ERIN N LYONS PA-C
Controlled Substance Registration for Practitioner


Address: 60 Glen Rd Apt 110, Brookline, MA 02445-7731

ERIN N LYONS PA-C (Credential# 1269371) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is February 27, 2015. The license expiration date date is February 28, 2017. The license status is INACTIVE.

Business Overview

ERIN N LYONS PA-C is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0059593. The credential type is controlled substance registration for practitioner. The effective date is February 27, 2015. The expiration date is February 28, 2017. The business address is 60 Glen Rd Apt 110, Brookline, MA 02445-7731. The current status is inactive.

Basic Information

Licensee Name ERIN N LYONS PA-C
Credential ID 1269371
Credential Number CSP.0059593
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 60 Glen Rd Apt 110
Brookline
MA 02445-7731
Business Type INDIVIDUAL
Status INACTIVE
Issue Date 2015-02-27
Effective Date 2015-02-27
Expiration Date 2017-02-28
Refresh Date 2018-01-29

Other licenses

ID Credential Code Credential Type Issue Term Status
981217 23.002536 Physician Assistant 2011-01-20 2015-11-01 - 2016-10-31 INACTIVE
983551 CSP.0049600 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 2011-02-08 2013-03-01 - 2015-02-28 INACTIVE

Office Location

Street Address 60 GLEN RD APT 110
City BROOKLINE
State MA
Zip Code 02445-7731

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Competitor

Search similar business entities

City BROOKLINE
Zip Code 02445
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + BROOKLINE

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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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