TYLER S LUCAS MD
Controlled Substance Registration for Practitioner


Address: 1349 Lexington Avenue #4d, New York, NY 10128

TYLER S LUCAS MD (Credential# 358192) 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 INACTIVE.

Business Overview

TYLER S LUCAS MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0034449. 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 1349 Lexington Avenue #4d, New York, NY 10128. The current status is inactive.

Basic Information

Licensee Name TYLER S LUCAS MD
Credential ID 358192
Credential Number CSP.0034449
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 1349 Lexington Avenue #4d
New York
NY 10128
Business Type INDIVIDUAL
Status INACTIVE - LACK OF ACTIVE MEDICAL LICENSE
Issue Date 2004-01-02
Effective Date 2019-03-01
Expiration Date 2021-02-28
Refresh Date 2020-04-20

Other licenses

ID Credential Code Credential Type Issue Term Status
554758 1.037168 Physician/Surgeon 1998-08-07 2017-05-01 - 2018-04-30 INACTIVE
198137 CSP.0027002 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 1999-03-01 - 2000-02-28 INACTIVE

Office Location

Street Address 1349 lexington Avenue #4D
City New York
State NY
Zip Code 10128

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Competitor

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City New York
Zip Code 10128
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + New York

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Zarah Dulch Lucas Farmington, CT 06030-0001 Controlled Substance Registration for Practitioner 2011-03-30 ~ 2013-02-28
Anika M Lucas 24 Park Pl, Hartford, CT 06106-5008 Controlled Substance Registration for Practitioner 2017-03-01 ~ 2019-02-28
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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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