MARIE LUPICA MD (Credential# 54772) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is November 8, 1996. The license expiration date date is February 28, 1998. The license status is INACTIVE.
MARIE LUPICA MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0024900. The credential type is controlled substance registration for practitioner. The effective date is November 8, 1996. The expiration date is February 28, 1998. The business address is 4170 Ashord Dunwoody Road, Atlanta, GA 30319. The current status is inactive.
| Licensee Name | MARIE LUPICA MD |
| Business Name | HKA |
| Credential ID | 54772 |
| Credential Number | CSP.0024900 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
4170 Ashord Dunwoody Road Atlanta GA 30319 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE |
| Effective Date | 1996-11-08 |
| Expiration Date | 1998-02-28 |
| Refresh Date | 2009-01-26 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 551562 | 1.033963 | Physician/Surgeon | 1994-08-05 | 1996-01-22 - 1997-01-31 | INACTIVE |
| Street Address | 4170 ASHORD DUNWOODY ROAD |
| City | ATLANTA |
| State | GA |
| Zip Code | 30319 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Joseph Makris | 3478 Brookleigh Ln Ne, Brookhaven, GA 30319 | Physician/surgeon | 2020-03-03 ~ 2021-03-31 |
| Mbn Brands A, LLC | 3181 Le Conte Ave Ne, Atlanta, GA 30319 | Securities - Exemptions | 2020-01-16 ~ |
| Waldemar Del Valle | 3609 Brookleigh Lane Ne, Atlanta, GA 30319 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
| Christine E Tank | 10 Perimeter Summit Blvd, Atlanta, GA 30319 | Physician Assistant | 2019-10-21 ~ 2020-07-31 |
| Jeffrey H Koenig | 1637 Canopy Chase Ne, Atlanta, GA 30319 | Certified Public Accountant Certificate | 2020-01-01 ~ 2020-12-31 |
| Laurel P Davis | 2594 Brookhaven Chase Ln Ne, Brookhaven, GA 30319 | Registered Nurse - Temporary | 2017-07-21 ~ 2017-11-17 |
| Eric R Majeska | 1373 Epping Forest Dr, Atlanta, GA 30319 | Engineer-in-training | 2006-10-17 ~ 2016-10-17 |
| Shari L Rivas · Frie S | 4370 Davidson Ave, Atlanta, GA 30319 | Registered Nurse | 2016-01-01 ~ 2016-12-31 |
| Wesley Patrick Hudson | 1648 Brookhaven Close, Atlanta, GA 30319 | Certified Public Accountant Certificate | ~ |
| Richard J Diedrich | 8 Brookhaven Dr, Atlanta, GA 30319 | Architect | 2009-08-01 ~ 2010-07-31 |
| Find all Licenses in zip 30319 | |||
| City | ATLANTA |
| Zip Code | 30319 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + ATLANTA |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Donna Marie Marie Romito | 330 Washington St, Norwich, CT 06360 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Marie Dam | 86 Deer Run, Burlington, CT 06013-1815 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Joy Marie Richardson | 19 Day St, Norwalk, CT 06854-4912 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Marie E Didario | 31 Fox Run Ct, Newington, CT 06111-4579 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Theresa Marie Ramponi | 928 Elm, New Haven, CT 06511 | Controlled Substance Registration for Practitioner | 2019-04-03 ~ 2021-02-28 |
| Marie De Alwis | 282 Washington St, Hartford, CT 06106-3322 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
| Kim Marie Clabbers | 120 W Maple Ave, Langhorne, PA 19047-2820 | Controlled Substance Registration for Practitioner | 2019-07-16 ~ 2021-02-28 |
| Marie Tanzer | 282 Washington St 4h, Hartford, CT 06106 | Controlled Substance Registration for Practitioner | 2008-03-03 ~ 2009-02-28 |
| Marie E Peddinghaus | 111 Park St Apt 3e, New Haven, CT 06511-5451 | Controlled Substance Registration for Practitioner | 2009-03-01 ~ 2011-02-28 |
| Marie C Joseph | 80 Hooker Rd, Bridgeport, CT 06610-1316 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
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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).