DAVID C LY (Credential# 1127678) 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.
DAVID C LY is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0053879. 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 1704 State Route 11 Ste 301, Mooers, NY 12958-3708. The current status is active.
| Licensee Name | DAVID C LY |
| Credential ID | 1127678 |
| Credential Number | CSP.0053879 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
1704 State Route 11 Ste 301 Mooers NY 12958-3708 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2012-10-16 |
| Effective Date | 2019-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2019-01-10 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1082717 | 23.002793 | Physician Assistant | 2012-08-02 | 2019-10-01 - 2020-09-30 | ACTIVE |
| Street Address | 1704 STATE ROUTE 11 STE 301 |
| City | MOOERS |
| State | NY |
| Zip Code | 12958-3708 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Kim J Drown | 906 Rt 22, Mooers, NY 12958 | Registered Nurse | ~ 1998-09-30 |
| City | MOOERS |
| Zip Code | 12958 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + MOOERS |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| David F Lee Dds | 521 3rd Ave Apt 2, New York, NY 10016-4747 | Controlled Substance Registration for Practitioner | 2009-03-01 ~ 2011-02-28 |
| David A Williams | David Williams Aprn, Danbury, CT 06488 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| David Cone Md | 58 Middletown Ave, New Haven, CT 06513 | Controlled Substance Registration for Practitioner | 2003-07-02 ~ 2004-02-28 |
| David P Nocek Md | David Nocek, Greenwich, CT 06831-5100 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| David A. Petti Dds | 9 Hill St, Rye, NY 10580-2601 | Controlled Substance Registration for Practitioner | ~ |
| David J Belman Md Cm | Po Box 547, New Britain, CT 06050 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
| David E Walker Md | P.o. Box 73, Hadlyme, CT 06439 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| David Hyung Kim | Alpine, NJ 07620-0899 | Controlled Substance Registration for Practitioner | 2018-12-13 ~ 2021-02-28 |
| David Cardaropoli | 260 Elm St, Enfield, CT 06082-3113 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| David H Hsi | Po Box 9317, Stamford, CT 06904-9317 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Please comment or provide details below to improve the information on DAVID C LY.
| 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).