LISA T MENILLO (Credential# 548735) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is July 1, 2020. The license expiration date date is June 30, 2021. The license status is ACTIVE.
LISA T MENILLO is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.030842. The credential type is physician/surgeon. The effective date is July 1, 2020. The expiration date is June 30, 2021. The business address is 310 Silver Springs, Higganum, CT 06441. The current status is active.
| Licensee Name | LISA T MENILLO |
| Credential ID | 548735 |
| Credential Number | 1.030842 |
| Credential Type | Physician/Surgeon |
| Business Address |
310 Silver Springs Higganum CT 06441 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 1990-06-08 |
| Effective Date | 2020-07-01 |
| Expiration Date | 2021-06-30 |
| Refresh Date | 2020-04-27 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 159627 | CSP.0018272 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 1999-03-01 | 2019-03-01 - 2021-02-28 | ACTIVE |
| Street Address | 310 SILVER SPRINGS |
| City | HIGGANUM |
| State | CT |
| Zip Code | 06441 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Robert J Grasso | 44 Thorne Wood Road, Higganum, CT 06441 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Julie A Hajek | 364 Candlewood Hill Road, Higganum, CT 06441 | Dental Hygienist | 2020-05-01 ~ 2021-04-30 |
| Timothy L Brewer | 144 Dublin Hill Rd, Higganum, CT 06441 | Architect | 2020-08-01 ~ 2021-07-31 |
| Michael P Fortuna | 58 Killingworth Road, Higganum, CT 06441 | Architect | 2020-08-01 ~ 2021-07-31 |
| Kelli S Botteon · Brown | 23 Depot Road, Higganum, CT 06441 | Hairdresser/cosmetician | 2020-09-01 ~ 2022-08-31 |
| David Wysocki | Po Box 743, Higganum, CT 06441 | Demolition Contractor | 2020-07-01 ~ 2021-06-30 |
| Theresa M Beeman | 28 Teaberry Court, Higganum, CT 06441 | Dental Hygienist | 2020-09-01 ~ 2021-08-31 |
| Ronald Hajek | 364 Candlewood Hill, Higganum, CT 06441 | Sub-surface Sewage Installer | 2020-07-01 ~ 2021-06-30 |
| Heather M Herrington · Ridgeway | 186 Brainard Hill Rd, Higganum, CT 06441 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Brenda L Marinan | P O Box 605, Higganum, CT 06441 | Nursing Home Administrator | 2020-09-01 ~ 2022-08-31 |
| Find all Licenses in zip 06441 | |||
| City | HIGGANUM |
| Zip Code | 06441 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + HIGGANUM |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Alexandra Menillo | 20 York St, New Haven, CT 06510 | Resident Physician | 2020-03-09 ~ 2020-04-05 |
| Ana Lisa Carr | Po Box 34457, Omaha, NE 68134-0457 | Physician/surgeon | ~ |
| Nicole M Absar | 58 Lisa Ave, Plymouth, MA 02360-5016 | Physician/surgeon | ~ |
| Lisa Das | 26 Tamie Way, Pittsfield, MA 01201 | Physician/surgeon | 2000-01-24 ~ 2001-03-31 |
| Lisa J Trencher | 2-11 B Peck Ave, Rye, NY 10580 | Physician/surgeon | 1999-05-20 ~ 2000-05-31 |
| Lisa A Burch | 119 Hart St, New Britain, CT 06052 | Physician/surgeon | 1994-02-14 ~ 1995-03-31 |
| Lisa Berlin | 16 Hampshire Rd, Madison, CT 06443-3355 | Physician/surgeon | 2018-07-01 ~ 2019-06-30 |
| Lisa H Youkeles | 12 Lawridge Dr, Rye Brook, NY 10573-1021 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Lisa V Knopf | 85 Seymour St Ste 815, Hartford, CT 06106-5527 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Lisa C Zuckerwise | 35 French St, Fairfield, CT 06824-6331 | Physician/surgeon | 2016-04-01 ~ 2017-03-31 |
Please comment or provide details below to improve the information on LISA T MENILLO.
| 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).