LAERTES A MANUELIDIS MD (Credential# 556926) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is September 1, 2020. The license expiration date date is August 31, 2021. The license status is ACTIVE.
LAERTES A MANUELIDIS MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.039340. The credential type is physician/surgeon. The effective date is September 1, 2020. The expiration date is August 31, 2021. The business address is 1338 Claret Court, Fort Myers, FL 33919. The current status is active.
| Licensee Name | LAERTES A MANUELIDIS MD |
| Credential ID | 556926 |
| Credential Number | 1.039340 |
| Credential Type | Physician/Surgeon |
| Business Address |
1338 Claret Court Fort Myers FL 33919 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2001-03-12 |
| Effective Date | 2020-09-01 |
| Expiration Date | 2021-08-31 |
| Refresh Date | 2020-06-13 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 275826 | CSP.0030755 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2001-04-09 | 2019-03-01 - 2021-02-28 | ACTIVE |
| 1460112 | CSP.0067069 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2017-11-07 | 2017-11-07 - 2019-02-28 | LAPSED |
| Street Address | 1338 CLARET COURT |
| City | FORT MYERS |
| State | FL |
| Zip Code | 33919 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Eric Tetreault | 1641 N Fountainhead Rd, Fort Myers, FL 33919 | Registered Nurse | ~ |
| Cathleen Bryant · Harrison | 3963 Blenheim Street, Fort Myers, FL 33919 | Registered Nurse | 2019-03-01 ~ 2021-02-28 |
| Patricia Briand | 4309 Mariner Way, Fort Myers, FL 33919 | Registered Nurse | 2020-03-20 ~ 2021-01-31 |
| Eileen M. S Ross | 14740 Lake Olive Dr, Fort Myers, FL 33919 | Registered Nurse | 2020-04-01 ~ 2021-03-31 |
| Elizabeth A Dowd | 8595 College Parkway Suite 350, Fort Myers, FL 33919 | Dental Hygienist | 2019-09-01 ~ 2020-08-31 |
| Brittany A Robinson | 14632 Summer Rose Way, Fort Myers, FL 33919 | Registered Nurse | 2019-12-01 ~ 2020-11-30 |
| David G Hall | 1003 South Town & River, Fort Myers, FL 33919 | Physician/surgeon | 2017-08-01 ~ 2018-07-31 |
| Mary L Mccolpin | 4436 Crossjack Ct, A-9, Fort Myers, FL 33919 | Real Estate Salesperson | 2014-06-01 ~ 2015-05-31 |
| Cynthia Finazzo | 14151 Grosse Point Lane, Fort Myers, FL 33919 | Registered Nurse | 2013-11-01 ~ 2014-10-31 |
| Eileen M Granville | 4600 Summerlin Rd, Fort Myers, FL 33919 | Licensed Practical Nurse | 2012-01-01 ~ 2012-12-31 |
| Find all Licenses in zip 33919 | |||
| City | FORT MYERS |
| Zip Code | 33919 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + FORT MYERS |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Dominio De Laertes Organic Crianza | Connecticut Brand Registration, Hartford, CT 06106 | Liquor Brand Label | 2012-11-20 ~ 2015-11-19 |
| Dominio De Laertes Rioja Crianza | Connecticut Brand Registration, Hartford, CT 06106 | Liquor Brand Label | 2013-02-23 ~ 2016-02-21 |
| Laura Manuelidis · Yale University Oehs | 333 Cedar St, New Haven, CT 06510-3206 | Controlled Substance Registration for Practitioner | 2020-06-02 ~ 2021-02-28 |
| Laura Manuelidis · Yale University School of Medicine | 310 Cedar St, New Haven, CT 06510-3218 | Controlled Substance Laboratory | 2020-02-01 ~ 2021-01-31 |
| Yale School of Medicine · Laura Manuelidis Md | Dept of Surgery, New Haven, CT 06510 | Controlled Substance Laboratory | 1997-05-15 ~ 1998-01-31 |
| Russell H Harris Md | Envision Physician Services, Horsham, PA 19044 | Physician/surgeon | 2019-09-01 ~ 2020-08-31 |
| Penny Lamhut Md | Genesis Physician Services, Windsor, CT 06098 | Physician/surgeon | 1999-07-15 ~ 2000-07-31 |
| Gilbert L Drozdow | Envision Physician Services, Plantation, FL 33322 | Physician/surgeon | 2019-10-01 ~ 2020-09-30 |
| Arnold R Kriegstein | College Physician, New York, NY 10032 | Physician/surgeon | 1993-04-23 ~ 1994-03-31 |
| John T Thompson | Physician Pavilion W, Towson, MD 21204 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
Please comment or provide details below to improve the information on LAERTES A MANUELIDIS 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).