CRYSTAL J LUKE MD (Credential# 555770) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is October 4, 1999. The license expiration date date is March 31, 2000. The license status is INACTIVE.
CRYSTAL J LUKE MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.038180. The credential type is physician/surgeon. The effective date is October 4, 1999. The expiration date is March 31, 2000. The business address is 1038 Amanda Circle, Toledo, OH 43615. The current status is inactive.
Licensee Name | CRYSTAL J LUKE MD |
Credential ID | 555770 |
Credential Number | 1.038180 |
Credential Type | Physician/Surgeon |
Business Address |
1038 Amanda Circle Toledo OH 43615 |
Business Type | INDIVIDUAL |
Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
Issue Date | 1999-10-04 |
Effective Date | 1999-10-04 |
Expiration Date | 2000-03-31 |
Refresh Date | 2009-07-11 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
223333 | CSP.0028957 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 1999-10-29 - 2000-02-28 | INACTIVE |
Street Address | 1038 AMANDA CIRCLE |
City | TOLEDO |
State | OH |
Zip Code | 43615 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Heartland Healthcare Services | 4755 South Ave, Toledo, OH 43615 | Nonresident Pharmacy | 2019-09-01 ~ 2020-08-31 |
Encouragement Blossoms In The Trauma Inc. | 340 South Reynolds Road Lot 235, Toledo, OH 43615 | Public Charity-exempt From Financial Requirements | ~ |
Omnicare Distribution Center LLC | 302 S Byrne Rd Bldg 200, Toledo, OH 43615 | Wholesaler of Drugs, Cosmetics & Medical Devices | 2015-07-01 ~ 2016-06-30 |
Emmanuella Joseph Md | 626 Pine Valley Lane 203, Toledo, OH 43615 | Physician/surgeon | 2005-11-22 ~ 2006-10-31 |
Lisa D Jones · Lawson | 5612 W Bancroft, Toledo, OH 43615 | Registered Nurse | 1999-08-17 ~ 2000-07-31 |
Jean W Youngen | 4603 Brookside Rd, Toledo, OH 43615 | Registered Nurse | 1994-05-24 ~ 1995-06-30 |
Health Care Solutions At Home Inc | 858 Capital Commons Dr, Toledo, OH 43615 | Nonresident Pharmacy | 2004-09-01 ~ 2005-08-31 |
Paul G Sieben | 4569 Forestview Dr, Toledo, OH 43615 | Architect | 1995-07-01 ~ 1996-07-31 |
Rebekah Marie Vogelpohl | 3723 Coronada Dr, Toledo, OH 43615-1213 | Registered Nurse | 2019-07-01 ~ 2020-06-30 |
Sue Idczak | 3404 Cedarbrook Dr, Toledo, OH 43615-1603 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
Find all Licenses in zip 43615 |
City | TOLEDO |
Zip Code | 43615 |
License Type | Physician/Surgeon |
License Type + County | Physician/Surgeon + TOLEDO |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Luke E Eyerman | 407 Park Ave, Leonia, NJ 07605 | Physician/surgeon | 2017-07-01 ~ 2018-06-30 |
Luke Mantle | 6 Massachusetts Ave, Longmeadow, MA 01106-3023 | Physician/surgeon | 2020-03-13 ~ 2020-07-31 |
Luke Curran Olson | 15 Bailey Way, Fitchburg, WI 53711 | Physician/surgeon | ~ |
Walter D. Luce | 48 Luke Hill Rd, Bethany, CT 06524-3323 | Physician/surgeon | 1978-08-21 ~ 1981-02-28 |
Kedarnath A Vaidya | 17350 St Luke's Way, The Woodlands, TX 77384 | Physician/surgeon | 2002-08-09 ~ 2003-07-31 |
Luke M Kitahata | Dept of Anesthesia, New Haven, CT 06504 | Physician/surgeon | 1997-11-28 ~ 1999-01-31 |
Franklyn Luke | 2160 Flintlock Drive, Hummelstown, PA 17036 | Physician/surgeon | 2019-11-01 ~ 2020-10-31 |
Theodore P Corsaro | 114 Luke Hill Road, Bethany, CT 06524-3323 | Physician/surgeon | 2012-06-01 ~ 2013-05-31 |
Masato Okada | St. Luke's Int. Hosp, Allergy & Rheum, Tokyo, 1048560 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
Sandra L Aponte | 69 Crystal Ave, Staten Island, NY 10302-2516 | Physician/surgeon | ~ |
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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).