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.
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.
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 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
1027640 | 23.002620 | Physician Assistant | 2011-08-16 | 2012-02-01 - 2013-01-31 | INACTIVE |
Street Address | 86 WHITE OAK RD |
City | SPRINGFIELD |
State | MA |
Zip Code | 01128-1037 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Michelle A Kelly | 90 Blueberry Hill Street, Springfield, MA 01128 | Notary Public Appointment | 2015-02-01 ~ 2020-01-31 |
Melissa Otero | 79 Driftwood Road, Springfield, MA 01128 | Master's Level Social Worker | 2020-04-01 ~ 2021-03-31 |
Thompson Real Estate Group Inc | 6 Driftwood Rd, Springfield, MA 01128 | Real Estate Broker | 2020-04-01 ~ 2021-03-31 |
Mary Bouchereau | 40 Skyridge Lane, Springfield, MA 01128 | Registered Nurse | 2020-05-01 ~ 2021-04-30 |
Steven T Wondolowski | 53 Driftwood Rd, Springfield, MA 01128 | Electrical Unlimited Journeyperson | 2020-01-30 ~ 2020-09-30 |
Paul E Dufresne | 17 Helberg Rd, Springfield, MA 01128 | Pharmacist | 2020-02-01 ~ 2022-01-31 |
James E Cormier | 101 Fair Oak Road, Springfield, MA 01128 | Notary Public Appointment | 2013-04-01 ~ 2018-03-31 |
Collette Simonne Pomaquiza | 345 Cooley Street, Springfield, MA 01128 | Notary Public Appointment | 2013-08-19 ~ 2018-08-31 |
Robert L Taddia | 2078 Parker Street, Springfield, MA 01128 | Notary Public Appointment | 2013-11-12 ~ 2018-11-30 |
Renee N Fagan | 178 Oak Hollow Road, Springfield, MA 01128 | Notary Public Appointment | 2015-07-15 ~ 2020-07-31 |
Find all Licenses in zip 01128 |
City | SPRINGFIELD |
Zip Code | 01128 |
License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + SPRINGFIELD |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Jason G. Lai | Anesthesiology, Danbury, CT 06810-6099 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Jason M Hammond | 1 3rd Ave, Mineola, NY 11501 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
Jason E Kinzel | 758 Quinnipiac Ave, New Haven, CT 06513-3301 | Controlled Substance Registration for Practitioner | 2013-03-19 ~ 2015-02-28 |
Jason A Lachance Md | 101 Dudley St, Providence, RI 02905-2401 | Controlled Substance Registration for Practitioner | 2009-03-01 ~ 2011-02-28 |
Jason Patregnani | 282 Washington St, Hartford, CT 06106-3322 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
Jason S. Kurtzman | 52 Oakengates, Avon, CT 06001 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Jason Gajraj | 24 Hospital Ave, Danbury, CT 06810-6099 | Controlled Substance Registration for Practitioner | 2013-03-07 ~ 2015-02-28 |
Jason A Holc | 34 Maple St, Norwalk, CT 06850-3815 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
Jason L Seiter Dpm | 187 Lakeview Ave, Hamden, CT 06514 | Controlled Substance Registration for Practitioner | 2007-03-01 ~ 2008-02-29 |
Jason Richard | 635 Main St, Middletown, CT 06457-2718 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
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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).