MICHAEL THOMAS DYLAG
Controlled Substance Registration for Practitioner


Address: 404 Jeffrey Ave, East Meadow, NY 11554-2315

MICHAEL THOMAS DYLAG (Credential# 1369934) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is August 2, 2016. The license expiration date date is February 28, 2017. The license status is INACTIVE.

Business Overview

MICHAEL THOMAS DYLAG is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0063693. The credential type is controlled substance registration for practitioner. The effective date is August 2, 2016. The expiration date is February 28, 2017. The business address is 404 Jeffrey Ave, East Meadow, NY 11554-2315. The current status is inactive.

Basic Information

Licensee Name MICHAEL THOMAS DYLAG
Credential ID 1369934
Credential Number CSP.0063693
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 404 Jeffrey Ave
East Meadow
NY 11554-2315
Business Type INDIVIDUAL
Status INACTIVE
Issue Date 2016-08-02
Effective Date 2016-08-02
Expiration Date 2017-02-28
Refresh Date 2018-01-29

Other licenses

ID Credential Code Credential Type Issue Term Status
1364269 23.003646 Physician Assistant 2016-07-28 2016-07-28 - 2016-12-31 INACTIVE
1134129 70.015776 Emergency Medical Technician 2012-12-03 2012-12-03 - 2015-07-01 INACTIVE

Office Location

Street Address 404 JEFFREY AVE
City EAST MEADOW
State NY
Zip Code 11554-2315

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Competitor

Search similar business entities

City EAST MEADOW
Zip Code 11554
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + EAST MEADOW

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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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