CRYSTAL L DELUCA OD
Controlled Substance Registration for Practitioner


Address: 6406 S 164th Cir, Omaha, NE 68135-6376

CRYSTAL L DELUCA OD (Credential# 896816) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is October 19, 2009. The license expiration date date is February 28, 2011. The license status is INACTIVE.

Business Overview

CRYSTAL L DELUCA OD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0046764. The credential type is controlled substance registration for practitioner. The effective date is October 19, 2009. The expiration date is February 28, 2011. The business address is 6406 S 164th Cir, Omaha, NE 68135-6376. The current status is inactive.

Basic Information

Licensee Name CRYSTAL L DELUCA OD
Credential ID 896816
Credential Number CSP.0046764
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 6406 S 164th Cir
Omaha
NE 68135-6376
Business Type INDIVIDUAL
Status INACTIVE
Issue Date 2009-10-19
Effective Date 2009-10-19
Expiration Date 2011-02-28
Refresh Date 2013-03-07

Other licenses

ID Credential Code Credential Type Issue Term Status
883931 3.002785 Optometrist 2009-09-01 2009-09-01 - 2010-09-30 INACTIVE

Office Location

Street Address 6406 S 164TH CIR
City OMAHA
State NE
Zip Code 68135-6376

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Competitor

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City OMAHA
Zip Code 68135
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + OMAHA

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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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