ROBERT S LYSS MD
Controlled Substance Registration for Practitioner


Address: 76 Batterson Park Road, Farmington, CT 06034

ROBERT S LYSS MD (Credential# 151778) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 1996. The license expiration date date is February 28, 1997. The license status is INACTIVE.

Business Overview

ROBERT S LYSS MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0013424. The credential type is controlled substance registration for practitioner. The effective date is March 1, 1996. The expiration date is February 28, 1997. The business address is 76 Batterson Park Road, Farmington, CT 06034. The current status is inactive.

Basic Information

Licensee Name ROBERT S LYSS MD
Credential ID 151778
Credential Number CSP.0013424
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 76 Batterson Park Road
Farmington
CT 06034
Business Type INDIVIDUAL
Status INACTIVE - DOES NOT WISH TO RENEW
Effective Date 1996-03-01
Expiration Date 1997-02-28
Refresh Date 2004-04-23

Other licenses

ID Credential Code Credential Type Issue Term Status
546144 1.026704 Physician/Surgeon 1985-08-12 1996-01-03 - 1997-01-31 INACTIVE

Office Location

Street Address 76 BATTERSON PARK ROAD
City FARMINGTON
State CT
Zip Code 06034

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Competitor

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City FARMINGTON
Zip Code 06034
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + FARMINGTON

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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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