LESLIE - COOPERSMITH (Credential# 156620) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2019. The license expiration date date is February 28, 2021. The license status is ACTIVE.
LESLIE - COOPERSMITH is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0015613. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2019. The expiration date is February 28, 2021. The business address is 50 Leonard Rd, Middlebury, CT 06762. The current status is active.
| Licensee Name | LESLIE - COOPERSMITH |
| Credential ID | 156620 |
| Credential Number | CSP.0015613 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
50 Leonard Rd Middlebury CT 06762 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 1999-03-01 |
| Effective Date | 2019-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2019-01-14 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 547066 | 1.028261 | Physician/Surgeon | 1987-07-01 | 2020-02-01 - 2021-01-31 | ACTIVE |
| Street Address | 50 LEONARD RD |
| City | MIDDLEBURY |
| State | CT |
| Zip Code | 06762 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Patricia E Rosa · Lambo | 76 East Farm Rd, Middlebury, CT 06762 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Kathy Ann Calo · Bellino | 116 Carriage Drive, Middlebury, CT 06762 | Hairdresser/cosmetician | 2020-06-01 ~ 2022-05-31 |
| Laurie V Massetti | 60 Yale Avenue, Middlebury, CT 06762 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Timex Corp | Park Rd Ext, Middlebury, CT 06762 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Margaret E Mowrey | 57 Marney Drive, Middlebury, CT 06762 | Licensed Clinical Social Worker | 2020-08-01 ~ 2021-07-31 |
| Giuseppe Tripodi | 687 Straits Tpk, Middlebury, CT 06762 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
| Elise L Callahan | 77 Christian Rd, Middlebury, CT 06762 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Michelle King | 91 Kissewaug Rd, Middlebury, CT 06762 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Michael F Simms IIi | 80 Burr Hall Road, Middlebury, CT 06762 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Kelly M Barbaris | 62 Yale Avenue, Middlebury, CT 06762 | Physical Therapist | 2020-07-01 ~ 2021-06-30 |
| Find all Licenses in zip 06762 | |||
| City | MIDDLEBURY |
| Zip Code | 06762 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + MIDDLEBURY |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| 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 J Domalik | 55 Lake Ave N, Worcester, MA 01655-0002 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Leslie N Brown | 23 Gateway Rd, Colchester, CT 06415-1420 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Cynthia Leslie Md | 123 York St, New Haven, CT 06511 | Controlled Substance Registration for Practitioner | 2002-03-05 ~ 2003-02-28 |
| Leslie J Hain Md | 15 Aldo Dr, Woodbridge, CT 06525 | Controlled Substance Registration for Practitioner | 2008-03-01 ~ 2009-02-28 |
| Leslie Billington | 17 Dresser St, Newport, RI 02840-3620 | Controlled Substance Registration for Practitioner | 2018-03-15 ~ 2019-02-28 |
| Leslie P. Goldman | 461 E. Hyerdale Dr., Goshen, CT 06756 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Leslie A Blackburn | 38 Crown St Apt 310, New Haven, CT 06510-3354 | Controlled Substance Registration for Practitioner | 2012-08-13 ~ 2013-02-28 |
| Leslie R Lynch Dvm | 547 Main St, Cromwell, CT 06416-1436 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
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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).