ROY S LACKEY
Physician/surgeon


Address: Suite 421, New York, NY 10032

ROY S LACKEY (Credential# 561594) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is March 30, 2006. The license expiration date date is May 31, 2007. The license status is INACTIVE.

Business Overview

ROY S LACKEY is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.044012. The credential type is physician/surgeon. The effective date is March 30, 2006. The expiration date is May 31, 2007. The business address is Suite 421, New York, NY 10032. The current status is inactive.

Basic Information

Licensee Name ROY S LACKEY
Credential ID 561594
Credential Number 1.044012
Credential Type Physician/Surgeon
Business Address Suite 421
New York
NY 10032
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 2006-01-10
Effective Date 2006-03-30
Expiration Date 2007-05-31
Refresh Date 2009-07-08

Office Location

Street Address Suite 421
City New York
State NY
Zip Code 10032

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Competitor

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City New York
Zip Code 10032
License Type Physician/Surgeon
License Type + County Physician/Surgeon + New York

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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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