LANCE R BRUCK MD (Credential# 481363) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2019. The license expiration date date is February 28, 2021. The license status is ACTIVE.
LANCE R BRUCK MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0042557. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2019. The expiration date is February 28, 2021. The business address is 42 Rockshelter Rd, Waccabuc, NY 10597. The current status is active.
| Licensee Name | LANCE R BRUCK MD |
| Credential ID | 481363 |
| Credential Number | CSP.0042557 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
42 Rockshelter Rd Waccabuc NY 10597 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2007-09-14 |
| Effective Date | 2019-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2018-12-28 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 563269 | 1.045687 | Physician/Surgeon | 2007-07-23 | 2019-10-01 - 2020-09-30 | ACTIVE |
| Street Address | 42 ROCKSHELTER RD |
| City | WACCABUC |
| State | NY |
| Zip Code | 10597 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Briar Lea Dent | 14 Chapel Road, Waccabuc, NY 10597 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Christopher S Johnson | P.o. Box 96, Waccabuc, NY 10597 | Nursing Home Administrator | 2020-05-01 ~ 2022-04-30 |
| Erin J Murray | 12 Post Office Road, Waccabuc, NY 10597 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| John Samios | 24 Waccabuc River Ln, Waccabuc, NY 10597 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| Lia Grasso | 24 Waccabuc River Lane, Waccabuc, NY 10597 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| Mag Real Estate Advisors Inc | 36 East Ridge Road, Waccabuc, NY 10597 | Real Estate Broker | 2020-04-01 ~ 2021-03-31 |
| Kevin J Burke | 81 East Ridge Road, Waccabuc, NY 10597 | Notary Public Appointment | 2019-12-01 ~ 2024-11-30 |
| Linda Broudy | 81 Post Office Road, Waccabuc, NY 10597 | Notary Public Appointment | 2016-01-01 ~ 2020-12-31 |
| Mary T Dipaola | 24 Schoolhouse Road, Waccabuc, NY 10597 | Registered Nurse | 2019-10-01 ~ 2020-09-30 |
| Chariclia L Grasso | P O Box 454, Waccabuc, NY 10597 | Real Estate Broker | 2018-04-01 ~ 2019-03-31 |
| Find all Licenses in zip 10597 | |||
| City | WACCABUC |
| Zip Code | 10597 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + WACCABUC |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Isaac S. Bruck | 52 Franklin St, Waterbury, CT 06706 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Lance A Deross | 55 Trumbull St Apt St104, Hartford, CT 06103-2401 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Lance Rozear Dvm | 4 Devine St, North Haven, CT 06473-2142 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Lance E Kisby Dmd | 2412 Silverside Rd, Wilmington, DE 19810-4521 | Controlled Substance Registration for Practitioner | 2007-03-01 ~ 2008-02-29 |
| Lance Lysiuk Od | 4 Chester Brooks Lane, Andover, CT 06232 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Lance Alpert Od | 362 West Middle Turnpike, Manchester, CT 06040 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Lance Lefkowitz Md | 263 Farmington Ave, Farmington, CT 06030-3940 | Controlled Substance Registration for Practitioner | 2008-03-01 ~ 2009-02-28 |
| Chateau Castel Bruck Margaux | Connecticut Brand Registration, Hartford, CT 06106 | Liquor Brand Label | 2001-08-22 ~ 2004-08-21 |
| Hogl Wachau Ried Bruck-viesling New Vine Direct | Connecticut Brand Registration, Hartford, CT 06106 | Liquor Brand Label | 2005-06-23 ~ 2008-06-22 |
| Tom B Lance · Lance Construction | 44 Courtland St, Pawcatuck, CT 06379 | Home Improvement Contractor | 2001-12-01 ~ 2002-11-30 |
Please comment or provide details below to improve the information on LANCE R BRUCK MD.
| 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).