LESLIE N MADORE PA (Credential# 321621) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2015. The license expiration date date is February 28, 2017. The license status is INACTIVE.
LESLIE N MADORE PA is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0032776. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2015. The expiration date is February 28, 2017. The business address is 2776 W Willow Way, Lehi, UT 84043-5163. The current status is inactive.
| Licensee Name | LESLIE N MADORE PA |
| Credential ID | 321621 |
| Credential Number | CSP.0032776 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
2776 W Willow Way Lehi UT 84043-5163 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE |
| Effective Date | 2015-03-01 |
| Expiration Date | 2017-02-28 |
| Refresh Date | 2018-01-29 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 742972 | 23.001223 | Physician Assistant | 2002-08-06 | 2014-11-01 - 2015-10-31 | INACTIVE |
| 878861 | 72.000654 | Paramedic | 1997-10-01 | 2004-01-20 - 2004-10-31 | INACTIVE |
| 875839 | 71.880012 | Advanced Emergency Medical Technician | 1987-12-15 | - 1991-04-01 | INACTIVE |
| 856370 | 70.870196 | Emergency Medical Technician | 1987-02-07 | - 1990-04-01 | INACTIVE |
| Street Address | 2776 W WILLOW WAY |
| City | LEHI |
| State | UT |
| Zip Code | 84043-5163 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Gladys Marie Faleafa | 4200 N Seasons View Dr, Lehi, UT 84043 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Sorenson Capital Partners Iv, Lp | 3400 N Ashton Blvd, Ste 400, Lehi, UT 84043 | Securities - Exemptions | 2020-04-03 ~ |
| Kaden Frost | 1124 N 1000 E, Lehi, UT 84043 | Home Improvement Salesperson | 2020-03-15 ~ 2020-11-30 |
| Jason Meigs | 224 N. 2650 W., Lehi, UT 84043 | Physician/surgeon | 2019-01-23 ~ 2019-11-30 |
| Toni Lynn Whitney | 3380 West Willow Trail Loop, Lehi, UT 84043 | Registered Nurse | 2020-05-01 ~ 2021-04-30 |
| Album Ventures Hits 1, Lp | 3451 North Triumph Blvd., Lehi, UT 84043 | Securities - Exemptions | 2020-01-23 ~ |
| Wells Lind Holmes | 2379 W 275 N, Lehi, UT 84043 | Professional Engineer | 2020-01-14 ~ 2021-01-31 |
| Janet Eng Bishop | 1203 N 1300 E, Lehi, UT 84043 | Registered Nurse | 2020-02-01 ~ 2021-01-31 |
| Jason Lund | 1625 W 400 S, Lehi, UT 84043 | Home Improvement Salesperson | 2018-08-08 ~ 2018-11-30 |
| Aaron Waite | 3333 N. Digital Drive, Lehi, UT 84043 | Physician/surgeon | 2019-09-01 ~ 2020-08-31 |
| Find all Licenses in zip 84043 | |||
| City | LEHI |
| Zip Code | 84043 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + LEHI |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Carly M Madore | 32 Plains Rd, Haddam, CT 06438-1259 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| 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 L Mclaughlin | 400 Flanders Rd, Southington, CT 06489-2816 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Leslie J Hain Md | 15 Aldo Dr, Woodbridge, CT 06525 | Controlled Substance Registration for Practitioner | 2008-03-01 ~ 2009-02-28 |
| 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 J Domalik | 55 Lake Ave N, Worcester, MA 01655-0002 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Leslie J. Mugavero | 306 Cedar Key Cir, Atlantis, FL 33462-1306 | Controlled Substance Registration for Practitioner | 2017-05-24 ~ 2019-02-28 |
| Leslie B Lindenberg Md | 40 Dale Rd, Avon, CT 06001 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Leslie K Mosley Lnm | 9 Roberts St, Malden, MA 02148 | Controlled Substance Registration for Practitioner | 2004-02-29 ~ 2005-02-28 |
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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).