LISA G MATTHEWS MD (Credential# 547062) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is May 16, 2005. The license expiration date date is July 31, 2006. The license status is INACTIVE.
LISA G MATTHEWS MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.028252. The credential type is physician/surgeon. The effective date is May 16, 2005. The expiration date is July 31, 2006. The business address is 22 Long Ridge Road, Stamford, CT 06905. The current status is inactive.
| Licensee Name | LISA G MATTHEWS MD |
| Credential ID | 547062 |
| Credential Number | 1.028252 |
| Credential Type | Physician/Surgeon |
| Business Address |
22 Long Ridge Road Stamford CT 06905 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 1987-07-01 |
| Effective Date | 2005-05-16 |
| Expiration Date | 2006-07-31 |
| Refresh Date | 2009-07-11 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 155457 | CSP.0015294 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2005-03-01 | 2005-03-01 - 2006-02-28 | INACTIVE |
| Street Address | 22 LONG RIDGE ROAD |
| City | STAMFORD |
| State | CT |
| Zip Code | 06905 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Stamford Counseling Center Inc | 22 Long Ridge Road, Stamford, CT 06905 | Public Charity | 2019-12-01 ~ 2020-11-30 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Wanjun Xiao | 603, Stamford, CT 06905 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Karina E Lidums | 90 Ken Court, Stamford, CT 06905 | Real Estate Salesperson | 2020-06-26 ~ 2021-05-31 |
| Julie E Geiser Aprn | 94 Hirsch Rd, Stamford, CT 06905 | Advanced Practice Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Jason R Teitelbaum | 66 Dann Drive, Stamford, CT 06905 | Notary Public Appointment | 2020-08-01 ~ 2025-07-31 |
| Iliana Nikolova | 106 Oaklawn Ave, Stamford, CT 06905 | Notary Public Appointment | 2020-07-01 ~ 2025-06-30 |
| Grade A Market | 563 New Field Ave, Stamford, CT 06905 | Bakery | 2020-07-01 ~ 2021-06-30 |
| Valerie Ann Legrone | 146 Cold Spring Road Unit 12, Stamford, CT 06905 | Advanced Practice Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Liang Shan | 142-37 38 Ave, Flushing, NY 06905 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Peter C Hart | 160 Bridge St, Stamford, CT 06905 | Architect | 2020-08-01 ~ 2021-07-31 |
| Anthony Masciarelli | 31 Bradley Place, Stamford, CT 06905 | Architect | 2020-08-01 ~ 2021-07-31 |
| Find all Licenses in zip 06905 | |||
| City | STAMFORD |
| Zip Code | 06905 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + STAMFORD |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Joseph Matthews | 385 S End Ave Apt 3b, New York, NY 10280-1039 | Physician/surgeon | ~ |
| Shashibala Soni | 2940 Matthews Ave, Bronx, NY 10467-8610 | Physician/surgeon | ~ |
| Animita C Saha Md | 9105 Kalanchoe Dr, Matthews, NC 28105-0203 | Physician/surgeon | 2015-12-01 ~ 2016-11-30 |
| Rachna Valvani | 2160 Matthews Ave Apt 2w, Bronx, NY 10462-2005 | Physician/surgeon | 2020-03-02 ~ 2021-03-31 |
| Gerald J Matthews | 22 Sycamore Lane, Ridgefield, CT 06877 | Physician/surgeon | 2013-09-01 ~ 2014-08-31 |
| Lester G Matthews | 303 West Main St, Freehold, NJ 07728 | Physician/surgeon | 1994-07-29 ~ 1995-09-30 |
| Herbert H Matthews Jr | 224 Willits Way, Glen Mills, PA 19342 | Physician/surgeon | 2004-03-22 ~ 2005-04-30 |
| Dale Alan Matthews | 18 Petemont Dr, Farmington, CT 06032-2417 | Physician/surgeon | 1983-05-02 ~ 1992-01-31 |
| Veronica Jeanne Matthews | P.o. Box 5603, Charlottesville, VA 22905 | Physician/surgeon | 2020-03-02 ~ 2021-03-31 |
| Matthew Ramey Craig | 237 Wheatberry Hill Dr, Matthews, NC 28104-6121 | Physician/surgeon | 2019-12-01 ~ 2020-11-30 |
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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).