MARY G LUCIA MD (Credential# 408359) 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.
MARY G LUCIA MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0037677. 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 175 Miller Rd, South Windsor, CT 06074-1536. The current status is active.
| Licensee Name | MARY G LUCIA MD |
| Credential ID | 408359 |
| Credential Number | CSP.0037677 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
175 Miller Rd South Windsor CT 06074-1536 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2005-06-22 |
| Effective Date | 2019-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2019-02-04 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 561064 | 1.043482 | Physician/Surgeon | 2005-06-02 | 2019-12-01 - 2020-11-30 | ACTIVE |
| Street Address | 175 MILLER RD |
| City | SOUTH WINDSOR |
| State | CT |
| Zip Code | 06074-1536 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Lauren A. Angeloni | 125 Miller Rd, South Windsor, CT 06074-1536 | Respiratory Care Practitioner | 2020-06-01 ~ 2021-05-31 |
| Kaitlyn E Adams | 189 Miller Rd, South Windsor, CT 06074-1536 | Licensed Clinical Social Worker | 2020-04-01 ~ 2021-03-31 |
| Howard E Slater | 105 Miller Rd, South Windsor, CT 06074-1536 | Plumbing & Piping Limited Journeyperson | 2019-11-01 ~ 2020-10-31 |
| Karin Jean Smith | 133 Miller Rd, South Windsor, CT 06074-1536 | Off Track Betting Facility Management | 2019-09-01 ~ 2020-08-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Daniel R Troiano | 75 Heritage Drive, South Windsor, CT 06074 | Embalmer | 2020-08-01 ~ 2021-07-31 |
| Kyle A Jones | 38 Marilyn Road, South Windsor, CT 06074 | Real Estate Salesperson | ~ |
| Beelzebub Road | 310 Beelzebub Road, South Windsor, CT 06074 | Public Community Living Arrangement | 2018-07-01 ~ 2020-06-30 |
| Barbara Brant Feehan | 139 Rockledge Drive, South Windsor, CT 06074 | Audiologist | 2020-09-01 ~ 2021-08-31 |
| Jillmarie S Macaluso | 230 Orchard Hill Dr, S Windsor, CT 06074 | Respiratory Care Practitioner | 2020-08-01 ~ 2021-07-31 |
| Jason K Smith | 854 Foster Street Ext, South Windsor, CT 06074 | Professional Engineer | 2020-06-26 ~ 2021-01-31 |
| Abc Property Care LLC | 376 Pleasant Valley Road, South Windsor, CT 06074 | Home Improvement Contractor | 2020-06-26 ~ 2020-11-30 |
| Ashley Ann Corridori | 21 Abar Lane, South Windsor, CT 06074 | Physician Assistant | 2020-07-01 ~ 2021-06-30 |
| Rawnak Afrose | 120 Loomis Rd, South Windsor, CT 06074 | Real Estate Salesperson | 2020-06-15 ~ 2021-05-31 |
| Adeola Martins | 467 Oakland Road, South Windsor, CT 06074 | Licensed Practical Nurse | ~ |
| Find all Licenses in zip 06074 | |||
| City | SOUTH WINDSOR |
| Zip Code | 06074 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + SOUTH WINDSOR |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Lucia C Benzoni Do | 481 Bantam Rd, Litchfield, CT 06759-3202 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Lucia E Vigna Md | 43 Dudley Rd, Wilton, CT 06897 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Walter Lucia | 90 Willam Street, Milford, CT 06460 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
| Lucia Chou Md | 2900 Main Street, 3a, Stratford, CT 06614 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Lucia Onofrio Pa | Connecticut Children's Medical Center, Hartford, CT 06106 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Fred Joseph De Lucia | 3003 New Hyde Park Rd Ste 312, New Hyde Park, NY 11042-1214 | Controlled Substance Registration for Practitioner | 2019-09-10 ~ 2021-02-28 |
| Mary B O'malley | Po Box 447, Housatonic, MA 01236-0447 | Controlled Substance Registration for Practitioner | 2020-02-28 ~ 2021-02-28 |
| Mary J O | 109 E Gate Ln, Hamden, CT 06514-2233 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Mary G Boy | 237 Clift St, Mystic, CT 06355-1726 | Controlled Substance Registration for Practitioner | 2018-12-20 ~ 2021-02-28 |
| Mary H Belniak | 4 Wiltshire Pl, Farmington, CT 06032-1527 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
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| 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).