LISA L BRAILEY MD (Credential# 559242) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is May 1, 2020. The license expiration date date is April 30, 2021. The license status is ACTIVE.
LISA L BRAILEY MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.041659. The credential type is physician/surgeon. The effective date is May 1, 2020. The expiration date is April 30, 2021. The business address is 7 Grandview Blvd, Derby, CT 06418-2407. The current status is active.
| Licensee Name | LISA L BRAILEY MD |
| Credential ID | 559242 |
| Credential Number | 1.041659 |
| Credential Type | Physician/Surgeon |
| Business Address |
7 Grandview Blvd Derby CT 06418-2407 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2003-07-15 |
| Effective Date | 2020-05-01 |
| Expiration Date | 2021-04-30 |
| Refresh Date | 2020-04-04 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 2033670 | CSP.0073490 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2020-04-06 | 2020-04-06 - 2021-02-28 | ACTIVE |
| 349649 | CSP.0033957 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2013-03-01 - 2015-02-28 | INACTIVE |
| Street Address | 7 GRANDVIEW BLVD |
| City | DERBY |
| State | CT |
| Zip Code | 06418-2407 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Adam Manning | 9 Grandview Blvd, Derby, CT 06418-2407 | Barber | 2019-10-21 ~ 2020-12-31 |
| Robert J Lombardi Jr | 5 Grandview Blvd, Derby, CT 06418-2407 | Home Improvement Salesperson | 2018-02-26 ~ 2018-11-30 |
| D S Landscape and Construction LLC | 23 Grandview Blvd, Derby, CT 06418-2407 | Home Improvement Contractor | 2011-12-01 ~ 2012-11-30 |
| Samantha Lendway | 1 Grandview Blvd, Derby, CT 06418-2407 | Registered Nurse | 2018-03-01 ~ 2019-02-28 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Debra A Montini | 8 Academy Hill Ext, Derby, CT 06418 | Dental Hygienist | 2020-08-01 ~ 2021-07-31 |
| Laura M Boanno | 131 Marshall La, Derby, CT 06418 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Danyun Chen | 49 Pershing Dr., Derby, CT 06418 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Fan Geng | Shoprite Shopping Center, Derby, CT 06418 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Danni Xu | Shoprite Shopping Center49 Pershing Dr, Derby, CT 06418 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Yao Zhang | Shoprite Shopping Center 49 Pershing Dr, Derby, CT 06418 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Phillip N Burke | 3 Camptown St, Derby, CT 06418 | Emergency Medical Technician | 2017-06-07 ~ 2020-06-30 |
| Diane A Rosner | 229 Shagbark Drive, Derby, CT 06418 | Professional Counselor | 2020-08-01 ~ 2021-07-31 |
| Pamela C Lavelle | 194 Minerva St, Derby, CT 06418 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Grade A Market - Derby LLC | 49 Pershing Dr, Derby, CT 06418 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Find all Licenses in zip 06418 | |||
| City | DERBY |
| Zip Code | 06418 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + DERBY |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| 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 | ~ |
| 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 V Knopf | 85 Seymour St Ste 815, Hartford, CT 06106-5527 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Lisa Vi Doan | 550 First Avenue, New York, NY 10016 | Physician/surgeon | 2019-05-30 ~ 2020-05-31 |
| Lisa A Fraleigh Do | 8 Oakland Ave, Farmington, CT 06032 | Physician/surgeon | 2010-04-01 ~ 2011-03-31 |
| Lisa H Youkeles | 12 Lawridge Dr, Rye Brook, NY 10573-1021 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Lisa T Canter Md | 39 May Brook Rd, Woodstock, CT 06281 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Lisa G Fillmore Md | 196 Canner St, New Haven, CT 06511-2233 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
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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).