FRED JOSEPH DE LUCIA
Controlled Substance Registration for Practitioner


Address: 3003 New Hyde Park Rd Ste 312, New Hyde Park, NY 11042-1214

FRED JOSEPH DE LUCIA (Credential# 1690702) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is September 10, 2019. The license expiration date date is February 28, 2021. The license status is ACTIVE.

Business Overview

FRED JOSEPH DE LUCIA is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0072400. The credential type is controlled substance registration for practitioner. The effective date is September 10, 2019. The expiration date is February 28, 2021. The business address is 3003 New Hyde Park Rd Ste 312, New Hyde Park, NY 11042-1214. The current status is active.

Basic Information

Licensee Name FRED JOSEPH DE LUCIA
Credential ID 1690702
Credential Number CSP.0072400
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 3003 New Hyde Park Rd Ste 312
New Hyde Park
NY 11042-1214
Business Type INDIVIDUAL
Status ACTIVE - CURRENT
Active 1
Issue Date 2019-09-10
Effective Date 2019-09-10
Expiration Date 2021-02-28
Refresh Date 2019-09-12

Other licenses

ID Credential Code Credential Type Issue Term Status
1644036 19.001048 Podiatrist 2019-09-03 2019-09-03 - 2020-09-30 ACTIVE

Office Location

Street Address 3003 NEW HYDE PARK RD STE 312
City NEW HYDE PARK
State NY
Zip Code 11042-1214

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Competitor

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City NEW HYDE PARK
Zip Code 11042
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + NEW HYDE PARK

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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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