LAUREN GLUCK (Credential# 1519727) is licensed (Resident Physician) with Connecticut Department of Consumer Protection. The license effective date is July 1, 2018. The license expiration date date is June 30, 2021. The license status is ACTIVE.
LAUREN GLUCK is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.061238-RES. The credential type is resident physician. The effective date is July 1, 2018. The expiration date is June 30, 2021. The business address is 3450 Wayne Ave, Bronx, NY 10467-2510. The current status is active.
| Licensee Name | LAUREN GLUCK |
| Credential ID | 1519727 |
| Credential Number | 1.061238-RES |
| Credential Type | Resident Physician |
| Credential SubCategory | RES |
| Business Address |
3450 Wayne Ave Bronx NY 10467-2510 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2018-07-01 |
| Effective Date | 2018-07-01 |
| Expiration Date | 2021-06-30 |
| Refresh Date | 2020-05-27 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1510815 | CSP.0067935 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2018-05-03 | 2019-03-01 - 2021-02-28 | ACTIVE |
| 1472750 | 1.060479 | Physician/Surgeon | 2018-05-01 | 2019-06-01 - 2020-05-31 | ACTIVE |
| Street Address | 3450 WAYNE AVE |
| City | BRONX |
| State | NY |
| Zip Code | 10467-2510 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Kristal Varsha Ragbir-toolsie | 3450 Wayne Ave, Bronx, NY 10467 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Nina Eisenberg Md | 3450 Wayne Ave, Bronx, NY 10467 | Physician/surgeon | 2002-07-08 ~ 2003-06-30 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Poppy M Carlig | 3450 Wayne Ave Apt 25d, Bronx, NY 10467-2510 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Vinroy Bell | 712 E 211 Street, Bronx, NY 10467 | Medication Administration Certification | 2020-06-22 ~ 2022-06-21 |
| Christine Andrea Theresa Grange | 765, Bronx,ny, NY 10467 | Registered Nurse | ~ |
| First Tee New York Inc. · First Tee of Metropolitan New York | 3545 Jerome Avenue, Bronx, NY 10467 | Public Charity | 2018-12-01 ~ 2019-11-30 |
| Ruben Felipe | 838 E 215th St, Bronx, NY 10467 | Tax Preparer/facilitator Permit | 2020-03-31 ~ 2022-03-31 |
| Nataly A De La Cruz | 3004 Cruger Ave A, Bronx, NY 10467 | Real Estate Salesperson | 2018-07-18 ~ 2019-05-31 |
| Sabrina Dewar | 829 East 219 Street, Bronx, NY 10467 | Registered Nurse | 2020-03-18 ~ 2020-07-31 |
| Krishna Mae Frias Samson | 3409 Dekalb Ave., Bronx, NY 10467 | Registered Nurse | 2020-02-20 ~ 2020-11-30 |
| Augusta Osuoha | 2551 Cruger Ave, Bronx, NY 10467 | Pharmacist | 2020-02-19 ~ 2022-01-31 |
| Seth Wapnick | 2245 White Plains Road, Bronx, NY 10467 | Tax Preparer/facilitator Permit | 2020-02-14 ~ 2022-02-28 |
| Daisy Gonzalez | 2245 White Plains Rd., Bronx, NY 10467 | Tax Preparer/facilitator Permit | 2020-02-12 ~ 2022-02-28 |
| Find all Licenses in zip 10467 | |||
| City | BRONX |
| Zip Code | 10467 |
| License Type | Resident Physician |
| License Type + County | Resident Physician + BRONX |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Lauren Drake | 24 Hospital Ave, Danbury, CT 06810-6099 | Resident Physician | 2020-06-22 ~ 2026-06-30 |
| Lauren Roth | 267 Grant St, Bridgeport, CT 06610-2805 | Resident Physician | 2020-06-22 ~ 2024-06-30 |
| Lauren A Kuchmak | 10 Whisper Ln, Smithtown, NY 11787 | Resident Physician | 2018-05-08 ~ 2018-05-18 |
| Lauren Meiss | 101 Orange St # 330, New Haven, CT 06510-3108 | Resident Physician | 2020-07-01 ~ 2021-06-30 |
| Lauren K Szolomayer | 116 Court St Apt 1204, New Haven, CT 06511-6956 | Resident Physician | 2018-08-01 ~ 2019-07-31 |
| Lauren Page | 1 Hospital Plaza, Stamford, CT 06902 | Resident Physician | 2020-07-01 ~ 2024-06-30 |
| Jayme Lauren Puff | 20 York St, New Haven, CT 06510 | Resident Physician | 2016-07-07 ~ 2020-06-30 |
| Amy Lauren Cohen | 226 Lloyd Lane, Wynnewood, PA 19096 | Resident Physician | 2020-07-01 ~ 2022-06-30 |
| Lauren E Kascak | 660 White Plains Rd, Trumbull, CT 06611-4860 | Resident Physician | 2020-06-11 ~ 2021-06-30 |
| Lauren Marie Mcallister | 5 Priscilla Rd, West Haven, CT 06516-7944 | Resident Physician | 2020-06-15 ~ 2021-06-30 |
Please comment or provide details below to improve the information on LAUREN GLUCK.
| 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).