PATRICIA M LUCERI (Credential# 1043533) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is June 1, 2014. The license expiration date date is May 31, 2015. The license status is INACTIVE.
PATRICIA M LUCERI is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.051165-DO. The credential type is physician/surgeon. The effective date is June 1, 2014. The expiration date is May 31, 2015. The business address is 159 Foxbridge Village Rd, Branford, CT 06405-2213. The current status is inactive.
Licensee Name | PATRICIA M LUCERI |
Credential ID | 1043533 |
Credential Number | 1.051165-DO |
Credential Type | Physician/Surgeon |
Credential SubCategory | DO |
Business Address |
159 Foxbridge Village Rd Branford CT 06405-2213 |
Business Type | INDIVIDUAL |
Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
Issue Date | 2012-07-05 |
Effective Date | 2014-06-01 |
Expiration Date | 2015-05-31 |
Refresh Date | 2015-09-03 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
1082989 | CSP.0053188 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2012-07-16 | 2013-03-01 - 2015-02-28 | INACTIVE |
Street Address | 159 FOXBRIDGE VILLAGE RD |
City | BRANFORD |
State | CT |
Zip Code | 06405-2213 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Eric M Fuller | 165 Foxbridge Village Rd, Branford, CT 06405-2213 | Emergency Medical Responder | 2017-10-03 ~ 2020-07-01 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Raymond M Johnson | 39 Bayberry Lane, Branford, CT 06405 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
Kirsten M Ranciato | 288 East Main Street, Branford, CT 06405 | Licensed Clinical Social Worker | 2020-08-01 ~ 2021-07-31 |
Bimala Khadka Thapa | 726 Robert Frost Dr., Branford, CT 06405 | Nail Technician | ~ |
Paul E Basile | 42 Valley Brook Road South, Branford, CT 06405 | Perfusionist | 2020-08-01 ~ 2021-07-31 |
Lupe Monica Placencia-muy | 100 East Main Street 2nd Fl, Branford, CT 06405 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-27 ~ 2022-02-28 |
Bridget J Jennings | 159 Queach Road, Branford, CT 06405 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
Ujeli Acharya | 21 Burban Drive, Branford, CT 06405 | Nail Technician | ~ |
Cathleen Smith | 50 First Avenue, Branford, CT 06405 | Radiographer | 2020-07-01 ~ 2021-06-30 |
Gita Thapa | 94 Village Lane, Branford, CT 06405 | Nail Technician | ~ |
Cycle Venture Partners Fund I Lp - Lumeda Series 1 | 50 Limewood Avenue, Branford, CT 06405 | Securities - Exemptions | 2020-06-17 ~ |
Find all Licenses in zip 06405 |
City | BRANFORD |
Zip Code | 06405 |
License Type | Physician/Surgeon |
License Type + County | Physician/Surgeon + BRANFORD |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Michael J Luceri | 20 York St Tmp 209, New Haven, CT 06510-3220 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
Patricia B Close | 1 Theall Rd, Rye, NY 10580 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
Patricia D Beliveau | 194 W Bay Rd, Islesboro, ME 04848-4707 | Physician/surgeon | 2014-09-01 ~ 2015-08-31 |
Patricia M Tan | 124 Greenwood Ave, Bethel, CT 06801 | Physician/surgeon | 2008-09-03 ~ 2009-04-30 |
Patricia C Reardon Md | Po Box 156, Mystic, CT 06355-0156 | Physician/surgeon | 2017-02-01 ~ 2018-01-31 |
Patricia Mcaleer Md | 13 Park St, Norwalk, CT 06851-4811 | Physician/surgeon | 2014-12-01 ~ 2015-11-30 |
Patricia A Barnes Md | 36 Center St # 193, Wolfeboro, NH 03894-4324 | Physician/surgeon | 2017-02-01 ~ 2018-01-31 |
Patricia E Cole Md | 831 Route 10 #224, Whippany, NJ 07981 | Physician/surgeon | 2019-08-01 ~ 2020-07-31 |
Patricia A Sheiner Md | 85 Seymour St, Hartford, CT 06106-5501 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
Patricia A Ecker Md | 11 Woodland Rd, Madison, CT 06443 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
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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).