LISA LAZARZ-CIESLA MD (Credential# 557113) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is December 1, 2012. The license expiration date date is November 30, 2013. The license status is INACTIVE.
LISA LAZARZ-CIESLA MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.039529. The credential type is physician/surgeon. The effective date is December 1, 2012. The expiration date is November 30, 2013. The business address is 25 Oakland Rd, South Windsor, CT 06074-2897. The current status is inactive.
| Licensee Name | LISA LAZARZ-CIESLA MD |
| Credential ID | 557113 |
| Credential Number | 1.039529 |
| Credential Type | Physician/Surgeon |
| Business Address |
25 Oakland Rd South Windsor CT 06074-2897 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 2001-05-14 |
| Effective Date | 2012-12-01 |
| Expiration Date | 2013-11-30 |
| Refresh Date | 2014-03-05 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 278649 | CSP.0030958 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2011-03-15 - 2013-02-28 | INACTIVE |
| Street Address | 25 OAKLAND RD |
| City | SOUTH WINDSOR |
| State | CT |
| Zip Code | 06074-2897 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Daniel R Troiano | 75 Heritage Drive, South Windsor, CT 06074 | Embalmer | 2020-08-01 ~ 2021-07-31 |
| Kyle A Jones | 38 Marilyn Road, South Windsor, CT 06074 | Real Estate Salesperson | ~ |
| Beelzebub Road | 310 Beelzebub Road, South Windsor, CT 06074 | Public Community Living Arrangement | 2018-07-01 ~ 2020-06-30 |
| Barbara Brant Feehan | 139 Rockledge Drive, South Windsor, CT 06074 | Audiologist | 2020-09-01 ~ 2021-08-31 |
| Jillmarie S Macaluso | 230 Orchard Hill Dr, S Windsor, CT 06074 | Respiratory Care Practitioner | 2020-08-01 ~ 2021-07-31 |
| Jason K Smith | 854 Foster Street Ext, South Windsor, CT 06074 | Professional Engineer | 2020-06-26 ~ 2021-01-31 |
| Abc Property Care LLC | 376 Pleasant Valley Road, South Windsor, CT 06074 | Home Improvement Contractor | 2020-06-26 ~ 2020-11-30 |
| Ashley Ann Corridori | 21 Abar Lane, South Windsor, CT 06074 | Physician Assistant | 2020-07-01 ~ 2021-06-30 |
| Rawnak Afrose | 120 Loomis Rd, South Windsor, CT 06074 | Real Estate Salesperson | 2020-06-15 ~ 2021-05-31 |
| Adeola Martins | 467 Oakland Road, South Windsor, CT 06074 | Licensed Practical Nurse | ~ |
| Find all Licenses in zip 06074 | |||
| City | SOUTH WINDSOR |
| Zip Code | 06074 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + SOUTH WINDSOR |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Daniel J Lazarz | 10 Farrar Rd, Upton, MA 01568-1448 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
| Ana Lisa Carr | Po Box 34457, Omaha, NE 68134-0457 | 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 |
| Nicole M Absar | 58 Lisa Ave, Plymouth, MA 02360-5016 | Physician/surgeon | ~ |
| Lisa M Smith | 60 Montoya Dr, Branford, CT 06405 | Physician/surgeon | 1992-04-24 ~ 1993-03-31 |
| Lisa M Cannon | 9 Cedar Dr, Danbury, CT 06810 | Physician/surgeon | 1994-11-18 ~ 1995-09-30 |
| Lisa A. Corrente | 420 E 54th St, New York, NY 10022 | Physician/surgeon | 2019-12-01 ~ 2020-11-30 |
| Lisa Y Howard Md | 43 West St, Litchfield, CT 06759-3501 | Physician/surgeon | 2018-12-01 ~ 2019-11-30 |
| Lisa M Donofrio | 71 Wall St, Madison, CT 06443 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
Please comment or provide details below to improve the information on LISA LAZARZ-CIESLA MD.
| 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).