LISA MACK (Credential# 944960) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2019. The license expiration date date is February 28, 2021. The license status is ACTIVE.
LISA MACK is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0048223. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2019. The expiration date is February 28, 2021. The business address is 85 Seymour St, Hartford, CT 06106-5501. The current status is active.
| Licensee Name | LISA MACK |
| Credential ID | 944960 |
| Credential Number | CSP.0048223 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
85 Seymour St Hartford CT 06106-5501 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2010-08-31 |
| Effective Date | 2019-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2018-12-28 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1225501 | 1.053333 | Physician/Surgeon | 2014-07-21 | 2019-10-01 - 2020-09-30 | ACTIVE |
| Street Address | 85 SEYMOUR ST |
| City | HARTFORD |
| State | CT |
| Zip Code | 06106-5501 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Gabriela Zagarodne Spilberg Missine | 85 Seymour St, Hartford, CT 06106-5501 | Physician/surgeon | 2020-06-10 ~ 2021-05-31 |
| Kendall Johnson | 85 Seymour St, Hartford, CT 06106-5501 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Scott D Walter | 85 Seymour St, Hartford, CT 06106 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Edward J Hannoush | 85 Seymour St, Hartford, CT 06106 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Patricia A Sheiner Md | 85 Seymour St, Hartford, CT 06106-5501 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Abram D'amato | 85 Seymour St, Hartford, CT 06106-5501 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Renee C Cortland | 85 Seymour St, Hartford, CT 06106 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Edward Dewitt Gifford | 85 Seymour St, Hartford, CT 06106 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Andrew J Packer | 85 Seymour St, Hartford, CT 06106 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Stephen R Conway | 85 Seymour St, Hartford, CT 06106 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Find all Licenses in the same address | |||
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Connpirg Education Fund Inc | 2074 Park St #210, Hartford, CT 06106 | Public Charity | 2019-06-01 ~ 2020-05-31 |
| Environment Connecticut Research & Policy Center Inc | 2074 Park St, #210, Hartford, CT 06106 | Public Charity | 2019-06-01 ~ 2020-05-31 |
| Douglas Laing Rock Oyster | Statewide, Hartford, CT 06106 | Liquor Brand Label | 2016-08-03 ~ 2019-08-02 |
| Randall S Luther | 146 Wyllys St 1-203, Hartford, CT 06106 | Architect | 2020-08-01 ~ 2021-07-31 |
| Guillermina Gonzalez | 97 Amity St., Hartford, CT 06106 | Hairdresser/cosmetician | 2020-09-01 ~ 2022-08-31 |
| Keyonni Jones | 54 Grafton St, Hartford, CT 06106 | Medication Administration Certification | ~ |
| Amber Nicole Perretta | 125 Zion St 2n, Hartford, CT 06106 | Hairdresser/cosmetician | ~ |
| Jose B. Jiminian · Danny's Market Grocery Store | 33 Park Street, Hartford, CT 06106 | Grocery Beer | 2020-08-01 ~ 2021-07-31 |
| Alice G Nieto | 29 Kelsey Street, Hartford, CT 06106 | Licensed Clinical Social Worker | 2020-07-01 ~ 2021-06-30 |
| Malinda M Rodriguez | 27 Amity Street #3, Hartford, CT 06106 | Notary Public Appointment | ~ |
| Find all Licenses in zip 06106 | |||
| City | HARTFORD |
| Zip Code | 06106 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + HARTFORD |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Alphonso L Mack | 30, Burlington, CT 06103 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| James G Pattillo IIi | 74 Mack St, Windsor, CT 06095 | Controlled Substance Registration for Practitioner | 1999-03-01 ~ 2000-02-28 |
| Michael J Mack | 40 E Putnam Avenue, Cos Cob, CT 06807 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Steven C Fitch | 321 Mack Rd, Lebanon, CT 06249-1718 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| John E Kelleher Jr | 26 Mack Rd, Middlefield, CT 06455-1104 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Sarah Daigle | 72 Mack St., Windsor, CT 06095 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Jane A Mack | 1918 Huntington Tpk, Trumbull, CT 06611 | Controlled Substance Registration for Practitioner | 2005-03-01 ~ 2006-02-28 |
| Philip W Mack Md | 6 Ericka Cir, East Longmeadow, MA 01028-1658 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Christina N Mack | 850 Grand Ave Unit 204, New Haven, CT 06511-4974 | Controlled Substance Registration for Practitioner | 2013-03-06 ~ 2015-02-28 |
| Shahena Master Do | 74 Mack Street, Windsor, CT 06095 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
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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).