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.
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.
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 |
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 |
Street Address | 39 Hunting Lane |
City | Agawam |
State | MA |
Zip Code | 01001 |
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 |
City | Agawam |
Zip Code | 01001 |
License Type | Physician/Surgeon |
License Type + County | Physician/Surgeon + Agawam |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Consuelo M. Reddick | 1695 Oakfield Ln, Roswell, GA 30075-3017 | Physician/surgeon | 2014-02-19 ~ 2015-01-31 |
Belinda K Leblanc | 555 Willard Ave, Newington, CT 06111-2631 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
Conrad Leblanc · Al Leblanc & Son | 115 North Quaker Lane, W Hartford, CT 06119 | Home Improvement Contractor | 2008-12-01 ~ 2009-11-30 |
Leblanc Company Inc · Leblanc Communication Inc | 2301 Bridgeport Dr, Sioux City, IA 51111-1001 | Professional Engineering Corporation | 1998-09-14 ~ 1999-09-11 |
Peter M Leblanc · Leblanc Masonry | 55 Walker Hill Rd Lot 63, Groton, CT 06340 | Home Improvement Contractor | 1996-12-01 ~ 1997-11-30 |
Jules S Leblanc · Leblanc Carpentry | 480 Gehring Rd, Tolland, CT 06084 | Home Improvement Contractor | 2004-12-01 ~ 2005-11-30 |
Mark Leblanc | 152 South Kent Rd, Gaylordsville, CT 06755 | Home Improvement Contractor | ~ 1995-03-01 |
David A Leblanc · Dave Leblanc Builder/remodeler | 223 Middlebury Rd, Watertown, CT 06795 | Home Improvement Contractor | 2001-12-01 ~ 2002-03-30 |
Al Leblanc & Son LLC | 115 Quaker Ln N, West Hartford, CT 06119-1354 | Home Improvement Contractor | 2019-12-01 ~ 2020-11-30 |
Guy Leblanc LLC | 12 Summit Rd, Prospect, CT 06712 | Home Improvement Contractor | 2015-12-01 ~ 2016-11-30 |
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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).