LISA A. WHITE (Credential# 933800) is licensed (Physician Assistant) with Connecticut Department of Consumer Protection. The license effective date is July 1, 2019. The license expiration date date is June 30, 2020. The license status is ACTIVE.
LISA A. WHITE is licensed with the Department of Consumer Protection of Connecticut. The credential number is #23.002425. The credential type is physician assistant. The effective date is July 1, 2019. The expiration date is June 30, 2020. The business address is 4 Carlton Ln, Hopkinton, RI 02833-1103. The current status is active.
| Licensee Name | LISA A. WHITE |
| Credential ID | 933800 |
| Credential Number | 23.002425 |
| Credential Type | Physician Assistant |
| Business Address |
4 Carlton Ln Hopkinton RI 02833-1103 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2010-07-14 |
| Effective Date | 2019-07-01 |
| Expiration Date | 2020-06-30 |
| Refresh Date | 2019-06-04 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 945889 | CSP.0048359 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2010-08-06 | 2013-03-01 - 2015-02-28 | INACTIVE |
| Street Address | 4 CARLTON LN |
| City | HOPKINTON |
| State | RI |
| Zip Code | 02833-1103 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Bonnie J Read | 82 Lawton Foster Rd, Hopkinton, RI 02833 | Hairdresser/cosmetician | 2020-06-01 ~ 2022-05-31 |
| Michael Wolf Thurston | 122 North Rd, Hopkinton, RI 02833 | Casino Class I Employee | 2020-02-26 ~ 2020-10-31 |
| Diane J Zenga | 3 Stacey Lane, Hopkinton, RI 02833 | Casino Class I Employee | 2019-12-11 ~ 2020-10-31 |
| Anthony Joseph Turano | 63 North Road, Hopkinton, RI 02833 | Casino Class I Employee | 2019-12-11 ~ 2020-10-31 |
| David K Taylor | P. O. Box 47 102 Kuehn Road, Hopkinton, RI 02833 | Casino Class I Employee | 2019-12-11 ~ 2020-10-31 |
| Katherine Lee Plunkett | 153 North, Hopkinton, RI 02833 | Physical Therapist | 2018-11-01 ~ 2019-10-31 |
| Brennan C. Luke | 153 North Rd, Hopkinton, CT 02833 | Pharmacist | 2020-02-01 ~ 2022-01-31 |
| Molly R Davis | 63 Lawton Foster South Road, Hopkinton, RI 02833 | Pharmacist | 2020-02-01 ~ 2022-01-31 |
| Donna J Peckham | 3 Fern Drive, Hopkinton, RI 02833 | Notary Public Appointment | 1997-04-14 ~ 2002-04-30 |
| Amy L Panciera | 90 Panciera Lane, Hopkinton, RI 02833 | Notary Public Appointment | 2003-12-31 ~ 2008-12-31 |
| Find all Licenses in zip 02833 | |||
| City | HOPKINTON |
| Zip Code | 02833 |
| License Type | Physician Assistant |
| License Type + County | Physician Assistant + HOPKINTON |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Lisa C Perry Pa | 109 Reverknolls, Avon, CT 06001-2038 | Physician Assistant | 2020-06-01 ~ 2021-05-31 |
| Ann Marie Schoppmann Pa | 11 Lisa Ln, Woodbridge, CT 06525 | Physician Assistant | 2020-06-01 ~ 2021-05-31 |
| Lisa A Rampone | 3 Purgatory Road, Exeter, RI 02822 | Physician Assistant | 2020-04-01 ~ 2021-03-31 |
| Lisa E Shakun Pa-c | 5 Dunbar Drive, Windsor, CT 06095 | Physician Assistant | 2020-08-01 ~ 2021-07-31 |
| Lisa A Rinaldi Pa | 16 Pelham Rd, West Hartford, CT 06107-2718 | Physician Assistant | 2020-03-01 ~ 2021-02-28 |
| Lisa Christine Martin | 381 Willow St, Mansfield, MA 02048 | Physician Assistant | 2020-03-01 ~ 2021-02-28 |
| Lisa M Ambrogio-decola | 120 Townsend Ave, New Haven, CT 06512-4045 | Physician Assistant | 2020-08-01 ~ 2021-07-31 |
| Lisa M Collison | 6 Sundon Lane, Old Saybrook, CT 06475 | Physician Assistant | 1999-07-16 ~ 2000-09-30 |
| Lisa L Belanger Pa | 11 Union Place, Manchester, CT 06040 | Physician Assistant | 2004-07-07 ~ 2005-07-31 |
| Lisa K Goebel | 1112 River Road, Montgomery, TX 77356 | Physician Assistant | 1996-10-22 ~ 1997-10-31 |
Please comment or provide details below to improve the information on LISA A. WHITE.
| 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).