DAVID R LAWRENCE (Credential# 549091) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is December 1, 2018. The license expiration date date is November 30, 2019. The license status is INACTIVE.
DAVID R LAWRENCE is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.031325. The credential type is physician/surgeon. The effective date is December 1, 2018. The expiration date is November 30, 2019. The business address is 1701 Tumbleweed Cir, West Bend, WI 53095-8548. The current status is inactive.
| Licensee Name | DAVID R LAWRENCE |
| Credential ID | 549091 |
| Credential Number | 1.031325 |
| Credential Type | Physician/Surgeon |
| Business Address |
1701 Tumbleweed Cir West Bend WI 53095-8548 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 1991-02-01 |
| Effective Date | 2018-12-01 |
| Expiration Date | 2019-11-30 |
| Refresh Date | 2020-03-04 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 159226 | CSP.0019156 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 1999-03-01 | 2017-03-01 - 2019-02-28 | LAPSED |
| 162391 | CSP.0020923 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 1993-05-10 - 1995-03-01 | INACTIVE |
| Street Address | 1701 TUMBLEWEED CIR |
| City | WEST BEND |
| State | WI |
| Zip Code | 53095-8548 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Jeannie H Lawrence | 1701 Tumbleweed Cir, West Bend, WI 53095-8548 | Licensed Practical Nurse | 2020-03-01 ~ 2021-02-28 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Mary C Bartel | 4784 Cedarview Dr, West Bend, WI 53095 | Dental Hygienist | 2018-01-01 ~ 2018-12-31 |
| Pamela A Monroe | 249 Minz Park Cir, West Bend, WI 53095 | Registered Nurse | 2000-12-18 ~ 2001-12-31 |
| Cheryl L Stangl | 4771 S. Blue Heron Dr., West Bend, WI 53095 | Physical Therapist | 2005-10-06 ~ 2006-11-30 |
| Jason T Carl | 927 E Kilbourn Ave, West Bend, WI 53095-4221 | Public Service Technician - Telephone | 2008-07-24 ~ 2008-09-30 |
| John J Meyer | 2031 Meadow Ct, West Bend, WI 53095-5704 | Public Service Technician - Telephone | ~ |
| Wade Jonathon Landreville | 4597 Church Dr, West Bend, WI 53095-8402 | Temporary Certified General Real Estate Appraiser | 2019-02-06 ~ 2019-08-06 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| George L Schwartz | 7458 Tower Drive, West Bend, WI 53090 | Heating, Piping & Cooling Limited Journeyperson | ~ |
| Jason J German | 1109 Moore Ave, West Bend, WI 53090-5466 | Public Service Technician - Telephone | 2008-07-28 ~ 2008-09-30 |
| Matthew S Kavanaugh | 607 N 18th Ave, West Bend, WI 53090-2314 | Public Service Technician - Telephone | 2008-07-28 ~ 2008-09-30 |
| City | WEST BEND |
| Zip Code | 53095 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + WEST BEND |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| David T Lawrence Md | 60 South Broad St#2e, Milford, CT 06462 | Physician/surgeon | 2007-10-03 ~ 2008-07-31 |
| David Lawrence Maslak | 53 Maple Drive, Brewster, NY 10509 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Yuk M Law | 253 Lawrence St, New Haven, CT 06511 | Physician/surgeon | 1993-11-30 ~ 1994-12-31 |
| Erik Goluboff | 31 Lawrence Rd, Scarsdale, NY 10583 | Physician/surgeon | ~ |
| Lawrence Reed | 45 E 85 St, New York, NY 10028 | Physician/surgeon | 1999-02-18 ~ 2000-03-31 |
| Lawrence L Kerns | 124 N Harrisson, Barrington, IL 60010 | Physician/surgeon | ~ |
| Lawrence M Brass Md | 33 Fox Den Way, Woodbridge, CT 06525 | Physician/surgeon | 2005-03-14 ~ 2006-04-30 |
| Lawrence N Deweil Do | 38 3rd St, Brooklyn, NY 11231-4852 | Physician/surgeon | 2008-11-17 ~ 2009-09-30 |
| Ole Vielemeyer | 70 Lawrence Ave Apt #8, New Haven, CT 06511 | Physician/surgeon | 2003-06-03 ~ 2004-05-31 |
| Lawrence G Lareau | 900 4th Ave, Warren, PA 16365-1888 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
Please comment or provide details below to improve the information on DAVID R LAWRENCE.
| 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).