BRIAN P LYNGAAS MD
Controlled Substance Registration for Practitioner


Address: 25 Greene St, Somerville, MA 02143

BRIAN P LYNGAAS MD (Credential# 516022) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2015. The license expiration date date is February 28, 2017. The license status is INACTIVE.

Business Overview

BRIAN P LYNGAAS MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0044702. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2015. The expiration date is February 28, 2017. The business address is 25 Greene St, Somerville, MA 02143. The current status is inactive.

Basic Information

Licensee Name BRIAN P LYNGAAS MD
Credential ID 516022
Credential Number CSP.0044702
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 25 Greene St
Somerville
MA 02143
Business Type INDIVIDUAL
Status INACTIVE
Issue Date 2008-10-16
Effective Date 2015-03-01
Expiration Date 2017-02-28
Refresh Date 2018-01-29

Other licenses

ID Credential Code Credential Type Issue Term Status
564617 1.047035 Physician/Surgeon 2008-09-30 2014-10-01 - 2015-09-30 INACTIVE

Office Location

Street Address 25 Greene St
City Somerville
State MA
Zip Code 02143

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Competitor

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City Somerville
Zip Code 02143
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + Somerville

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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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