JASON M LUSZCZ PA-C
Controlled Substance Registration for Practitioner


Address: 86 White Oak Rd, Springfield, MA 01128-1037

JASON M LUSZCZ PA-C (Credential# 1030117) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is August 23, 2011. The license expiration date date is February 28, 2013. The license status is INACTIVE.

Business Overview

JASON M LUSZCZ PA-C is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0051260. The credential type is controlled substance registration for practitioner. The effective date is August 23, 2011. The expiration date is February 28, 2013. The business address is 86 White Oak Rd, Springfield, MA 01128-1037. The current status is inactive.

Basic Information

Licensee Name JASON M LUSZCZ PA-C
Credential ID 1030117
Credential Number CSP.0051260
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 86 White Oak Rd
Springfield
MA 01128-1037
Business Type INDIVIDUAL
Status INACTIVE
Issue Date 2011-08-23
Effective Date 2011-08-23
Expiration Date 2013-02-28
Refresh Date 2014-07-24

Other licenses

ID Credential Code Credential Type Issue Term Status
1027640 23.002620 Physician Assistant 2011-08-16 2012-02-01 - 2013-01-31 INACTIVE

Office Location

Street Address 86 WHITE OAK RD
City SPRINGFIELD
State MA
Zip Code 01128-1037

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Competitor

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City SPRINGFIELD
Zip Code 01128
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + SPRINGFIELD

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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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