TRACY L GULLING-LEFTWICH (Credential# 921704) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is April 1, 2014. The license expiration date date is March 31, 2015. The license status is INACTIVE.
TRACY L GULLING-LEFTWICH is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.048593-DO. The credential type is physician/surgeon. The effective date is April 1, 2014. The expiration date is March 31, 2015. The business address is 28360 Center Ridge Rd Apt 2110, Westlake, OH 44145-6797. The current status is inactive.
Licensee Name | TRACY L GULLING-LEFTWICH |
Credential ID | 921704 |
Credential Number | 1.048593-DO |
Credential Type | Physician/Surgeon |
Credential SubCategory | DO |
Business Address |
28360 Center Ridge Rd Apt 2110 Westlake OH 44145-6797 |
Business Type | INDIVIDUAL |
Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
Issue Date | 2010-03-30 |
Effective Date | 2014-04-01 |
Expiration Date | 2015-03-31 |
Refresh Date | 2015-07-04 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
476200 | CSP.0041738 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2007-07-16 | 2013-03-01 - 2015-02-28 | INACTIVE |
Street Address | 28360 CENTER RIDGE RD APT 2110 |
City | WESTLAKE |
State | OH |
Zip Code | 44145-6797 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Lisa Hughes | 24493 Cornerstone, Westlake, OH 44145 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
Kelley F Moran | 28594 E Brockway Drive, Westlake, OH 44145 | Professional Engineer | 2019-02-01 ~ 2020-01-31 |
Amanda Louise Jackson | 27692 Caroline Circle, Westlake, OH 44145 | Registered Nurse | 2019-08-01 ~ 2020-07-31 |
Ta Operating LLC · Truckstops of America Inc | 24601 Center Ridge Rd #200, Westlake, OH 44145 | Non Legend Drug Permit | 2004-01-06 ~ 2004-12-31 |
Stephen M Paroby | 3110 Chatham Court, Westlake, OH 44145 | Certified Public Accountant Certificate | 2016-01-01 ~ 2016-12-31 |
Jennifer M Jones | 30948 Pinehurst Drive, Westlake, OH 44145 | Registered Nurse | 2016-01-05 ~ 2016-07-31 |
Christina P Ashburn | 25804 Westwood Road, Westlake, OH 44145 | Registered Nurse | 2015-03-01 ~ 2016-02-29 |
Surjit S Sandhu | 29328 Regency Cir, Westlake, OH 44145 | Professional Engineer | 2010-02-01 ~ 2011-01-31 |
Ronald J Stecklow | 2347 Beaver Creek, Westlake, OH 44145 | Professional Engineer | 1996-03-11 ~ 1997-01-31 |
David S Davies | 1890 Coe's Post Run, Westlake, OH 44145 | Professional Engineer | 1989-02-17 ~ 1990-01-31 |
Find all Licenses in zip 44145 |
City | WESTLAKE |
Zip Code | 44145 |
License Type | Physician/Surgeon |
License Type + County | Physician/Surgeon + WESTLAKE |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Tracy Mack | 540 Litchfield St, Torrington, CT 06790-6679 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
Lee Tracy Silva | 1275 Summer St Ste 105, Stamford, CT 06905-5315 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
Tracy-ann M Clarke-leconte | 1 Jeanine Ct, Dix Hills, NY 11746 | Physician/surgeon | 2019-08-01 ~ 2020-07-31 |
Tracy A Kritz | 1146 W 17th St, San Pedro, CA 90731-3834 | Physician/surgeon | 2017-03-01 ~ 2018-02-28 |
Bliss W. Clark | 3063 Remington Way, Tracy, CA 95377-6678 | Physician/surgeon | 2011-12-01 ~ 2012-12-31 |
Tracy A Minichiello | 80-1 Cosey Beach Ave, East Haven, CT 06512 | Physician/surgeon | 1998-09-02 ~ 1999-09-30 |
Edward Tracy Sall | 5471 Kearny Villa Rd, San Diego, CA 92123-1151 | Physician/surgeon | ~ |
Tracy L Lawrence Black | 53 Stonewall Cir, West Harrison, NY 10604-1126 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
William Tracy Schmidt | 1281 E Main St, Stamford, CT 06902-3544 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
Dana K Gulling | 2018 Trawick Rd, Raleigh, NC 27604 | Architect | 2019-09-11 ~ 2020-07-31 |
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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).