PHUONG LUU
Controlled Substance Registration for Practitioner


Address: Prime Healthcare, PC, Aveon, CT 06001

PHUONG LUU (Credential# 236636) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2007. The license expiration date date is February 29, 2008. The license status is INACTIVE.

Business Overview

PHUONG LUU is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0029624. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2007. The expiration date is February 29, 2008. The business address is Prime Healthcare, PC, Aveon, CT 06001. The current status is inactive.

Basic Information

Licensee Name PHUONG LUU
Credential ID 236636
Credential Number CSP.0029624
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address Prime Healthcare, PC
Aveon
CT 06001
Business Type INDIVIDUAL
Status INACTIVE
Effective Date 2007-03-01
Expiration Date 2008-02-29
Refresh Date 2009-02-05

Other licenses

ID Credential Code Credential Type Issue Term Status
742706 23.000957 Physician Assistant 2000-05-04 2007-02-16 - 2008-01-31 INACTIVE

Office Location

Street Address PRIME HEALTHCARE, PC
City AVEON
State CT
Zip Code 06001

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Competitor

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City AVEON
Zip Code 06001
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + AVEON

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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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