LESLIE BLATT APRN (Credential# 143151) 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.
LESLIE BLATT APRN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0027492. 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 104 Bailey Drive, North Branford, CT 06471. The current status is active.
| Licensee Name | LESLIE BLATT APRN |
| Credential ID | 143151 |
| Credential Number | CSP.0027492 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
104 Bailey Drive North Branford CT 06471 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 1999-03-01 |
| Effective Date | 2019-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2019-01-02 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 637349 | 10.R29234 | Registered Nurse | 1977-01-25 | 2020-01-01 - 2020-12-31 | ACTIVE |
| 679930 | 12.001751 | Advanced Practice Registered Nurse | 1998-01-23 | 2020-01-01 - 2020-12-31 | ACTIVE |
| Street Address | 104 BAILEY DRIVE |
| City | NORTH BRANFORD |
| State | CT |
| Zip Code | 06471 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Donald W Jacobson | 104 Bailey Drive, North Branford, CT 06471 | Registered Nurse | 2019-11-01 ~ 2020-10-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Qilin Piao | 280 Brandford Rd, Brandford, CT 06471 | Nail Technician | ~ |
| Jill L Williams | 7 Harrison Rd, North Branford, CT 06471 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Sophia Ivana Didiano | 201 Branford Rd, N Branford, CT 06471 | Master's Level Social Worker | ~ |
| Rachel Lauren Cohen | North Branford Dental Group, North Branford, CT 06471 | Dentist | 2020-07-01 ~ 2021-06-30 |
| Concepcion Isela De Mejia | 999 Foxon Rd Unit 9, North Branford, CT 06471 | Nail Technician | ~ |
| Cherry Hill Construction & Demolition · Ciro Associates LLC | 51 Ciro Rd, N Branford, CT 06471 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Rose Orhcards Farm Market | 33 Route 139, North Branford, CT 06471 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Sandra L Cappello | 33 Edgewood Dr, North Branford, CT 06471 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Melissa T Anderson | 14 Pine Hollow Rd, North Branford, CT 06471 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| A Best Buy Premium Fuel & Trucking LLC | 196 West Pond Ext, North Branford, CT 06471 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Find all Licenses in zip 06471 | |||
| City | NORTH BRANFORD |
| Zip Code | 06471 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + NORTH BRANFORD |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Leslie G White Aprn | 108 Towpath Ln, Cheshire, CT 06410-3313 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Rebecca Blatt | 1825 W 32nd Ave, Denver, CO 80211 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
| Mark N Blatt Md | 9541 Sw 63rd Loop, Ocala, FL 34481 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Leslie S Wu Md | 101 Orange St Apt 320, New Haven, CT 06510-3108 | Controlled Substance Registration for Practitioner | 2009-03-01 ~ 2011-02-28 |
| Leslie S Dick Md | Po Box 315, Weatogue, CT 06089-0315 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
| Leslie - Coopersmith | 50 Leonard Rd, Middlebury, CT 06762 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Leslie N Brown | 23 Gateway Rd, Colchester, CT 06415-1420 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Leslie J. Mugavero | 306 Cedar Key Cir, Atlantis, FL 33462-1306 | Controlled Substance Registration for Practitioner | 2017-05-24 ~ 2019-02-28 |
| Cynthia Leslie Md | 123 York St, New Haven, CT 06511 | Controlled Substance Registration for Practitioner | 2002-03-05 ~ 2003-02-28 |
| Leslie J Hain Md | 15 Aldo Dr, Woodbridge, CT 06525 | Controlled Substance Registration for Practitioner | 2008-03-01 ~ 2009-02-28 |
Please comment or provide details below to improve the information on LESLIE BLATT APRN.
| 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).