DIANE LUSAS
Physician/surgeon


Address: Po Box 5290, Brookfield, CT 06804-5290

DIANE LUSAS (Credential# 1276182) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is July 1, 2020. The license expiration date date is June 30, 2021. The license status is ACTIVE.

Business Overview

DIANE LUSAS is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.054932. The credential type is physician/surgeon. The effective date is July 1, 2020. The expiration date is June 30, 2021. The business address is Po Box 5290, Brookfield, CT 06804-5290. The current status is active.

Basic Information

Licensee Name DIANE LUSAS
Credential ID 1276182
Credential Number 1.054932
Credential Type Physician/Surgeon
Business Address Po Box 5290
Brookfield
CT 06804-5290
Business Type INDIVIDUAL
Status ACTIVE - CURRENT
Active 1
Issue Date 2016-02-23
Effective Date 2020-07-01
Expiration Date 2021-06-30
Refresh Date 2020-04-22

Other licenses

ID Credential Code Credential Type Issue Term Status
1024752 CSP.0050948 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 2011-08-01 2019-03-01 - 2021-02-28 ACTIVE

Office Location

Street Address PO BOX 5290
City BROOKFIELD
State CT
Zip Code 06804-5290

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Competitor

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City BROOKFIELD
Zip Code 06804
License Type Physician/Surgeon
License Type + County Physician/Surgeon + BROOKFIELD

Similar businesses

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Diane M Aslanis Do Hartford, CT 06105 Physician/surgeon 2010-05-01 ~ 2011-04-30
Diane C Lorusso 4 Flagler Dr, Rye, NY 10580-1850 Physician/surgeon 2020-05-01 ~ 2021-04-30
Diane Kim 65 Katherine Ct, Shelton, CT 06484-4336 Physician/surgeon 2020-01-01 ~ 2020-12-31
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Diane W Mickley Md 200 Pemberwick Rd Ste 12, Greenwich, CT 06831-4236 Physician/surgeon 2020-09-01 ~ 2021-08-31
Diane C Rudolph 15 E 75th St, New York, NY 10021-2660 Physician/surgeon 2017-05-01 ~ 2018-04-30
Diane K Jorkasky 60 Manor Ave, Wellesley, MA 02482-1032 Physician/surgeon 2011-01-01 ~ 2011-12-31
Diane K Hankes Do 400 Skyloft Dr Apt 302, Asheville, NC 28801-1951 Physician/surgeon 2009-02-09 ~ 2009-11-30
Diane D Wirz 42 Fairmount Dr., Danbury, CT 06811 Physician/surgeon 2020-04-01 ~ 2021-03-31

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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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