LISA KEYS PA-C
Physician Assistant


Address: Taft School Health Center, Watertown, CT 06795

LISA KEYS PA-C (Credential# 742157) is licensed (Physician Assistant) with Connecticut Department of Consumer Protection. The license effective date is April 1, 2012. The license expiration date date is March 31, 2013. The license status is INACTIVE.

Business Overview

LISA KEYS PA-C is licensed with the Department of Consumer Protection of Connecticut. The credential number is #23.000408. The credential type is physician assistant. The effective date is April 1, 2012. The expiration date is March 31, 2013. The business address is Taft School Health Center, Watertown, CT 06795. The current status is inactive.

Basic Information

Licensee Name LISA KEYS PA-C
Credential ID 742157
Credential Number 23.000408
Credential Type Physician Assistant
Business Address Taft School Health Center
Watertown
CT 06795
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 1993-12-30
Effective Date 2012-04-01
Expiration Date 2013-03-31
Refresh Date 2013-07-03

Other licenses

ID Credential Code Credential Type Issue Term Status
243619 CSP.0030177 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 2011-03-01 - 2013-02-28 INACTIVE

Office Location

Street Address TAFT SCHOOL HEALTH CENTER
City WATERTOWN
State CT
Zip Code 06795

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Linda Z Terenzo · Grella 215 Claxton Ave., Watertown, CT 06795 Registered Nurse 2020-08-01 ~ 2021-07-31
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Margaret A Chilson 259 Litchfield Road, Watertown, CT 06795 Massage Therapist 2020-05-01 ~ 2022-04-30
Laura L Rock 187 Georgetown Drive, Watertown, CT 06795 Notary Public Appointment 2020-06-01 ~ 2025-05-31
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Competitor

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City WATERTOWN
Zip Code 06795
License Type Physician Assistant
License Type + County Physician Assistant + WATERTOWN

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Dataset Information

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).

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