LESLEY V GUMBS MD (Credential# 160017) 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.
LESLEY V GUMBS MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0020329. 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 21 Ledgebrook Drive, Mansfield Center, CT 06250. The current status is active.
| Licensee Name | LESLEY V GUMBS MD |
| Credential ID | 160017 |
| Credential Number | CSP.0020329 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
21 Ledgebrook Drive Mansfield Center CT 06250 |
| 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 | 2019-01-08 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 550092 | 1.032485 | Physician/Surgeon | 1992-07-31 | 2020-01-01 - 2020-12-31 | ACTIVE |
| Street Address | 21 LEDGEBROOK DRIVE |
| City | MANSFIELD CENTER |
| State | CT |
| Zip Code | 06250 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Robert Gildersleeve Md | 21 Ledgebrook Drive, Mansfield Center, CT 06250 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Carissa A Zlotnick | 31 Jude Lane, Mansfield, CT 06250 | Licensed Practical Nurse | 2020-07-01 ~ 2021-06-30 |
| Sara Hollow Heumann | 103 Mansfield Hollow Road, Mansfield Center, CT 06250 | Esthetician | ~ |
| Mary Catherine D'amico | 156 Coventry Rd, Mansfield Center, CT 06250 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Petco 3728 | 86 Storrs Rd, Mansfield, CT 06250 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Christine D Njuki | 15 Crest Road, Mansfield Center, CT 06250 | Audiologist | 2020-07-01 ~ 2021-06-30 |
| David L. Simon Md | 2 Ledgebrook Drive, Mansfield Center, CT 06250 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
| Lisa G Orcutt | 5 Pequot Square, Mansfield Center, CT 06250 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| Laurie J Smaglis | 28 Thornbush Rd, Mansfield, CT 06250 | Hairdresser/cosmetician | 2020-09-01 ~ 2022-08-31 |
| Loni C Cohen | 23c Eastbrook Heights, Mansfield Center, CT 06250 | Notary Public Appointment | 2020-04-01 ~ 2025-03-31 |
| Joanne Frederick | 69 Circle Drive, Mansfield Center, CT 06250 | Licensed Practical Nurse | 2020-07-01 ~ 2021-06-30 |
| Find all Licenses in zip 06250 | |||
| City | MANSFIELD CENTER |
| Zip Code | 06250 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + MANSFIELD CENTER |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Andrew A Gumbs | 561 Shore Acres Dr, Mamaroneck, NY 10543 | Controlled Substance Registration for Practitioner | 2006-03-01 ~ 2007-02-28 |
| 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 Rabach | 65 Inverness Ct, Cheshire, CT 06410-3548 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
| 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 Ann J Bernard Pantin | 5200 Nw 43rd St Ste 102-334, Gainesville, FL 32606-4484 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-01-30 |
| Lesley S Gumbs | 61 Ballamahack Rd, Windham, CT 06280-1212 | Registered Nurse | 2020-03-01 ~ 2021-02-28 |
| Steven Kassels Md · Community Substance Abuse Center | Comm. Physicians PC/125 North Elm Street, Westfield, MA 01085 | Controlled Substance Registration for Practitioner | 2018-06-15 ~ 2019-02-28 |
| Lesley A Beland · Lesley Allen | 41 Earl Street, Manchester, CT 06040 | Occupational Therapist Assistant | 2019-08-01 ~ 2021-07-31 |
| Shu-i Lin | CT | Controlled Substance Registration for Practitioner | 2017-06-12 ~ 2019-02-28 |
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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).