LAKI J ROUSOU (Credential# 1280445) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is September 1, 2019. The license expiration date date is August 31, 2020. The license status is ACTIVE.
LAKI J ROUSOU is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.054475. The credential type is physician/surgeon. The effective date is September 1, 2019. The expiration date is August 31, 2020. The business address is 627 Pinewood Dr, Longmeadow, MA 01106-1648. The current status is active.
| Licensee Name | LAKI J ROUSOU |
| Credential ID | 1280445 |
| Credential Number | 1.054475 |
| Credential Type | Physician/Surgeon |
| Business Address |
627 Pinewood Dr Longmeadow MA 01106-1648 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2015-08-04 |
| Effective Date | 2019-09-01 |
| Expiration Date | 2020-08-31 |
| Refresh Date | 2019-07-16 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 951883 | CSP.0048749 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2010-10-07 | 2011-03-31 - 2013-02-28 | INACTIVE |
| Street Address | 627 PINEWOOD DR |
| City | LONGMEADOW |
| State | MA |
| Zip Code | 01106-1648 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Michael S Caronna | 24 Chandler Ave, Longmeadow, MA 01106 | Registered Sanitarian | 2020-09-01 ~ 2021-08-31 |
| Susan Helen Templeton | 146 Pleasantview Avenue, Longmeadow, MA 01106 | Registered Nurse | ~ |
| Brittany Moreland | 103 Birchwood Ave, Longmeadow, MA 01106 | Real Estate Salesperson | 2020-06-22 ~ 2021-05-31 |
| Krystyna Olczuk | 158 Tanglewood Dr, Longmeadow, MA 01106 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Susan M Neville | 43 Lincoln Road, Longmeadow, MA 01106 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Kate E Schoenberger | 91 Williston Dr, Longmeadow, MA 01106 | Paramedic | 2020-09-01 ~ 2021-08-31 |
| Bryant E Ostrander | 52 Whitmun Road, Longmeadow, MA 01106 | Notary Public Appointment | 2020-10-01 ~ 2025-09-30 |
| Minsook Ku | 23 Herbert Street, Longmeadow, MA 01106 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-12 ~ 2022-01-31 |
| Lily Schneider | 160 Captain Rd, Longmeadow, MA 01106 | Emergency Medical Technician | ~ |
| Kimberly Marie Maynard | 175 Franklin Road, Longmeadow, MA 01106 | Psychologist | 2020-07-01 ~ 2021-06-30 |
| Find all Licenses in zip 01106 | |||
| City | LONGMEADOW |
| Zip Code | 01106 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + LONGMEADOW |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| John A Rousou | 148 Tennyson Dr, Longmeadow, MA 01106 | Physician/surgeon | 2016-10-01 ~ 2017-09-30 |
| Eleven Eleven Laki's Vineyard Cabernet Sauvignon | Connecticut Brand Registration, Hartford, CT 06106 | Liquor Brand Label | 2020-02-04 ~ 2023-02-01 |
| Anthony J Rousou | 153 Cold Spring St Apt 3c, New Haven, CT 06511 | Controlled Substance Registration for Practitioner | 2008-04-14 ~ 2009-02-28 |
| Gilbert L Drozdow | Envision Physician Services, Plantation, FL 33322 | Physician/surgeon | 2019-10-01 ~ 2020-09-30 |
| Russell H Harris Md | Envision Physician Services, Horsham, PA 19044 | Physician/surgeon | 2019-09-01 ~ 2020-08-31 |
| Penny Lamhut Md | Genesis Physician Services, Windsor, CT 06098 | Physician/surgeon | 1999-07-15 ~ 2000-07-31 |
| Arnold R Kriegstein | College Physician, New York, NY 10032 | Physician/surgeon | 1993-04-23 ~ 1994-03-31 |
| John T Thompson | Physician Pavilion W, Towson, MD 21204 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Brent Robert Jacobson | Envision Physician Services, Dallas, TX 75240 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
| Catherine Nguyen Keegan | Envision Physician Services, Dallas, TX 75240 | Physician/surgeon | 2020-02-01 ~ 2021-01-31 |
Please comment or provide details below to improve the information on LAKI J ROUSOU.
| 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).