LESLIE A BLACKBURN (Credential# 1084269) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is August 13, 2012. The license expiration date date is February 28, 2013. The license status is INACTIVE.
LESLIE A BLACKBURN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0053246. The credential type is controlled substance registration for practitioner. The effective date is August 13, 2012. The expiration date is February 28, 2013. The business address is 38 Crown St Apt 310, New Haven, CT 06510-3354. The current status is inactive.
| Licensee Name | LESLIE A BLACKBURN |
| Credential ID | 1084269 |
| Credential Number | CSP.0053246 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
38 Crown St Apt 310 New Haven CT 06510-3354 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE |
| Issue Date | 2012-08-13 |
| Effective Date | 2012-08-13 |
| Expiration Date | 2013-02-28 |
| Refresh Date | 2014-07-24 |
| Street Address | 38 CROWN ST APT 310 |
| City | NEW HAVEN |
| State | CT |
| Zip Code | 06510-3354 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| John Stephen Sullivan | 38 Crown St Apt 310, New Haven, CT 06510-3354 | Resident Physician | 2020-07-01 ~ 2021-06-30 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Sarah Ullrich | 38 Crown St Apt 412, New Haven, CT 06510-3354 | Resident Physician | 2020-06-22 ~ 2021-06-30 |
| Madeleine Curran Coleman | 38 Crown St Apt 316, New Haven, CT 06510-3354 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Amy Fenoglio | 38 Crown St Apt 318, New Haven, CT 06510-3354 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Kelly L Connelly | 38 Crown St Apt 413, New Haven, CT 06510-3354 | Pharmacist | 2014-02-01 ~ 2016-01-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Gary P Bernardi Jr | Yale New Haven Hospital, New Haven, CT 06510 | Advanced Practice Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Katherine G Kennedy | 65 Trumbull St, New Haven, CT 06510 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Molly Elizabeth Mcadow | 333 Cedar Street, New Haven, CT 06510 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Brady Dunkle | 58 Vernon Street, New Haven, CT 06510 | Registered Nurse | ~ |
| Karin Ann Price | 20 York St, New Haven, Ct 06510, New Haven, CT 06510 | Registered Nurse - Temporary | 2020-06-25 ~ 2020-10-23 |
| G C S Constuction LLC | 142 Temple Street, New Haven, CT 06510 | Major Contractor | 2020-07-01 ~ 2021-06-30 |
| Paul L Mccarthy Md · Yale School of Medicine | Dept of Pediatrics, New Haven, CT 06510 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
| Lauren E Cohn Md | Yale New-haven Hospital, New Haven, CT 06510 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Bong Francois | 900 Chapel St Apt 901, New Haven, CT 06510 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Pelli Clarke Pelli Architects Inc. | 1056 Chapel St, New Haven, CT 06510 | Architecture Corporation | 2020-08-01 ~ 2021-07-31 |
| Find all Licenses in zip 06510 | |||
| City | NEW HAVEN |
| Zip Code | 06510 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + NEW HAVEN |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Tamika Blackburn | 1260 Silas Deane Highway, Wethersfield, CT 06109 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Leslie S Wu Md | 101 Orange St Apt 320, New Haven, CT 06510-3108 | Controlled Substance Registration for Practitioner | 2009-03-01 ~ 2011-02-28 |
| Leslie S Dick Md | Po Box 315, Weatogue, CT 06089-0315 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
| Leslie Long Pa | 126 Filbert St, Hamden, CT 06517-1314 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Leslie L Mclaughlin | 400 Flanders Rd, Southington, CT 06489-2816 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Leslie J Hain Md | 15 Aldo Dr, Woodbridge, CT 06525 | Controlled Substance Registration for Practitioner | 2008-03-01 ~ 2009-02-28 |
| Leslie B Lindenberg Md | 40 Dale Rd, Avon, CT 06001 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Leslie J Zide | 484 Inverness Ln, Longmeadow, MA 01106-2826 | Controlled Substance Registration for Practitioner | 2009-05-12 ~ 2011-02-28 |
| Leslie R Lynch Dvm | 547 Main St, Cromwell, CT 06416-1436 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
| Leslie P. Goldman | 461 E. Hyerdale Dr., Goshen, CT 06756 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Please comment or provide details below to improve the information on LESLIE A BLACKBURN.
| 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).