LYMAN B FOGG (Credential# 540257) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is February 1, 2016. The license expiration date date is January 31, 2017. The license status is INACTIVE.
LYMAN B FOGG is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.012201. The credential type is physician/surgeon. The effective date is February 1, 2016. The expiration date is January 31, 2017. The business address is 31 Irene Drive, Vernon, CT 06066. The current status is inactive.
| Licensee Name | LYMAN B FOGG |
| Credential ID | 540257 |
| Credential Number | 1.012201 |
| Credential Type | Physician/Surgeon |
| Business Address |
31 Irene Drive Vernon CT 06066 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 1965-06-28 |
| Effective Date | 2016-02-01 |
| Expiration Date | 2017-01-31 |
| Refresh Date | 2017-05-06 |
| Street Address | 31 IRENE DRIVE |
| City | VERNON |
| State | CT |
| Zip Code | 06066 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Lyman B Fogg Md · Radiology & Imaging | 31 Irene Drive, Vernon, CT 06066 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
| Sally E Fogg | 31 Irene Drive, Vernon, CT 06066 | Registered Nurse | 2002-01-30 ~ 2003-02-28 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Cynthia Stelma | 35 White St, Vernon, CT 06066 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Diana C Mendieta | 127 Lake St, Vernon, CT 06066 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-26 ~ 2022-02-28 |
| Taylor Rose Mulcahy | 95 Hockanum Blvd Unit #5223, Vernon, CT 06066 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Eric Scott · E Scott Const | 27 Lawrence St, Vernon Rockville, CT 06066 | Home Improvement Contractor | 2020-06-20 ~ 2020-11-30 |
| Margaret A Lucerini | 27 Rosewood Dr, Vernon, CT 06066 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Alexander John Bozzi | 28 Deepwood Dr, Vernon, CT 06066 | Home Inspector Intern | 2020-05-30 ~ 2021-06-30 |
| Kathleen N Laplaca | 244 Risley Road, Vernon, CT 06066 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Shawnda Shelton | 215 East Main St. #25, Vernon, CT 06066 | Medication Administration Certification | 2020-06-05 ~ 2022-06-04 |
| Ireland Oil Co Inc | 171 Union St, Vernon, CT 06066 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Annmarie Margaret Fultz | 1a Prospect St, Vernon Rockville, CT 06066 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Find all Licenses in zip 06066 | |||
| City | VERNON |
| Zip Code | 06066 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + VERNON |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Lyman B Fogg Md · Radiology & Imaging | 31 Irene Drive, Vernon, CT 06066 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
| John N Fogg · Fogg's Painting | 35 Warner St, Groton, CT 06340-5028 | Home Improvement Contractor | 2013-12-01 ~ 2014-11-30 |
| Philip Radding | 89 Lyman Rd, West Hartford, CT 06117 | Physician/surgeon | 1993-08-25 ~ 1994-08-31 |
| Jean Gauvin | 30 Lyman Rd, West Hartford, CT 06117 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| John M Montminy | 80 Lyman Rd, West Hartford, CT 06117-1311 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Edward M Daniels | 26 Lyman Rd, Chestnut Hill, MA 02167 | Physician/surgeon | 1992-03-24 ~ 1993-03-31 |
| Md. Ashequl Islam | 27 Lyman Street, Springfield, MA 01103 | Physician/surgeon | 2002-12-30 ~ 2003-12-31 |
| Margaret Lyman | 201 East 21st St, New York, NY 10010 | Physician/surgeon | 2000-06-15 ~ 2001-08-31 |
| James K O'donnell | 19 Lyman Circle, Shaker Heights, OH 44122 | Physician/surgeon | 2005-04-20 ~ 2006-06-30 |
| Marc Santambrosio | 3 Lyman Place, Dobbs Ferry, NY 10522 | Physician/surgeon | 2002-10-18 ~ 2003-11-30 |
Please comment or provide details below to improve the information on LYMAN B FOGG.
| 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).