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.
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.
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 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
243619 | CSP.0030177 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2011-03-01 - 2013-02-28 | INACTIVE |
Street Address | TAFT SCHOOL HEALTH CENTER |
City | WATERTOWN |
State | CT |
Zip Code | 06795 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Taylor Mia Lundy | 265 Kimberly Ln, Watertown, CT 06795 | Registered Nurse | 2020-06-27 ~ 2020-11-30 |
Judith A Hill | 23 Malvern Hill Road, Watertown, CT 06795 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
Carol Mancini Dumond | 57 Bryant, Watertown, CT 06795 | Chiropractor | 2020-07-01 ~ 2021-06-30 |
Michelle J Stankus | 119 Edge Road, Watertown, CT 06795 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
Linda Z Terenzo · Grella | 215 Claxton Ave., Watertown, CT 06795 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
Egbrid T30 Pr 9358 | 856 Echo Lake Rd, Watertown, CT 06795 | Medical Marijuana Producer Brand Registration | 2020-06-26 ~ |
Ana L Guaman | 1278 Main Street Ste 4, Watertown, CT 06795 | Nail Technician | ~ |
Eric A Tymula | 727 Park Rd, Watertown, CT 06795 | Tattoo Technician | 2020-03-01 ~ 2022-02-28 |
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 |
Find all Licenses in zip 06795 |
City | WATERTOWN |
Zip Code | 06795 |
License Type | Physician Assistant |
License Type + County | Physician Assistant + WATERTOWN |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
William J Keys | 64 Atwood Rd, Middlebury, CT 06762 | Physician Assistant | 1999-06-28 ~ 2000-08-31 |
Jaxon Keys Cecil Keys Mendocino Sauvignon Blanc | Connecticut Brand Registration, Hartford, CT 06106 | Liquor Brand Label | 2015-06-17 ~ 2018-06-16 |
Ann Marie Schoppmann Pa | 11 Lisa Ln, Woodbridge, CT 06525 | Physician Assistant | 2020-06-01 ~ 2021-05-31 |
Lisa A. White | 4 Carlton Ln, Hopkinton, RI 02833-1103 | Physician Assistant | 2019-07-01 ~ 2020-06-30 |
Lisa C Perry Pa | 109 Reverknolls, Avon, CT 06001-2038 | Physician Assistant | 2020-06-01 ~ 2021-05-31 |
Lisa E Shakun Pa-c | 5 Dunbar Drive, Windsor, CT 06095 | Physician Assistant | 2020-08-01 ~ 2021-07-31 |
Lisa L Belanger Pa | 11 Union Place, Manchester, CT 06040 | Physician Assistant | 2004-07-07 ~ 2005-07-31 |
Lisa A Rinaldi Pa | 16 Pelham Rd, West Hartford, CT 06107-2718 | Physician Assistant | 2020-03-01 ~ 2021-02-28 |
Lisa M Collison | 6 Sundon Lane, Old Saybrook, CT 06475 | Physician Assistant | 1999-07-16 ~ 2000-09-30 |
Lisa M Ambrogio-decola | 120 Townsend Ave, New Haven, CT 06512-4045 | Physician Assistant | 2020-08-01 ~ 2021-07-31 |
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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).