MICHAEL LEEDOM (Credential# 1626683) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is May 1, 2020. The license expiration date date is April 30, 2021. The license status is ACTIVE.
MICHAEL LEEDOM is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.062521. The credential type is physician/surgeon. The effective date is May 1, 2020. The expiration date is April 30, 2021. The business address is 925 S Curley St, Baltimore, MD 21224-4825. The current status is active.
| Licensee Name | MICHAEL LEEDOM |
| Credential ID | 1626683 |
| Credential Number | 1.062521 |
| Credential Type | Physician/Surgeon |
| Business Address |
925 S Curley St Baltimore MD 21224-4825 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2019-04-01 |
| Effective Date | 2020-05-01 |
| Expiration Date | 2021-04-30 |
| Refresh Date | 2020-05-02 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1626740 | CSP.0070110 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2019-04-01 | 2019-04-01 - 2021-02-28 | ACTIVE |
| Street Address | 925 S CURLEY ST |
| City | BALTIMORE |
| State | MD |
| Zip Code | 21224-4825 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Woofund, Inc. | 101 N. Haven Street, Baltimore, MD 21224 | Securities - Exemptions | 2020-03-06 ~ |
| The Johns Hopkins Hospital · Johns Hopkins Outpatient Pharmacy At Holabird | 5901 Holabird Ave Ste# A-2, Baltimore, MD 21224 | Nonresident Pharmacy | 2020-03-17 ~ 2020-08-31 |
| Callan A Liljeberg | 1200 S Conkling St, Baltimore, MD 21224 | Registered Nurse | 2020-03-01 ~ 2021-02-28 |
| Rachel L Albrecht | 3402 Toone Street, Baltimore, MD 21224 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
| James F Collins | Blueprint Robotics, Baltimore, MD 21224 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
| John Whales Gorospe Felarca | 121 South Linwood Ave, Baltimore, MD 21224 | Registered Nurse | 2019-12-10 ~ 2020-07-31 |
| Sonavex, Inc. | 2835 O'donnell Street, Baltimore, MD 21224 | Securities - Exemptions | 2019-11-05 ~ |
| William Coe | 2608 E. Fairmount Avenue, Baltimore, MD 21224 | Resident Physician | 2019-06-11 ~ 2023-06-30 |
| Elizabeth J Miller | 743 South Montford Ave, Baltimore, MD 21224 | Emergency Medical Technician | 2019-07-01 ~ 2022-06-30 |
| Hugh D Smyth | 539 Canton Court, Baltimore, MD 21224 | Registered Nurse | 2019-07-01 ~ 2020-06-30 |
| Find all Licenses in zip 21224 | |||
| City | BALTIMORE |
| Zip Code | 21224 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + BALTIMORE |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Liane J Leedom Md | Po Box 1056, Fairfield, CT 06825-7056 | Controlled Substance Registration for Practitioner | 2019-04-08 ~ 2021-02-28 |
| Kenneth Gross | 9 Michael St, Norwalk, CT 06854-3415 | Physician/surgeon | ~ |
| Michael Lynch Cummings | CT | Physician/surgeon | 1989-12-22 ~ |
| Michael P Goldman | 15 Elm Pl, Greenwich, CT 06830-6615 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
| Michael D Greenaway | 446 Rte #81, Killingworth, CT 06419 | Physician/surgeon | 2014-10-01 ~ 2015-09-30 |
| Michael E Ripps | 344 Third Ave, New York, NY 10010 | Physician/surgeon | 2011-08-01 ~ 2012-07-31 |
| Michael G Myers | Los Gatos, CA 95032 | Physician/surgeon | 2018-07-01 ~ 2019-06-30 |
| Michael E Tom | 926 Quinnipiac Ave Apt 9, New Haven, CT 06513-3349 | Physician/surgeon | 2012-06-01 ~ 2013-05-31 |
| Michael Levitz | 291 Wickham Rd, Glastonbury, CT 06033 | Physician/surgeon | ~ |
| Michael Marchese | 31 Remove, Bronx, NY 10465 | Physician/surgeon | ~ |
Please comment or provide details below to improve the information on MICHAEL LEEDOM.
| 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).