LUCAS V TERRANOVA
Physician/surgeon


Address: 177 Vlei Rd, Rhinebeck, NY 12572

LUCAS V TERRANOVA (Credential# 563291) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is June 1, 2011. The license expiration date date is May 31, 2012. The license status is INACTIVE.

Business Overview

LUCAS V TERRANOVA is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.045709. The credential type is physician/surgeon. The effective date is June 1, 2011. The expiration date is May 31, 2012. The business address is 177 Vlei Rd, Rhinebeck, NY 12572. The current status is inactive.

Basic Information

Licensee Name LUCAS V TERRANOVA
Credential ID 563291
Credential Number 1.045709
Credential Type Physician/Surgeon
Business Address 177 Vlei Rd
Rhinebeck
NY 12572
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 2007-07-26
Effective Date 2011-06-01
Expiration Date 2012-05-31
Refresh Date 2012-09-04

Office Location

Street Address 177 Vlei Rd
City Rhinebeck
State NY
Zip Code 12572

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Anizka M Garcia 591 Ackert Hook Road, Rhinebeck, NY 12572 Engineer-in-training 2007-11-27 ~ 2017-11-27
Joseph G White 21 Kipp Road, Rhinebeck, NY 12572 Professional Engineer 2020-02-01 ~ 2021-01-31
Marjorie L Hendrickson 25 Appletree Drive, Rhinebeck, NY 12572 Professional Counselor 2020-01-01 ~ 2020-12-31
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Competitor

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City Rhinebeck
Zip Code 12572
License Type Physician/Surgeon
License Type + County Physician/Surgeon + Rhinebeck

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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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