ELIZABETH LUCAL
Controlled Substance Registration for Practitioner


Address: Po Box 311, Lakeville, CT 06039

ELIZABETH LUCAL (Credential# 1152811) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2015. The license expiration date date is February 28, 2017. The license status is INACTIVE.

Business Overview

ELIZABETH LUCAL is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0054350. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2015. The expiration date is February 28, 2017. The business address is Po Box 311, Lakeville, CT 06039. The current status is inactive.

Basic Information

Licensee Name ELIZABETH LUCAL
Credential ID 1152811
Credential Number CSP.0054350
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address Po Box 311
Lakeville
CT 06039
Business Type INDIVIDUAL
Status INACTIVE
Issue Date 2013-04-16
Effective Date 2015-03-01
Expiration Date 2017-02-28
Refresh Date 2018-01-29

Other licenses

ID Credential Code Credential Type Issue Term Status
1137388 1.051785 Physician/Surgeon 2013-04-15 2016-02-01 - 2017-01-31 INACTIVE

Office Location

Street Address PO Box 311
City Lakeville
State CT
Zip Code 06039

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Competitor

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City Lakeville
Zip Code 06039
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + Lakeville

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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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