DOROTHY O LEWIS MD (Credential# 540300) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is August 1, 2019. The license expiration date date is July 31, 2020. The license status is ACTIVE.
DOROTHY O LEWIS MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.012319. The credential type is physician/surgeon. The effective date is August 1, 2019. The expiration date is July 31, 2020. The business address is 10 Saint Ronan Ter, New Haven, CT 06511-2315. The current status is active.
Licensee Name | DOROTHY O LEWIS MD |
Credential ID | 540300 |
Credential Number | 1.012319 |
Credential Type | Physician/Surgeon |
Business Address |
10 Saint Ronan Ter New Haven CT 06511-2315 |
Business Type | INDIVIDUAL |
Status | ACTIVE - CURRENT |
Active | 1 |
Issue Date | 1965-09-21 |
Effective Date | 2019-08-01 |
Expiration Date | 2020-07-31 |
Refresh Date | 2019-08-14 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
146577 | CSP.0001524 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2015-03-01 - 2017-02-28 | INACTIVE |
Street Address | 10 SAINT RONAN TER |
City | NEW HAVEN |
State | CT |
Zip Code | 06511-2315 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Montessori School On Edgewood Inc. | 230 Edgewood Avenue, New Haven, CT 06511 | Public Charity | 2019-06-01 ~ 2020-05-31 |
Therese Parks · Visel Drug Store | 264 Munson St, New Haven, CT 06511 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
Dazjia Monet Green | 115 Edgewood Ave Apt 64, New Haven, CT 06511 | Registered Nurse | 2020-06-27 ~ 2021-05-31 |
Carol Yam | 343 Humphrey St, New Haven, CT 06511 | Registered Nurse | ~ |
Marwan S Haddad | 38 Lincoln Street, New Haven, CT 06511 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
Mary Lou Gaeta Md | 558 Chapel Street, New Haven, CT 06511 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
Cary M Tucker | 64 Bishop St, New Haven, CT 06511 | Architect | 2020-08-01 ~ 2021-07-31 |
Frank J Pannenborg | 505 Ellsworth Ave, New Haven, CT 06511 | Architect | 2020-08-01 ~ 2021-07-31 |
Crystal E Gooding | 26 Woodland Street, New Haven, CT 06511 | Notary Public Appointment | 2020-07-01 ~ 2025-06-30 |
Kieran Jones | 260 Crown St Unit 1f, New Haven, CT 06511 | Registered Nurse | ~ |
Find all Licenses in zip 06511 |
City | NEW HAVEN |
Zip Code | 06511 |
License Type | Physician/Surgeon |
License Type + County | Physician/Surgeon + NEW HAVEN |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Grant You of Connecticut By Dorothy Lewis LLC | 5 Prospect Dr, Stratford, CT 06615-7536 | Homemaker Companion Agency | 2019-11-01 ~ 2020-10-31 |
Dorothy A Miller | 110 Fisher Ave Apt 3f, Eastchester, NY 10709-2620 | Physician/surgeon | ~ |
Dorothy E Stubbe | 50 Brookside Dr, Hamden, CT 06517 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
Dorothy Amy Sippo | 40 Helene Rd, Waban, MA 02468-1025 | Physician/surgeon | 2020-04-02 ~ 2021-03-31 |
Moshe E Zilberstein | 21 Dorothy Rd, Newton, MA 02459 | Physician/surgeon | 1999-02-11 ~ 2000-01-31 |
Dorothy Fojtik Md | 151 Farmington Ave, Hartford, CT 06156-0001 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
Dorothy P Wiggins | 38 Torrington Rd, Litchfield, CT 06759-2700 | Physician/surgeon | 2013-10-28 ~ 2014-04-30 |
Dorothy R Granoff | 532 Glendevon Dr N, Westville, CT 06515 | Physician/surgeon | 1993-02-25 ~ 1994-01-31 |
Ali Hemdan Md | 455 Lewis Ave., Meriden, CT 06451 | Physician/surgeon | 2020-01-01 ~ 2020-12-31 |
Amy B Lewis | 111 E 75th St Apt 3a, New York, NY 10021-2816 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
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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).