NATALIE PHOUYAPHONE LEBLANC (Credential# 1149113) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2019. The license expiration date date is February 28, 2021. The license status is ACTIVE.
NATALIE PHOUYAPHONE LEBLANC is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0054209. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2019. The expiration date is February 28, 2021. The business address is 265 Kohary Dr, New Haven, CT 06515-2422. The current status is active.
| Licensee Name | NATALIE PHOUYAPHONE LEBLANC |
| Credential ID | 1149113 |
| Credential Number | CSP.0054209 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
265 Kohary Dr New Haven CT 06515-2422 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2013-02-20 |
| Effective Date | 2019-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2019-02-04 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1143487 | 23.002869 | Physician Assistant | 2013-02-01 | 2019-12-01 - 2020-11-30 | ACTIVE |
| 849758 | 70.010025 | Emergency Medical Technician | 2008-10-08 | 2008-10-08 - 2010-03-31 | INACTIVE |
| Street Address | 265 KOHARY DR |
| City | NEW HAVEN |
| State | CT |
| Zip Code | 06515-2422 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Tai M Moler | 255 Kohary Dr, New Haven, CT 06515-2422 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| Danielle P Granoff | 245 Kohary Dr, New Haven, CT 06515-2422 | Licensed Practical Nurse | 2020-01-01 ~ 2020-12-31 |
| Paulette D Brooks | 205 Kohary Dr, New Haven, CT 06515-2422 | Hairdresser/cosmetician | 2019-02-01 ~ 2021-01-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Lakiya D Nichols | 114 Davis Street, New Haven, CT 06515 | Radiographer | 2020-07-01 ~ 2021-06-30 |
| Danielle E Guadalupe | 30 Whittier Road, New Haven, CT 06515 | Master's Level Social Worker | 2020-07-01 ~ 2021-06-30 |
| Mcdonald's | 1094 Whalley Ave, New Haven, CT 06515 | Bakery | 2020-07-01 ~ 2021-06-30 |
| Hilda Rocio Sanango | 86 Springside Av, New Haven, CT 06515 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Manuel Francisco Cabrera | 86 Springside Av Apt D5, New Haven, CT 06515 | Nail Technician | ~ |
| Arthur L Sanders | 2001 Chapel St, New Haven, CT 06515 | Architect | 2020-08-01 ~ 2021-07-31 |
| Athan Construction LLC | 243 West Elm St, New Haven, CT 06515 | Home Improvement Contractor | 2020-06-25 ~ 2020-11-30 |
| Jessica L Feinleib | 72 Barnett, New Haven, CT 06515 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Joyce A Gambrell-jones | 241 Alden Ave, New Haven, CT 06515 | Registered Nurse | 2020-06-01 ~ 2021-05-31 |
| Charmaine Waller | 110 Harper Ave, New Haven, CT 06515 | Licensed Practical Nurse | ~ |
| Find all Licenses in zip 06515 | |||
| City | NEW HAVEN |
| Zip Code | 06515 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + NEW HAVEN |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Louis J Leblanc Md | Em Department, Meriden, CT 06451 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Kate L Leblanc | 39 Williams Street, Berlin, CT 06037 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Kulsoom H Maudoodi | 5 Leblanc Dr, South Hadley, MA 01075-1797 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Lynn Leblanc | 1 Northwestern Drive, Bloomfield, CT 06002 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Lori A Leblanc Stagis Dds | 6b Pasco Dr, East Windsor, CT 06088-1713 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Natalie S Uy | 78 Olive St Apt 323, New Haven, CT 06511-6986 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
| Natalie Uy | 111 Park St Apt 9e, New Haven, CT 06511-5432 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Natalie P Pauli Md | 19 Hepburn Rd, Hamden, CT 06517 | Controlled Substance Registration for Practitioner | 2008-03-01 ~ 2009-02-28 |
| Natalie Frey | 446 Old Whitfield St Apt K, Guilford, CT 06437-3468 | Controlled Substance Registration for Practitioner | 2019-06-10 ~ 2021-02-28 |
| Natalie Galanina | 64 Robbins St, Waterbury, CT 06708-2600 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
Please comment or provide details below to improve the information on NATALIE PHOUYAPHONE LEBLANC.
| 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).