JERRY LAI MD
Controlled Substance Registration for Practitioner


Address: 167 Purchase Street, Rye, NY 10580

JERRY LAI MD (Credential# 892044) 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

JERRY LAI MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0046382. 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 167 Purchase Street, Rye, NY 10580. The current status is inactive.

Basic Information

Licensee Name JERRY LAI MD
Credential ID 892044
Credential Number CSP.0046382
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 167 Purchase Street
Rye
NY 10580
Business Type INDIVIDUAL
Status INACTIVE
Issue Date 2009-09-23
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
565497 1.047915 Physician/Surgeon 2009-07-02 2014-12-01 - 2015-11-30 INACTIVE

Office Location

Street Address 167 PURCHASE STREET
City RYE
State NY
Zip Code 10580

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Competitor

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City RYE
Zip Code 10580
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + RYE

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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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