CONSUELO ANA LEBLANC
Physician/surgeon


Address: 39 Hunting Lane, Agawam, MA 01001

CONSUELO ANA LEBLANC (Credential# 1623998) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is August 1, 2020. The license expiration date date is July 31, 2021. The license status is ACTIVE.

Business Overview

CONSUELO ANA LEBLANC is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.063620. The credential type is physician/surgeon. The effective date is August 1, 2020. The expiration date is July 31, 2021. The business address is 39 Hunting Lane, Agawam, MA 01001. The current status is active.

Basic Information

Licensee Name CONSUELO ANA LEBLANC
Credential ID 1623998
Credential Number 1.063620
Credential Type Physician/Surgeon
Business Address 39 Hunting Lane
Agawam
MA 01001
Business Type INDIVIDUAL
Status ACTIVE - CURRENT
Active 1
Issue Date 2019-06-07
Effective Date 2020-08-01
Expiration Date 2021-07-31
Refresh Date 2020-06-16

Other licenses

ID Credential Code Credential Type Issue Term Status
1668611 CSP.0071540 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 2019-06-13 2019-06-13 - 2021-02-28 ACTIVE

Office Location

Street Address 39 Hunting Lane
City Agawam
State MA
Zip Code 01001

Licenses in the same zip code

Licensee Name Office Address Credential Effective / Expiration
Pamela J Freeman Brown 1324 Main Street, Agawam, MA 01001 Registered Nurse 2020-09-01 ~ 2021-08-31
Ashley Erin Dimauro 25 Deer Run Road, Agawam, MA 01001 Registered Nurse ~
Lou A Fitch 60 Mallard Circle, Agawam, MA 01001 Notary Public Appointment 2015-04-01 ~ 2020-03-31
Maryanne Catanzaro · Catanzaro,leone 16 Channell Drive, Agawam, MA 01001 Registered Nurse 2020-09-01 ~ 2021-08-31
Sunhee Hwang 54 River Rd, Agawam, MA 01001 Combination Nail Technician, Esthetician Or Eyelash Technici 2020-06-17 ~ 2021-10-31
Taehoon An 58 River Rd, Agawam, MA 01001 Nail Technician 2020-06-17 ~ 2022-05-31
Ji Hye Safarik 119 Albert St, Agawam, MA 01001 Combination Nail Technician, Esthetician Or Eyelash Technici 2020-06-16 ~ 2022-02-28
Sangkeun Yi 322 Meadow St, Agwam, MA 01001 Nail Technician 2020-06-12 ~ 2022-06-30
Kyunghee Koh 56 River Road, Agawam, MA 01001 Nail Technician 2020-06-12 ~ 2021-08-31
Mihae Park 97 Riviera Drive, Agawam, MA 01001 Nail Technician 2020-06-12 ~ 2021-10-31
Find all Licenses in zip 01001

Competitor

Search similar business entities

City Agawam
Zip Code 01001
License Type Physician/Surgeon
License Type + County Physician/Surgeon + Agawam

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David A Leblanc · Dave Leblanc Builder/remodeler 223 Middlebury Rd, Watertown, CT 06795 Home Improvement Contractor 2001-12-01 ~ 2002-03-30
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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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