LUBNA S QAZI
Controlled Substance Registration for Practitioner


Address: 135 Center Ln, Levittown, NY 11756-1004

LUBNA S QAZI (Credential# 1271038) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2017. The license expiration date date is February 28, 2019. The license status is LAPSED.

Business Overview

LUBNA S QAZI is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0059671. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2017. The expiration date is February 28, 2019. The business address is 135 Center Ln, Levittown, NY 11756-1004. The current status is lapsed.

Basic Information

Licensee Name LUBNA S QAZI
Credential ID 1271038
Credential Number CSP.0059671
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 135 Center Ln
Levittown
NY 11756-1004
Business Type INDIVIDUAL
Status LAPSED
Active 1
Issue Date 2015-05-06
Effective Date 2017-03-01
Expiration Date 2019-02-28
Refresh Date 2019-03-06

Other licenses

ID Credential Code Credential Type Issue Term Status
1270459 1.054014-DO Physician/Surgeon 2015-04-17 2018-02-01 - 2019-01-31 INACTIVE

Office Location

Street Address 135 CENTER LN
City LEVITTOWN
State NY
Zip Code 11756-1004

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Antoinette Visconti 85 Saddle Lane, Levittown, NY 11756 Notary Public Appointment 2010-03-19 ~ 2015-03-31
Patricia M Gramble 174 Saddle Lane, Levittown, NY 11756 Notary Public Appointment 2000-11-20 ~ 2005-11-30
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Competitor

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City LEVITTOWN
Zip Code 11756
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + LEVITTOWN

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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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