YALI LU PA-C
Controlled Substance Registration for Practitioner


Address: 1480 Central Ave, Needham, MA 02492-1467

YALI LU PA-C (Credential# 971349) 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

YALI LU PA-C is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0049154. 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 1480 Central Ave, Needham, MA 02492-1467. The current status is inactive.

Basic Information

Licensee Name YALI LU PA-C
Credential ID 971349
Credential Number CSP.0049154
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 1480 Central Ave
Needham
MA 02492-1467
Business Type INDIVIDUAL
Status INACTIVE
Issue Date 2010-10-22
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
918317 23.002401 Physician Assistant 2010-04-27 2015-01-01 - 2015-12-31 INACTIVE

Office Location

Street Address 1480 CENTRAL AVE
City NEEDHAM
State MA
Zip Code 02492-1467

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Mary A Mckendall 662 Webster Street, Needham, MA 02492 Physician/surgeon 2020-08-01 ~ 2021-07-31
Deborah R Robinson 164 Laurel Drive, Needham, MA 02492 Architect 2018-08-01 ~ 2019-07-31
Harmon M Lewis 29 Windsor Rd, Needham, MA 02492 Real Estate Broker 2020-04-01 ~ 2021-03-31
Thomas G Heger 39 Highgate St, Needham, MA 02492 Professional Engineer 2020-02-01 ~ 2021-01-31
Jennifer L Muir 246 Hillcrest Rd, Needham, MA 02492 Professional Engineer 2020-02-01 ~ 2021-01-31
Peter D Wells 35 Mt Vernon Ave, Needham, MA 02492 Professional Engineer 2020-02-01 ~ 2021-01-31
Jay B Lindsay 6 Eaton Road, Needham, MA 02492 Certified Public Accountant License 2020-01-01 ~ 2020-12-31
Joseph A Higgins 51 Mann Ave, Needham, MA 02492 Professional Engineer 2020-02-01 ~ 2021-01-31
Aaron R Lewis 92 Washington Avenue, Needham, MA 02492 Professional Engineer 2020-02-01 ~ 2021-01-31
Melissa S. Fletcher 34 Stonehurst Road, Needham, MA 02492 Certified Public Accountant License 2020-01-01 ~ 2020-12-31
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Competitor

Search similar business entities

City NEEDHAM
Zip Code 02492
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + NEEDHAM

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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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