DAVID J LISS (Credential# 396585) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2013. The license expiration date date is February 28, 2015. The license status is INACTIVE.
DAVID J LISS is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0037057. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2013. The expiration date is February 28, 2015. The business address is 544 Nw Marlborough Avenue, Portland, OR 97210. The current status is inactive.
| Licensee Name | DAVID J LISS |
| Credential ID | 396585 |
| Credential Number | CSP.0037057 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
544 Nw Marlborough Avenue Portland OR 97210 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE |
| Issue Date | 2005-03-22 |
| Effective Date | 2013-03-01 |
| Expiration Date | 2015-02-28 |
| Refresh Date | 2016-01-29 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 560715 | 1.043133 | Physician/Surgeon | 2005-03-03 | 2013-02-01 - 2014-01-31 | INACTIVE |
| Street Address | 544 NW Marlborough Avenue |
| City | Portland |
| State | OR |
| Zip Code | 97210 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Timothy D Bestor | 1125 Nw 25th Ave, Portland, OR 97210 | Architect | 2019-08-01 ~ 2020-07-31 |
| Steven G Ewoldt | 2250 Nw 22nd #602, Portland, OR 97210 | Architect | 2017-08-01 ~ 2018-07-31 |
| Keen Mobility Company | 3323 Nw Yeon Ave, Portland, OR 97210 | Manufacturer of Bedding & Upholstered Furniture | 2006-07-17 ~ 2007-04-30 |
| Pamela Williams | 2448 Nw Johnson Street, Portland, OR 97210 | Registered Nurse | 2010-09-01 ~ 2011-08-31 |
| Clear Creek Distillery | 1430 Nw 23rd Avenue, Portland, OR 97210 | Out of State Shipper Liquor | ~ |
| Edward Vaivoda Jr | 2558 Nw Marcia Ave, Portland, OR 97210 | Architect | ~ |
| Charles A Lehn | 25 N W 23rd Rd Place Ste #6, Portland, OR 97210 | Heating, Piping & Cooling Unlimited Contractor | 2006-09-01 ~ 2007-08-31 |
| Darlene Burke | 2232 N W Irving, Portland, OR 97210 | Hairdresser/cosmetician | 1994-06-16 ~ 1995-06-30 |
| Kevin M Johnson | 6665 W Burnside Ave, Portland, OR 97210 | Respiratory Care Practitioner | ~ 1995-12-31 |
| Henry B Garrison | 2455 Nw Marshall St., Portland, OR 97210 | Physician/surgeon | 1970-05-06 ~ 1977-12-31 |
| Find all Licenses in zip 97210 | |||
| City | Portland |
| Zip Code | 97210 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + Portland |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| David F Lee Dds | 521 3rd Ave Apt 2, New York, NY 10016-4747 | Controlled Substance Registration for Practitioner | 2009-03-01 ~ 2011-02-28 |
| David A Williams | David Williams Aprn, Danbury, CT 06488 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| David Cone Md | 58 Middletown Ave, New Haven, CT 06513 | Controlled Substance Registration for Practitioner | 2003-07-02 ~ 2004-02-28 |
| David P Nocek Md | David Nocek, Greenwich, CT 06831-5100 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| David Yan Md | 140 Sherman St Fl 3, Fairfield, CT 06824-5849 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| David Poppel Md | 113 Elm St, Enfield, CT 06082 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| David C Lo | 21 South St, Ridgefield, CT 06877 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| David L Coven Md | 79 Second St, Fairfield, CT 06432 | Controlled Substance Registration for Practitioner | 2004-02-29 ~ 2005-02-28 |
| David Ryu | 24 Hospital Ave, Danbury, CT 06810-6099 | Controlled Substance Registration for Practitioner | 2011-04-22 ~ 2013-02-28 |
| David Lang Pa | 197 Oak Ave, Cheshire, CT 06410 | Controlled Substance Registration for Practitioner | 2004-02-29 ~ 2005-02-28 |
Please comment or provide details below to improve the information on DAVID J LISS.
| 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).