette | 80 Seymour St, Hartford, CT 06102-8000 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Please comment or provide details below to improve the information on KRISTINE M LISI.
| 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).