LUCAS RYAN PA (Credential# 742853) is licensed (Physician Assistant) with Connecticut Department of Consumer Protection. The license effective date is August 23, 2004. The license expiration date date is October 31, 2005. The license status is INACTIVE.
LUCAS RYAN PA is licensed with the Department of Consumer Protection of Connecticut. The credential number is #23.001104. The credential type is physician assistant. The effective date is August 23, 2004. The expiration date is October 31, 2005. The business address is 37 Red Mills Rd, Mahopac, NY 10541. The current status is inactive.
Licensee Name | LUCAS RYAN PA |
Credential ID | 742853 |
Credential Number | 23.001104 |
Credential Type | Physician Assistant |
Business Address |
37 Red Mills Rd Mahopac NY 10541 |
Business Type | INDIVIDUAL |
Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
Issue Date | 2001-10-01 |
Effective Date | 2004-08-23 |
Expiration Date | 2005-10-31 |
Refresh Date | 2009-07-11 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
302675 | CSP.0031757 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2004-02-29 - 2005-02-28 | INACTIVE |
Street Address | 37 RED MILLS RD |
City | MAHOPAC |
State | NY |
Zip Code | 10541 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Ernestine Daniel | 21 Mianna Drive, Mahopac, NY 10541 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
Thomas A Nugent | 79 Austin Rd, Mahopac, NY 10541 | Architect | 2020-08-01 ~ 2021-07-31 |
Vasiliki Gleason | 7 Senior Avenue, Mahopac, NY 10541 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
Joel Greenberg | 2 Muscoot Rd N, Mahopac, NY 10541 | Architect | 2020-08-01 ~ 2021-07-31 |
Stacy Shires | 7 Rambler Rd, Mahopac, NY 10541 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
Henry Samoyedny | 54 Mcmillan Ave, Mahopac, NY 10541 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
Joseph D Mastromonaco Jr | 10 Rockledge Place, Mahopac, NY 10541 | Real Estate Salesperson | 2017-06-01 ~ 2018-05-31 |
James B Polo | 43 Dahlia Dr, Mahopac, NY 10541 | Registered Nurse | 2020-06-01 ~ 2021-05-31 |
Jill E Branch | 166 Croton Falls Rd, Mahopac, NY 10541 | Licensed Practical Nurse | 2020-03-01 ~ 2021-02-28 |
Richard J Castro | 803 So Lake Blv D, Mahopac, NY 10541 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
Find all Licenses in zip 10541 |
City | MAHOPAC |
Zip Code | 10541 |
License Type | Physician Assistant |
License Type + County | Physician Assistant + MAHOPAC |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Robert Lucas Pa | 30 Duke Dr, Rancho Mirage, CA 92270 | Physician Assistant | 2020-06-01 ~ 2021-05-31 |
Emily Ryan | 15 Sandra Dr, Branford, CT 06405-6137 | Physician Assistant | 2020-04-01 ~ 2021-03-31 |
Ryan F Makuck Pa-c | 37 Pinnacle Rd, Ellington, CT 06029-3513 | Physician Assistant | 2020-07-01 ~ 2021-06-30 |
James J Ryan | P.o. Box 525, Pine Plains, NY 12567 | Physician Assistant | 2003-03-03 ~ 2004-02-29 |
Ryan C Davis | 111 Woodland Drive, Cromwell, CT 06416 | Physician Assistant | 2020-05-01 ~ 2021-04-30 |
Ryan Riordan | 23 S Jefferson St, Batavia, IL 60510-2419 | Resident Physician Assistant | 2020-05-26 ~ 2021-12-31 |
Ryan M O'gowan Pa-c | 18 White Ave, East Longmeadow, MA 01028-2432 | Physician Assistant | 2012-11-01 ~ 2013-10-31 |
Ryan K Gunther | 140 Mill St, East Haven, CT 06512-1041 | Physician Assistant | 2018-05-01 ~ 2019-04-30 |
Amy Haydon-ryan | 138 S Pine Creek Rd, Fairfield, CT 06824-5630 | Physician Assistant | 2020-02-01 ~ 2021-01-31 |
Ryan A Vicino | 480 Maple Hill Ave, Newington, CT 06111-3618 | Physician Assistant | 2020-03-01 ~ 2021-02-28 |
Please comment or provide details below to improve the information on LUCAS RYAN PA.
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).