LISA N ANDERSON MD (Credential# 561812) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is April 1, 2020. The license expiration date date is March 31, 2021. The license status is ACTIVE.
LISA N ANDERSON MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.044230. The credential type is physician/surgeon. The effective date is April 1, 2020. The expiration date is March 31, 2021. The business address is 25 Sun Ridge Lane, Cromwell, CT 06416-2506. The current status is active.
| Licensee Name | LISA N ANDERSON MD |
| Credential ID | 561812 |
| Credential Number | 1.044230 |
| Credential Type | Physician/Surgeon |
| Business Address |
25 Sun Ridge Lane Cromwell CT 06416-2506 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2006-04-03 |
| Effective Date | 2020-04-01 |
| Expiration Date | 2021-03-31 |
| Refresh Date | 2020-03-17 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 441776 | CSP.0039363 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2006-06-21 | 2019-03-01 - 2021-02-28 | ACTIVE |
| Street Address | 25 Sun Ridge Lane |
| City | Cromwell |
| State | CT |
| Zip Code | 06416-2506 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Kenneth N Allen | 7 Sunridge Ln, Cromwell, CT 06416-2506 | Emergency Medical Technician | 2016-12-08 ~ 2019-09-30 |
| Kathleen A Scotti | 3 Sunridge Ln, Cromwell, CT 06416-2506 | Licensed Clinical Social Worker | 2010-11-01 ~ 2011-10-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Marcia B Henehan | 17 Crest Drive, Cromwell, CT 06416 | Physical Therapist | 2020-07-01 ~ 2021-06-30 |
| Sarah C Smith | 6 Court Street, Cromwell, CT 06416 | Notary Public Appointment | 2020-08-01 ~ 2025-07-31 |
| Joyce Tayeh | 5 Sunridge Lane, Cromwell, CT 06416 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Todd J Farris | 53 Lincoln Road, Cromwell, CT 06416 | Real Estate Salesperson | 2020-06-23 ~ 2021-05-31 |
| Tiffany N Winkler | 50 Fawn Run, Cromwell, CT 06416 | Advanced Practice Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Hasim J Shah | 131 Coles Rd, Cromwell, CT 06416 | Pharmacy Technician | 2020-06-23 ~ 2021-03-31 |
| Michelle R Berube | 17 Arrowwood Dr, Cromwell, CT 06416 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Joy Mekrut-suzio | 352 Main Street, Cromwell, CT 06416 | Speech and Language Pathologist | 2020-09-01 ~ 2021-08-31 |
| Gina M Branciforte | 24 Bellaire Manor, Cromwell, CT 06416 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Kimberly A Benson | 10 Springdale Road, Cromwell, CT 06416 | Licensed Practical Nurse | 2020-08-01 ~ 2021-07-31 |
| Find all Licenses in zip 06416 | |||
| City | Cromwell |
| Zip Code | 06416 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + Cromwell |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Frank L Anderson | P.o. Box #31465, Spokane, WA 99223 | Physician/surgeon | 2007-06-11 ~ 2008-07-31 |
| Thomas Jt Anderson | 58 Falmouth Rd, Longmeadow, MA 01106 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Paul J Heinzelmann | 51 Anderson St Apt 1, Boston, MA 02114-3656 | Physician/surgeon | 2014-02-01 ~ 2015-01-31 |
| Cheryl E. Anderson | 46 Acorn Rd, Madison, CT 06443 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
| Todd Arthur Anderson | 145 Hicks St Apt A57, Brooklyn, NY 11201-2330 | Physician/surgeon | ~ |
| Olga Yevsikova | 1590 Anderson Ave Apt 5a, Fort Lee, NJ 07024-2707 | Physician/surgeon | ~ |
| Douglas J Anderson | 8 Jesse Ct, Montville, NJ 07045-9016 | Physician/surgeon | 2018-02-01 ~ 2019-01-31 |
| Joseph C Anderson Md | 14 Barrett Rd, Hanover, NH 03755-2421 | Physician/surgeon | 2020-01-01 ~ 2020-12-31 |
| William John Anderson | 368 Riverway, Boston, MA 02115 | Physician/surgeon | ~ |
| Agnes S Song | 1098 Anderson Ave, Ft Lee, NJ 07024 | Physician/surgeon | 1996-08-14 ~ 1997-10-31 |
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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).