LAUREN M MORALES
Physician Assistant


Address: 825 Sterling St, North Bellmore, NY 11710-1215

LAUREN M MORALES (Credential# 1046248) is licensed (Physician Assistant) with Connecticut Department of Consumer Protection. The license effective date is April 1, 2016. The license expiration date date is March 31, 2017. The license status is INACTIVE.

Business Overview

LAUREN M MORALES is licensed with the Department of Consumer Protection of Connecticut. The credential number is #23.002732. The credential type is physician assistant. The effective date is April 1, 2016. The expiration date is March 31, 2017. The business address is 825 Sterling St, North Bellmore, NY 11710-1215. The current status is inactive.

Basic Information

Licensee Name LAUREN M MORALES
Credential ID 1046248
Credential Number 23.002732
Credential Type Physician Assistant
Business Address 825 Sterling St
North Bellmore
NY 11710-1215
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 2012-03-01
Effective Date 2016-04-01
Expiration Date 2017-03-31
Refresh Date 2017-07-04

Other licenses

ID Credential Code Credential Type Issue Term Status
1055544 CSP.0052103 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 2012-03-12 2015-03-01 - 2017-02-28 INACTIVE
1046246 10 Registered Nurse - EXPIRED APPLICATION

Office Location

Street Address 825 STERLING ST
City NORTH BELLMORE
State NY
Zip Code 11710-1215

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Competitor

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City NORTH BELLMORE
Zip Code 11710
License Type Physician Assistant
License Type + County Physician Assistant + NORTH BELLMORE

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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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