LESLIE ROBINSON BOSTOM MD (Credential# 164277) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is June 28, 1994. The license expiration date date is April 1, 1996. The license status is INACTIVE.
LESLIE ROBINSON BOSTOM MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0022243. The credential type is controlled substance registration for practitioner. The effective date is June 28, 1994. The expiration date is April 1, 1996. The business address is 491 Goldstar Hwy Suite 310, Groton, CT 06340. The current status is inactive.
| Licensee Name | LESLIE ROBINSON BOSTOM MD |
| Credential ID | 164277 |
| Credential Number | CSP.0022243 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
491 Goldstar Hwy Suite 310 Groton CT 06340 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE |
| Effective Date | 1994-06-28 |
| Expiration Date | 1996-04-01 |
| Refresh Date | 2004-04-23 |
| Street Address | 491 GOLDSTAR HWY SUITE 310 |
| City | GROTON |
| State | CT |
| Zip Code | 06340 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Swatiben R. Patel | 81 Charlton Lane, Groton, CT 06340 | Pharmacy Technician | 2020-06-26 ~ 2021-03-31 |
| Susan E Mammone | 39 Chestnut Hill Sq, Groton, CT 06340 | Real Estate Salesperson | 2020-06-23 ~ 2021-05-31 |
| Jennifer L Lundie | 302b Meridian Street, Groton, CT 06340 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Jennifer Gauthier | 55 Fieldside Drive # B, Groton, CT 06340 | Master's Level Social Worker - Temporary Permit | ~ |
| Anthony Di Lullo Md | Thameside Ob/gyn Centre, Groton, CT 06340 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
| Carrien Williams | 186 Mirra Dr, Groton, CT 06340 | Nail Technician | ~ |
| Mustapha Kemal Md | 61 Leeward Lane, Groton, CT 06340 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Subway #309 | 967 Poquonnock Rd, Groton, CT 06340 | Bakery | 2020-07-01 ~ 2021-06-30 |
| Kathlene M Hunt | 75 Pleasant Street, Groton, CT 06340 | Notary Public Appointment | 2020-10-01 ~ 2025-09-30 |
| Paul A Morosky | 2 Cross Street, Groton, CT 06340 | Distribution System Operator - Class I | 2020-04-01 ~ 2023-03-31 |
| Find all Licenses in zip 06340 | |||
| City | GROTON |
| Zip Code | 06340 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + GROTON |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Leslie R Robinson-bostom | 593 Eddy Street, Providence, RI 02903 | Physician/surgeon | 2019-11-01 ~ 2020-10-31 |
| 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 P. Goldman | 461 E. Hyerdale Dr., Goshen, CT 06756 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Leslie A Blackburn | 38 Crown St Apt 310, New Haven, CT 06510-3354 | Controlled Substance Registration for Practitioner | 2012-08-13 ~ 2013-02-28 |
| Leslie J. Mugavero | 306 Cedar Key Cir, Atlantis, FL 33462-1306 | Controlled Substance Registration for Practitioner | 2017-05-24 ~ 2019-02-28 |
| Matthew B.w. Edwards | 55 Leslie Ln, Fairfield, CT 06824-1665 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Leslie - Coopersmith | 50 Leonard Rd, Middlebury, CT 06762 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Leslie R Lynch Dvm | 547 Main St, Cromwell, CT 06416-1436 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
| Leslie L Mclaughlin | 400 Flanders Rd, Southington, CT 06489-2816 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Please comment or provide details below to improve the information on LESLIE ROBINSON BOSTOM MD.
| 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).