LESLIE M HARRIS (Credential# 1491736) is licensed (Resident Physician) with Connecticut Department of Consumer Protection. The license effective date is July 5, 2020. The license expiration date date is June 30, 2021. The license status is INACTIVE.
LESLIE M HARRIS is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.059471-RES. The credential type is resident physician. The effective date is July 5, 2020. The expiration date is June 30, 2021. The business address is 101 Linden Street, New Haven, CT 06511. The current status is inactive.
| Licensee Name | LESLIE M HARRIS |
| Credential ID | 1491736 |
| Credential Number | 1.059471-RES |
| Credential Type | Resident Physician |
| Credential SubCategory | RES |
| Business Address |
101 Linden Street New Haven CT 06511 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - INACTIVE |
| Issue Date | 2017-07-01 |
| Effective Date | 2020-07-05 |
| Expiration Date | 2021-06-30 |
| Refresh Date | 2020-05-12 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1651925 | 1.063978 | Physician/Surgeon | 2019-07-17 | 2020-04-01 - 2021-03-31 | ACTIVE |
| 1362021 | CSP.0063246 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2016-06-24 | 2019-03-01 - 2021-02-28 | ACTIVE |
| Street Address | 101 Linden Street |
| City | New Haven |
| State | CT |
| Zip Code | 06511 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Margaret K Siska | 101 Linden Street, New Haven, CT 06511 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Montessori School On Edgewood Inc. | 230 Edgewood Avenue, New Haven, CT 06511 | Public Charity | 2019-06-01 ~ 2020-05-31 |
| Therese Parks · Visel Drug Store | 264 Munson St, New Haven, CT 06511 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Dazjia Monet Green | 115 Edgewood Ave Apt 64, New Haven, CT 06511 | Registered Nurse | 2020-06-27 ~ 2021-05-31 |
| Carol Yam | 343 Humphrey St, New Haven, CT 06511 | Registered Nurse | ~ |
| Marwan S Haddad | 38 Lincoln Street, New Haven, CT 06511 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Mary Lou Gaeta Md | 558 Chapel Street, New Haven, CT 06511 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Cary M Tucker | 64 Bishop St, New Haven, CT 06511 | Architect | 2020-08-01 ~ 2021-07-31 |
| Frank J Pannenborg | 505 Ellsworth Ave, New Haven, CT 06511 | Architect | 2020-08-01 ~ 2021-07-31 |
| Crystal E Gooding | 26 Woodland Street, New Haven, CT 06511 | Notary Public Appointment | 2020-07-01 ~ 2025-06-30 |
| Kieran Jones | 260 Crown St Unit 1f, New Haven, CT 06511 | Registered Nurse | ~ |
| Find all Licenses in zip 06511 | |||
| City | New Haven |
| Zip Code | 06511 |
| License Type | Resident Physician |
| License Type + County | Resident Physician + New Haven |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Clea Harris | 20 York St, New Haven, CT 06510-3220 | Resident Physician | 2020-06-15 ~ 2021-06-30 |
| Sean Harris | 20 York St, New Haven, CT 06510-3220 | Resident Physician | 2020-07-01 ~ 2021-06-30 |
| Matthew Kenneth Harris | 20 York St, New Haven, CT 06510-3220 | Resident Physician | 2020-07-01 ~ 2021-06-30 |
| William Harris Pechter | 20 York St., New Haven, CT 06510-3220 | Resident Physician | 2015-07-01 ~ 2019-06-30 |
| Nicholas Booth Harris | 20 York St, New Haven, CT 06510 | Resident Physician | 2019-07-01 ~ 2020-06-30 |
| Zachary Michael Harris | 300 Cedar St Tac S-425, New Haven, CT 06519-1612 | Resident Physician | 2017-07-01 ~ 2021-06-30 |
| Lisa I Harris | 263 Farmington Ave, Farmington, CT 06030-0001 | Resident Physician | 2020-07-01 ~ 2022-06-30 |
| Leslie K Harris | 152 W 140th St Apt 6d, New York, NY 10030-1972 | Registered Nurse | ~ 2015-03-31 |
| Tom Leslie Moye | 259 Harris Rd, Baltimore, VT 05143-9442 | Registered Nurse | 2020-04-01 ~ 2021-04-30 |
| Leslie R Harris | 18 Garland Dr, Glastonbury, CT 06033-1250 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
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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).