LISA M COSGROVE DO (Credential# 559392) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is April 22, 2004. The license expiration date date is May 31, 2005. The license status is INACTIVE.
LISA M COSGROVE DO is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.041809-DO. The credential type is physician/surgeon. The effective date is April 22, 2004. The expiration date is May 31, 2005. The business address is 1400 112 Th Ave S.e. Suite 100, Bellevue, WA 98004. The current status is inactive.
| Licensee Name | LISA M COSGROVE DO |
| Credential ID | 559392 |
| Credential Number | 1.041809-DO |
| Credential Type | Physician/Surgeon |
| Credential SubCategory | DO |
| Business Address |
1400 112 Th Ave S.e. Suite 100 Bellevue WA 98004 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 2003-08-27 |
| Effective Date | 2004-04-22 |
| Expiration Date | 2005-05-31 |
| Refresh Date | 2009-07-11 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 351732 | CSP.0034134 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2004-02-29 - 2005-02-28 | INACTIVE |
| Street Address | 1400 112 TH AVE S.E. SUITE 100 |
| City | BELLEVUE |
| State | WA |
| Zip Code | 98004 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Mitchel Guttenplan | 227 Bellevue Way Ne, Bellevue, WA 98004 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
| Trilogy Search Partners 2, Lp | 155 108th Avenue Ne, Bellevue, WA 98004 | Securities - Exemptions | 2020-01-31 ~ |
| Cheryl Hines | 688 110th Ave Ne, Bellevue, WA 98004 | Registered Nurse | 2020-02-01 ~ 2021-01-31 |
| Daniel H Butler | 909 112th Ave Ne, Bellevue, WA 98004 | Architect | 2016-08-01 ~ 2017-07-31 |
| Christopher M Krol | 2113 94th Avenue Ne, Clyde Hill, WA 98004 | Physician/surgeon | 2017-02-01 ~ 2018-01-31 |
| Paccar Inc | 777 106th Ave Ne, Bellevue, WA 98004 | Motor Vehicle Manufacturer (llm) | ~ |
| Carolyn G Jones | 1110 - 112th Avenue Ne, Bellevue, WA 98004 | Architect | 2014-08-01 ~ 2015-07-31 |
| James M D'amato · D'amato Conversano Inc | 2821 Northup Way Suite 200, Bellevue, WA 98004 | Professional Engineer | 2001-02-01 ~ 2002-01-31 |
| Susan M Gorman | 3648 113th Avenue Ne, Bellevue, WA 98004 | Registered Nurse | 2014-07-01 ~ 2015-06-30 |
| Jessica K Aaker Lnm | 900 Ne 36th St, Bellevue, WA 98004 | Controlled Substance Registration for Practitioner | 2009-03-01 ~ 2011-02-28 |
| Find all Licenses in zip 98004 | |||
| City | BELLEVUE |
| Zip Code | 98004 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + BELLEVUE |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Christopher J Cosgrove | 370 Hume Drive, Hamden, CT 06514 | Physician/surgeon | 2002-01-23 ~ 2003-03-31 |
| Timothy W Cosgrove · T W Cosgrove Construction | 64 Signal Hill Road, Madison, CT 06443 | Home Improvement Contractor | 2019-12-01 ~ 2020-11-30 |
| Cosgrove Oil Co | 164 N Main St, Branford, CT 06405-3021 | Home Heating Fuel Dealer | 2014-11-28 ~ 2015-09-30 |
| Charles G Cosgrove | 32 Cosgrove Rd, Willington, CT 06279-1408 | Emergency Medical Technician | 2014-01-22 ~ 2017-04-01 |
| Theresa M Cosgrove-pepin · Cosgrove | 31 Craigs Road, Windsor, CT 06095 | Registered Nurse | 2019-11-01 ~ 2020-10-31 |
| James B Cosgrove · Cosgrove Construction Company | 164 N Main St, Branford, CT 06405-3021 | Plumbing & Piping Limited Contractor | 2012-11-01 ~ 2013-10-31 |
| 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 J Trencher | 2-11 B Peck Ave, Rye, NY 10580 | Physician/surgeon | 1999-05-20 ~ 2000-05-31 |
Please comment or provide details below to improve the information on LISA M COSGROVE DO.
| 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).