LUCAS RYAN PA
Physician Assistant


Address: 37 Red Mills Rd, Mahopac, NY 10541

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.

Business Overview

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.

Basic Information

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

Other licenses

ID Credential Code Credential Type Issue Term Status
302675 CSP.0031757 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 2004-02-29 - 2005-02-28 INACTIVE

Office Location

Street Address 37 RED MILLS RD
City MAHOPAC
State NY
Zip Code 10541

Licenses in the same zip code

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

Competitor

Search similar business entities

City MAHOPAC
Zip Code 10541
License Type Physician Assistant
License Type + County Physician Assistant + MAHOPAC

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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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