LESLIE S DICK MD (Credential# 415684) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2013. The license expiration date date is February 28, 2015. The license status is INACTIVE.
LESLIE S DICK MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0038302. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2013. The expiration date is February 28, 2015. The business address is Po Box 315, Weatogue, CT 06089-0315. The current status is inactive.
| Licensee Name | LESLIE S DICK MD |
| Credential ID | 415684 |
| Credential Number | CSP.0038302 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
Po Box 315 Weatogue CT 06089-0315 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE |
| Issue Date | 2005-09-12 |
| Effective Date | 2013-03-01 |
| Expiration Date | 2015-02-28 |
| Refresh Date | 2016-01-29 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 561269 | 1.043687 | Physician/Surgeon | 2005-07-29 | 2012-10-01 - 2013-09-30 | INACTIVE |
| Street Address | PO BOX 315 |
| City | WEATOGUE |
| State | CT |
| Zip Code | 06089-0315 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Amanda Ogrin | 24 Alan Drive, Weatogue, CT 06089 | Professional Counselor Associate | ~ |
| Joseph A Galiette | 283 Hopmeadow St, Weatogue, CT 06089 | Hairdresser/cosmetician | 2020-07-01 ~ 2022-06-30 |
| Xia Gao | 145 Cooper Ave Unit16, Weatogue, CT 06089 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Gary J Guimond | 63 Hilltop Dr, Weatogue, CT 06089 | Landscape Architect | 2020-08-01 ~ 2021-07-31 |
| Elizabeth J Langevin | 21 Sand Hill Rd, Weatogue, CT 06089 | Licensed Clinical Social Worker | 2020-08-01 ~ 2021-07-31 |
| Samuel D. Buonocore | 7 Caryn Ln, Weatogue, CT 06089 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Trent Tao She | 3 Cooper Avenue, Weatogue, CT 06089 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Hiu Lui Yeung | 84 Simsbury Manor Dr, Weatogue, CT 06089 | Nail Technician | 2020-06-23 ~ 2022-03-31 |
| Xiangyu Dong | 20 Hopmeadow St Unit 426, Weatogue, CT 06089 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Arielle H Marlette | 81 Cooper Avenue, Simsbury, CT 06089 | Advanced Practice Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Find all Licenses in zip 06089 | |||
| City | WEATOGUE |
| Zip Code | 06089 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + WEATOGUE |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Bruce H Dick | 16 Oakhill Road, Storrs, CT 06268 | Controlled Substance Registration for Practitioner | 1994-05-10 ~ 1996-06-01 |
| Madeline A Dick Md | 157 Leeder Hill Dr #501, Hamden, CT 06517 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
| 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 |
| Marsha Y Russell Md | 20 Leslie Rd, Bridgeport, CT 06606 | Controlled Substance Registration for Practitioner | 2004-10-20 ~ 2005-02-28 |
| Matthew B.w. Edwards | 55 Leslie Ln, Fairfield, CT 06824-1665 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Leslie Long Pa | 126 Filbert St, Hamden, CT 06517-1314 | 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 A Blackburn | 38 Crown St Apt 310, New Haven, CT 06510-3354 | Controlled Substance Registration for Practitioner | 2012-08-13 ~ 2013-02-28 |
| Leslie K Mosley Lnm | 9 Roberts St, Malden, MA 02148 | Controlled Substance Registration for Practitioner | 2004-02-29 ~ 2005-02-28 |
| Leslie L Mclaughlin | 400 Flanders Rd, Southington, CT 06489-2816 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Please comment or provide details below to improve the information on LESLIE S DICK MD.
| 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).