LISA E WOODY MD
Controlled Substance Registration for Practitioner


Address: 112 Layfayette Street, Norwich, CT 06360

LISA E WOODY MD (Credential# 443377) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2009. The license expiration date date is February 28, 2011. The license status is INACTIVE.

Business Overview

LISA E WOODY MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0039454. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2009. The expiration date is February 28, 2011. The business address is 112 Layfayette Street, Norwich, CT 06360. The current status is inactive.

Basic Information

Licensee Name LISA E WOODY MD
Credential ID 443377
Credential Number CSP.0039454
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 112 Layfayette Street
Norwich
CT 06360
Business Type INDIVIDUAL
Status INACTIVE
Issue Date 2006-07-14
Effective Date 2009-03-01
Expiration Date 2011-02-28
Refresh Date 2013-03-07

Other licenses

ID Credential Code Credential Type Issue Term Status
549253 1.031518 Physician/Surgeon 1991-04-26 2009-04-30 - 2010-06-30 INACTIVE
159261 CSP.0019199 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 1998-03-01 - 1999-02-28 INACTIVE

Office Location

Street Address 112 LAYFAYETTE STREET
City NORWICH
State CT
Zip Code 06360

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Competitor

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City NORWICH
Zip Code 06360
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + NORWICH

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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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