LEIGH N NATHAN (Credential# 1490870) is licensed (Resident Physician) with Connecticut Department of Consumer Protection. The license effective date is September 1, 2014. The license expiration date date is June 30, 2021. The license status is ACTIVE.
LEIGH N NATHAN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.058972-RES. The credential type is resident physician. The effective date is September 1, 2014. The expiration date is June 30, 2021. The business address is 14 Sycamore Way, Branford, CT 06405. The current status is active.
| Licensee Name | LEIGH N NATHAN |
| Credential ID | 1490870 |
| Credential Number | 1.058972-RES |
| Credential Type | Resident Physician |
| Credential SubCategory | RES |
| Business Address |
14 Sycamore Way Branford CT 06405 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2014-09-01 |
| Effective Date | 2014-09-01 |
| Expiration Date | 2021-06-30 |
| Refresh Date | 2020-05-27 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1227806 | CSP.0057315 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2014-06-18 | 2019-03-01 - 2021-02-28 | ACTIVE |
| 1205816 | 1.052945 | Physician/Surgeon | 2014-04-25 | 2019-11-01 - 2020-10-31 | ACTIVE |
| Street Address | 14 Sycamore Way |
| City | Branford |
| State | CT |
| Zip Code | 06405 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Bhcare, Inc.-shoreline Clinic | 14 Sycamore Way, Branford, CT 06405-6551 | Psychiatric Outpatient Clinic | 2020-01-01 ~ 2023-12-31 |
| Fair Haven Community Health Center At Bh Care · Fair Haven Community Healthcenter At Bh Care | 14 Sycamore Way, Branford, CT 06405 | Outpatient Clinic | 2017-11-20 ~ 2021-12-31 |
| Cornell Scott-hill Health Center At Bhcare Shoreline | 14 Sycamore Way, Branford, CT 06405-6551 | Outpatient Clinic | 2014-04-01 ~ 2018-03-31 |
| Harbor Health Services Inc | 14 Sycamore Way, Branford, CT 06405-6551 | Public Charity | 2011-12-01 ~ 2012-11-30 |
| Harbor Health Services Inc. · Harbor Health | 14 Sycamore Way, Branford, CT 06405 | Substance Abuse | 2009-10-01 ~ 2011-09-30 |
| Harbor Health Services Inc. · Harbor Health Services, Inc. | 14 Sycamore Way, Branford, CT 06405 | Psychiatric Outpatient Clinic | 2007-10-01 ~ 2011-09-30 |
| Tracy Hughes | 14 Sycamore Way, Branford, CT 06405 | Licensed Clinical Social Worker | 2001-02-02 ~ 2002-02-28 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Raymond M Johnson | 39 Bayberry Lane, Branford, CT 06405 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Kirsten M Ranciato | 288 East Main Street, Branford, CT 06405 | Licensed Clinical Social Worker | 2020-08-01 ~ 2021-07-31 |
| Bimala Khadka Thapa | 726 Robert Frost Dr., Branford, CT 06405 | Nail Technician | ~ |
| Paul E Basile | 42 Valley Brook Road South, Branford, CT 06405 | Perfusionist | 2020-08-01 ~ 2021-07-31 |
| Lupe Monica Placencia-muy | 100 East Main Street 2nd Fl, Branford, CT 06405 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-27 ~ 2022-02-28 |
| Bridget J Jennings | 159 Queach Road, Branford, CT 06405 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Ujeli Acharya | 21 Burban Drive, Branford, CT 06405 | Nail Technician | ~ |
| Cathleen Smith | 50 First Avenue, Branford, CT 06405 | Radiographer | 2020-07-01 ~ 2021-06-30 |
| Gita Thapa | 94 Village Lane, Branford, CT 06405 | Nail Technician | ~ |
| Cycle Venture Partners Fund I Lp - Lumeda Series 1 | 50 Limewood Avenue, Branford, CT 06405 | Securities - Exemptions | 2020-06-17 ~ |
| Find all Licenses in zip 06405 | |||
| City | Branford |
| Zip Code | 06405 |
| License Type | Resident Physician |
| License Type + County | Resident Physician + Branford |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Nathan Hua | 24 Hospital Ave, Danbury, CT 06810-6099 | Resident Physician | 2018-06-21 ~ 2021-06-30 |
| Nathan Ha | 300 George St Ste 901, New Haven, CT 06511-6662 | Resident Physician | 2018-06-11 ~ 2022-06-30 |
| Nathan Coppersmith | 23 Eld St Unit 1, New Haven, CT 06511-3815 | Resident Physician | 2020-07-01 ~ 2021-06-30 |
| Nathan G. Dembowski | 20 York St, New Haven, CT 06510-3220 | Resident Physician | 2020-07-01 ~ 2021-06-30 |
| Taryn Leigh Webb | 20 York St, New Haven, CT 06510-3220 | Resident Physician | 2020-07-01 ~ 2021-06-30 |
| Nathan Isaac Wood | 20 York St, New Haven, CT 06510-3220 | Resident Physician | 2020-07-01 ~ 2021-06-30 |
| Nathan Maassel | 200 College Street Apt 328, New Haven, CT 06510 | Resident Physician | 2020-07-01 ~ 2021-06-30 |
| Nathan M. Hinkle | 114 Woodland Street, Hartford, CT 06105 | Resident Physician | 2017-08-01 ~ 2018-07-31 |
| Nathan J Paulson | 20 York Street, New Haven, CT 06510 | Resident Physician | 2020-07-01 ~ 2021-06-30 |
| Meredith Leigh Aragon | 20 York Street, New Haven, CT 06510 | Resident Physician | 2019-11-18 ~ 2019-12-15 |
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| 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).