LESLEY ANN J BERNARD PANTIN (Credential# 1255555) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2015. The license expiration date date is January 30, 2017. The license status is INACTIVE.
LESLEY ANN J BERNARD PANTIN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0059046. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2015. The expiration date is January 30, 2017. The business address is 5200 Nw 43rd St Ste 102-334, Gainesville, FL 32606-4484. The current status is inactive.
| Licensee Name | LESLEY ANN J BERNARD PANTIN |
| Credential ID | 1255555 |
| Credential Number | CSP.0059046 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
5200 Nw 43rd St Ste 102-334 Gainesville FL 32606-4484 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - DOES NOT WISH TO RENEW |
| Issue Date | 2014-11-20 |
| Effective Date | 2015-03-01 |
| Expiration Date | 2017-01-30 |
| Refresh Date | 2017-05-02 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1241098 | 1.053678 | Physician/Surgeon | 2014-11-19 | 2015-06-01 - 2016-05-31 | PENDING |
| Street Address | 5200 NW 43RD ST STE 102-334 |
| City | GAINESVILLE |
| State | FL |
| Zip Code | 32606-4484 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Megan C Hopkins | 3960 Nw 34th Place, Gainesville, FL 32606 | Registered Nurse | 2020-05-04 ~ 2021-05-31 |
| James G Vavra | 4000 Nw 51st Street, Gainesville, FL 32606 | Physical Therapist | 2020-06-01 ~ 2021-05-31 |
| Mario Rodenas Md | 1505 Fort Clarke Blvd, Gainesville, FL 32606 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
| Samuel Edward Adams | 8076 Nw 37th Rd, Apt 176, Gainesville, FL 32606 | Physician/surgeon | 2019-10-23 ~ 2020-10-31 |
| Marc Philippe Nault | 8016 Nw 37th Rd Apt 164, Gainesville, FL 32606 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| P Y Keskar | 4104 Nw 68th Dr, Gainesville, FL 32606 | Professional Engineer | 1800-12-27 ~ 1994-01-31 |
| Harry Dontje | 1715 Nw 94 St, Gainesville, FL 32606 | Registered Nurse | 1992-11-24 ~ 1993-11-30 |
| Seth R Weintraub | 5014 Nw 27th Court, Gainesville, FL 32606 | Dentist | 1995-09-22 ~ 1996-09-30 |
| Penny P Gage · Phelps | 2010 Nw 133 Terrace, Gainesville, FL 32606 | Licensed Practical Nurse | 1998-07-02 ~ 1999-06-30 |
| Ray S Breland | 3348 Nw 110th Terrace, Gainsville, FL 32606 | Registered Nurse | 2001-08-27 ~ 2002-07-31 |
| Find all Licenses in zip 32606 | |||
| City | GAINESVILLE |
| Zip Code | 32606 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + GAINESVILLE |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Lesley A Rabach | 65 Inverness Ct, Cheshire, CT 06410-3548 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
| Lesley M Fernow Md | 144 East Ave 201 B, Norwalk, CT 06851-5760 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Lesley A Gustafson | 212 Lincoln Street, New Britain, CT 06052 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Lesley C Snelling | 217 White Oak Shade Road, New Canaan, CT 06840 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Lesley V Gumbs Md | 21 Ledgebrook Drive, Mansfield Center, CT 06250 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Roshoyah A Bernard | 100 Temple St Ph 11, New Haven, CT 06510-2711 | Controlled Substance Registration for Practitioner | 2019-10-24 ~ 2021-02-28 |
| Bernard Kramer Md | 15 South Elm St, Wallingford, CT 06492 | Controlled Substance Registration for Practitioner | 2001-03-01 ~ 2002-02-28 |
| Bernard D Bienstock Md | 387 Ellsworth Ave, New Haven, CT 06511 | Controlled Substance Registration for Practitioner | 1994-06-28 ~ 1996-07-01 |
| Bernard S Salameh | 111 Park St, New Haven, CT 06511-5412 | Controlled Substance Registration for Practitioner | 2010-12-08 ~ 2013-02-28 |
| Sophie Bernard | 205 Church St Apt 7l, New Haven, CT 06510-1884 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
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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).