PATRICIA M LUCERI
Physician/surgeon


Address: 159 Foxbridge Village Rd, Branford, CT 06405-2213

PATRICIA M LUCERI (Credential# 1043533) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is June 1, 2014. The license expiration date date is May 31, 2015. The license status is INACTIVE.

Business Overview

PATRICIA M LUCERI is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.051165-DO. The credential type is physician/surgeon. The effective date is June 1, 2014. The expiration date is May 31, 2015. The business address is 159 Foxbridge Village Rd, Branford, CT 06405-2213. The current status is inactive.

Basic Information

Licensee Name PATRICIA M LUCERI
Credential ID 1043533
Credential Number 1.051165-DO
Credential Type Physician/Surgeon
Credential SubCategory DO
Business Address 159 Foxbridge Village Rd
Branford
CT 06405-2213
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 2012-07-05
Effective Date 2014-06-01
Expiration Date 2015-05-31
Refresh Date 2015-09-03

Other licenses

ID Credential Code Credential Type Issue Term Status
1082989 CSP.0053188 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 2012-07-16 2013-03-01 - 2015-02-28 INACTIVE

Office Location

Street Address 159 FOXBRIDGE VILLAGE RD
City BRANFORD
State CT
Zip Code 06405-2213

Licenses in the same zip code

Licensee Name Office Address Credential Effective / Expiration
Eric M Fuller 165 Foxbridge Village Rd, Branford, CT 06405-2213 Emergency Medical Responder 2017-10-03 ~ 2020-07-01

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Bridget J Jennings 159 Queach Road, Branford, CT 06405 Registered Nurse 2020-09-01 ~ 2021-08-31
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Cathleen Smith 50 First Avenue, Branford, CT 06405 Radiographer 2020-07-01 ~ 2021-06-30
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Competitor

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City BRANFORD
Zip Code 06405
License Type Physician/Surgeon
License Type + County Physician/Surgeon + BRANFORD

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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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