JEFF LUKISH
Controlled Substance Registration for Practitioner


Address: 1711 Crestview Dr, Rockville, MD 20854-2629

JEFF LUKISH (Credential# 518382) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2009. The license expiration date date is February 28, 2011. The license status is INACTIVE.

Business Overview

JEFF LUKISH is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0044810. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2009. The expiration date is February 28, 2011. The business address is 1711 Crestview Dr, Rockville, MD 20854-2629. The current status is inactive.

Basic Information

Licensee Name JEFF LUKISH
Credential ID 518382
Credential Number CSP.0044810
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 1711 Crestview Dr
Rockville
MD 20854-2629
Business Type INDIVIDUAL
Status INACTIVE
Issue Date 2008-11-13
Effective Date 2009-03-01
Expiration Date 2011-02-28
Refresh Date 2013-03-07

Other licenses

ID Credential Code Credential Type Issue Term Status
564700 1.047118 Physician/Surgeon 2008-10-28 2008-10-28 - 2009-07-31 INACTIVE

Office Location

Street Address 1711 CRESTVIEW DR
City ROCKVILLE
State MD
Zip Code 20854-2629

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Competitor

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City ROCKVILLE
Zip Code 20854
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + ROCKVILLE

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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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