MARIO LEICACH MD (Credential# 539732) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is December 8, 1998. The license expiration date date is February 29, 2000. The license status is INACTIVE.
MARIO LEICACH MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.010575. The credential type is physician/surgeon. The effective date is December 8, 1998. The expiration date is February 29, 2000. The business address is 1 Linden Place, Hartford, CT 06106. The current status is inactive.
| Licensee Name | MARIO LEICACH MD |
| Credential ID | 539732 |
| Credential Number | 1.010575 |
| Credential Type | Physician/Surgeon |
| Business Address |
1 Linden Place Hartford CT 06106 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 1961-08-16 |
| Effective Date | 1998-12-08 |
| Expiration Date | 2000-02-29 |
| Refresh Date | 2009-07-11 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 149140 | CSP.0001398 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 1998-07-07 - 1999-02-28 | INACTIVE |
| Street Address | 1 LINDEN PLACE |
| City | HARTFORD |
| State | CT |
| Zip Code | 06106 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Rebecca E Lindholm | 1 Linden Place, Hartford, CT 06106 | Massage Therapist | 2020-06-01 ~ 2022-05-31 |
| Yasmin N Lynch | 1 Linden Place, Hartford, CT 06106 | Occupational Therapist Assistant | 2019-08-01 ~ 2021-07-31 |
| Edward J Roberts | 1 Linden Place, Hartford, CT 06106 | Registered Nurse | 2020-04-01 ~ 2021-03-31 |
| Genevieve Von Walstrom | 1 Linden Place, Hartford, CT 06106 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Kristen Michele Marcroft | 1 Linden Place, Hartford, CT 06106 | Notary Public Appointment | 2012-08-21 ~ 2017-08-31 |
| Johanna T Ierna | 1 Linden Place, Hartford, CT 06106 | Registered Nurse | 2012-10-01 ~ 2013-09-30 |
| Judith A Vargo | 1 Linden Place, Hartford, CT 06106 | Real Estate Salesperson | 2004-08-27 ~ 2005-05-31 |
| Irene V Petit | 1 Linden Place, Hartford, CT 06106 | Notary Public Appointment | 1985-03-19 ~ 1990-03-31 |
| Marilyn G. Schulz | 1 Linden Place, Hartford, CT 06106 | Certified Public Accountant Certificate | ~ |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Connpirg Education Fund Inc | 2074 Park St #210, Hartford, CT 06106 | Public Charity | 2019-06-01 ~ 2020-05-31 |
| Environment Connecticut Research & Policy Center Inc | 2074 Park St, #210, Hartford, CT 06106 | Public Charity | 2019-06-01 ~ 2020-05-31 |
| Douglas Laing Rock Oyster | Statewide, Hartford, CT 06106 | Liquor Brand Label | 2016-08-03 ~ 2019-08-02 |
| Randall S Luther | 146 Wyllys St 1-203, Hartford, CT 06106 | Architect | 2020-08-01 ~ 2021-07-31 |
| Guillermina Gonzalez | 97 Amity St., Hartford, CT 06106 | Hairdresser/cosmetician | 2020-09-01 ~ 2022-08-31 |
| Keyonni Jones | 54 Grafton St, Hartford, CT 06106 | Medication Administration Certification | ~ |
| Amber Nicole Perretta | 125 Zion St 2n, Hartford, CT 06106 | Hairdresser/cosmetician | ~ |
| Jose B. Jiminian · Danny's Market Grocery Store | 33 Park Street, Hartford, CT 06106 | Grocery Beer | 2020-08-01 ~ 2021-07-31 |
| Alice G Nieto | 29 Kelsey Street, Hartford, CT 06106 | Licensed Clinical Social Worker | 2020-07-01 ~ 2021-06-30 |
| Malinda M Rodriguez | 27 Amity Street #3, Hartford, CT 06106 | Notary Public Appointment | ~ |
| Find all Licenses in zip 06106 | |||
| City | HARTFORD |
| Zip Code | 06106 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + HARTFORD |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Mario J Garcia | 182 Alexender Ave., Bridgeport, CT 06606 | Physician/surgeon | 1989-08-17 ~ 1992-11-30 |
| Mario P Rocco Md | 500 New Britain Ave, Hartford, CT 06106 | Physician/surgeon | 1998-12-11 ~ 1999-09-20 |
| Mario A Fierro | 437 Desoto Ave, El Paso, TX 79912 | Physician/surgeon | 2002-08-30 ~ 2003-03-31 |
| Mario Tuchman | 145 E 81st St Apt 7d, New York, NY 10028-1869 | Physician/surgeon | 2012-01-01 ~ 2012-12-31 |
| Mario Testani Jr | 323 Winthrop Ave Apt C2, New Haven, CT 06511-4338 | Physician/surgeon | 1985-07-12 ~ 1987-07-31 |
| Mario W Katigbak | 85 Seymour St Ste 227, Hartford, CT 06106-5523 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Mario Amleto | 415 Killingworth Road, Higganum, CT 06441 | Physician/surgeon | 2020-01-01 ~ 2020-12-31 |
| Mario A Castillo | 804 Blackshire Road, Wilmington, DE 19805 | Physician/surgeon | 2015-12-01 ~ 2016-11-30 |
| Mario Cordova | 13 Emery Drive, Atkinson, NH 03811 | Physician/surgeon | 1995-02-03 ~ 1996-02-29 |
| Mario D Saltarelli | 252 Franklin Street, Newton, MA 02458 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
Please comment or provide details below to improve the information on MARIO LEICACH 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).