CHRISTINE A LAKY MD
Controlled Substance Registration for Practitioner


Address: 22 Summerhill Rd, Wallingford, CT 06492

CHRISTINE A LAKY MD (Credential# 525870) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2011. The license expiration date date is February 28, 2013. The license status is INACTIVE.

Business Overview

CHRISTINE A LAKY MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0045162. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2011. The expiration date is February 28, 2013. The business address is 22 Summerhill Rd, Wallingford, CT 06492. The current status is inactive.

Basic Information

Licensee Name CHRISTINE A LAKY MD
Credential ID 525870
Credential Number CSP.0045162
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 22 Summerhill Rd
Wallingford
CT 06492
Business Type INDIVIDUAL
Status INACTIVE
Issue Date 2009-03-04
Effective Date 2011-03-01
Expiration Date 2013-02-28
Refresh Date 2014-01-29

Other licenses

ID Credential Code Credential Type Issue Term Status
564930 1.047348 Physician/Surgeon 2009-02-09 2011-08-01 - 2012-07-31 INACTIVE

Office Location

Street Address 22 Summerhill Rd
City Wallingford
State CT
Zip Code 06492

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Competitor

Search similar business entities

City Wallingford
Zip Code 06492
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + Wallingford

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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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