LEAH MANCHESTER (Credential# 1651904) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is June 1, 2020. The license expiration date date is May 31, 2021. The license status is ACTIVE.
LEAH MANCHESTER is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.064130. The credential type is physician/surgeon. The effective date is June 1, 2020. The expiration date is May 31, 2021. The business address is 273 Derby Avenue, Derby, CT 06418. The current status is active.
| Licensee Name | LEAH MANCHESTER |
| Credential ID | 1651904 |
| Credential Number | 1.064130 |
| Credential Type | Physician/Surgeon |
| Business Address |
273 Derby Avenue Derby CT 06418 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2019-08-19 |
| Effective Date | 2020-06-01 |
| Expiration Date | 2021-05-31 |
| Refresh Date | 2020-03-13 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1360781 | CSP.0063164 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2016-06-24 | 2019-03-01 - 2021-02-28 | ACTIVE |
| 1491880 | 1.059615-RES | Resident Physician | 2017-07-01 | 2019-07-01 - 2020-06-30 | ACTIVE |
| Street Address | 273 Derby Avenue |
| City | Derby |
| State | CT |
| Zip Code | 06418 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Erin Athanasiou | 273 Derby Avenue, Derby, CT 06418 | Notary Public Appointment | 2017-11-01 ~ 2022-10-31 |
| Madeline E Alvarez | 273 Derby Avenue, Derby, CT 06410 | Hairdresser/cosmetician | 2003-01-27 ~ 2004-02-29 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Debra A Montini | 8 Academy Hill Ext, Derby, CT 06418 | Dental Hygienist | 2020-08-01 ~ 2021-07-31 |
| Laura M Boanno | 131 Marshall La, Derby, CT 06418 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Danyun Chen | 49 Pershing Dr., Derby, CT 06418 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Fan Geng | Shoprite Shopping Center, Derby, CT 06418 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Danni Xu | Shoprite Shopping Center49 Pershing Dr, Derby, CT 06418 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Yao Zhang | Shoprite Shopping Center 49 Pershing Dr, Derby, CT 06418 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Phillip N Burke | 3 Camptown St, Derby, CT 06418 | Emergency Medical Technician | 2017-06-07 ~ 2020-06-30 |
| Diane A Rosner | 229 Shagbark Drive, Derby, CT 06418 | Professional Counselor | 2020-08-01 ~ 2021-07-31 |
| Pamela C Lavelle | 194 Minerva St, Derby, CT 06418 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Grade A Market - Derby LLC | 49 Pershing Dr, Derby, CT 06418 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Find all Licenses in zip 06418 | |||
| City | Derby |
| Zip Code | 06418 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + Derby |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Leah B. Jacobson | 37 Birch Dr, Katonah, NY 10536-3840 | Physician/surgeon | 2015-02-01 ~ 2016-01-31 |
| Leah Burke | Cecn, Middletown, CT 06457 | Physician/surgeon | 2018-08-24 ~ 2019-01-31 |
| Emy Leah R Fernandez | 25 Swan Road, Mahwah, NJ 07430 | Physician/surgeon | 2006-03-01 ~ 2007-01-31 |
| Leah Sterry | 41 Germantown Avenue, Danbury, CT 06810 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
| Leah A Burke | 604 Vista On The Lake, Carmel, NY 10512 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Leah A Darak · Lefcourt | 3180 Main St, Bridgeport, CT 06606 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Donna Leah Pierre | 370 Southpointe Blvd, Canonsburg, PA 15317 | Physician/surgeon | 2017-01-18 ~ 2018-01-31 |
| Leah Eutropia C Briones Md | 13228 Patriot Way, West Greenwich, RI 02817 | Physician/surgeon | 2020-01-01 ~ 2020-12-31 |
| Vijaya K Agarwala | 100 Manchester Rd, Swinton Manchester, M27 1FQ | Physician/surgeon | 1993-02-25 ~ 1994-03-31 |
| Edward J Sulick Md · Womens Health Group of Manchester | 64 Hillcrest Road, Manchester, CT 06040 | Physician/surgeon | 2005-04-19 ~ 2006-06-30 |
Please comment or provide details below to improve the information on LEAH MANCHESTER.
| 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).