MARTHA A LEROY PA (Credential# 207983) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2003. The license expiration date date is February 28, 2004. The license status is INACTIVE.
MARTHA A LEROY PA is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0027877. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2003. The expiration date is February 28, 2004. The business address is 28 Reynolds Court, Del Mar, NY 12054. The current status is inactive.
Licensee Name | MARTHA A LEROY PA |
Credential ID | 207983 |
Credential Number | CSP.0027877 |
Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
Business Address |
28 Reynolds Court Del Mar NY 12054 |
Business Type | INDIVIDUAL |
Status | INACTIVE |
Effective Date | 2003-03-01 |
Expiration Date | 2004-02-28 |
Refresh Date | 2009-01-26 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
742558 | 23.000809 | Physician Assistant | 1999-01-01 | 2002-11-15 - 2003-11-30 | INACTIVE |
Street Address | 28 REYNOLDS COURT |
City | DEL MAR |
State | NY |
Zip Code | 12054 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Diane Elizabeth Quinn | 7 Capital Avenue, Delmar, NY 12054 | Registered Nurse | 2020-06-01 ~ 2021-05-31 |
Angeline Miles | 520 Kenwood Ave, Delmar, NY 12054 | Registered Nurse | 2020-06-01 ~ 2021-05-31 |
Sebghatullah Abdullah | 42 Mansion Blvd, Delmar, NY 12054 | Professional Engineer | ~ |
Myles K Hyman | 13 Windsor Court, Delmar, NY 12054 | Architect | 2019-08-01 ~ 2020-07-31 |
David Bonney · Clearview Window & Siding | 13 Elm Ave, Delmar, NY 12054 | Home Improvement Salesperson | 1998-01-02 ~ 1998-11-30 |
Timothy J Guernsey | 563 Kenwood Avenue, Delmar, NY 12054 | Registered Nurse | 2017-03-01 ~ 2018-02-28 |
John C Braaten Md | 164 Jordan Blvd, Delmar, NY 12054 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
Emma Walsh | 351 Wellington Road, Delmar, NY 12054 | Registered Nurse | 2016-01-01 ~ 2016-12-31 |
Andrew H Toms | 20 Groesbeck Pl, Delmar, NY 12054 | Professional Engineer | 1995-01-18 ~ 1996-01-31 |
Francis E Ferro · New York State Health Dept | 34 Carolanne Dr, Delmar, NY 12054 | Professional Engineer | 1989-02-21 ~ 1990-01-31 |
Find all Licenses in zip 12054 |
City | DEL MAR |
Zip Code | 12054 |
License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + DEL MAR |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Madhuvanti Joshi | 11 Leroy Ave Apt B, Valhalla, NY 10595-1421 | Controlled Substance Registration for Practitioner | 2019-09-03 ~ 2021-02-28 |
Richard A Lane | 16 Leroy Ter, New Haven, CT 06510-3202 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Martha G Welch Md | 235 Cognewaugh Rd, Cos Cob, CT 06807 | Controlled Substance Registration for Practitioner | 2019-04-09 ~ 2021-02-28 |
Martha Spieker | 92 Beckett Ave, Branford, CT 06405 | Controlled Substance Registration for Practitioner | 1993-07-23 ~ 1995-02-01 |
Martha Mccrann Pa | 410 Saybrook Rd, Middletown, CT 06457 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Martha Stewart | 115 Birdseye Rd, Farmington, CT 06032 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Martha Zegarra | 78 Olive St Apt 326, New Haven, CT 06511-6986 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
Martha E Haykin | 51 Clifford St, Hamden, CT 06517 | Controlled Substance Registration for Practitioner | 2006-03-01 ~ 2007-02-28 |
Martha J Bertz Md | 19 Misty Meadow, Burlington, CT 06013 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
Martha Klay | 30 Gilmore Ave, Great Barrington, MA 01230-1438 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
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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).