STEPHANIE LEEDS (Credential# 1675736) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is April 1, 2020. The license expiration date date is March 31, 2021. The license status is ACTIVE.
STEPHANIE LEEDS is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.064318. The credential type is physician/surgeon. The effective date is April 1, 2020. The expiration date is March 31, 2021. The business address is 39 Midbrook Ln, Old Greenwich, CT 06870-1427. The current status is active.
| Licensee Name | STEPHANIE LEEDS |
| Credential ID | 1675736 |
| Credential Number | 1.064318 |
| Credential Type | Physician/Surgeon |
| Business Address |
39 Midbrook Ln Old Greenwich CT 06870-1427 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2019-09-27 |
| Effective Date | 2020-04-01 |
| Expiration Date | 2021-03-31 |
| Refresh Date | 2020-01-07 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1790687 | CSP.0072526 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2019-10-02 | 2019-10-02 - 2021-02-28 | ACTIVE |
| Street Address | 39 MIDBROOK LN |
| City | OLD GREENWICH |
| State | CT |
| Zip Code | 06870-1427 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Artemis K Shung | 19 Midbrook Ln, Old Greenwich, CT 06870-1427 | Emergency Medical Technician | ~ |
| Tea Blossom LLC | 15 Midbrook Ln, Old Greenwich, CT 06870-1427 | Operator of Weighing & Measuring Devices | 2015-08-01 ~ 2016-07-31 |
| Carol W Wister | 19 Midbrook La, Old Greenwich, CT 06870-1427 | Registered Nurse | 2001-07-05 ~ 2009-08-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Erin Kelly Walsh | 20 W End, Old Greenwich, CT 06870 | Controlled Substance Registration for Practitioner | 2020-06-25 ~ 2021-02-28 |
| Geraldine Smeriglio | 15 Saint Claire Avenue, Old Greenwich, CT 06870 | Real Estate Salesperson | ~ |
| Ellington Enhanced Income Fund Ltd. | C/o Ellington Global Asset Management, Old Greenwich, CT 06870 | Securities - Exemptions | 2020-06-17 ~ |
| Hiba Kamar Hussain | 7 Richmond Drive, Old Greenwich, CT 06870 | Emergency Medical Technician | ~ |
| Old Greenwich Bagel Shop Inc | 197 Soundbeach Ave, Old Greenwich, CT 06870 | Bakery | 2020-07-01 ~ 2021-06-30 |
| Juliana Mendes Napolitano Serrao | 3 Tait Road, Old Greenwich, CT 06870 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| Robert N Rouleau | 205 Shore Road, Old Greenwich, CT 06870 | Architect | 2020-08-01 ~ 2021-07-31 |
| Charles W Ginste Jr | 44 Tomac Avenue, Old Greenwich, CT 06870 | Architect | 2020-08-01 ~ 2021-07-31 |
| Susan R Alisberg | Alisberg Parker Architects, Old Greenwich, CT 06870 | Architect | 2020-08-01 ~ 2021-07-31 |
| Leander G Krueger | 19 Meadow Place, Old Greenwich, CT 06870 | Architect | 2020-08-01 ~ 2021-07-31 |
| Find all Licenses in zip 06870 | |||
| City | OLD GREENWICH |
| Zip Code | 06870 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + OLD GREENWICH |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Gary Leeds | 16 Elizabeth Ln, Riverside, CT 06878-1302 | Physician/surgeon | ~ |
| Carol J Patterson | 107 Front St, Leeds, MA 01053-9718 | Physician/surgeon | 2014-12-01 ~ 2015-12-31 |
| Howard A Levite | 65 W Jimmie Leeds Rd, Pomona, NJ 08240-9102 | Physician/surgeon | 2014-11-03 ~ 2015-11-30 |
| Joseph Smith | 2 Shepherds Hollow Rd, Leeds, MA 01053-9707 | Physician/surgeon | 2020-02-01 ~ 2021-01-31 |
| William G Leeds | 28 Farnham Rd, West Hartford, CT 06119 | Physician/surgeon | 1995-12-08 ~ 1997-02-28 |
| Maxwell Barus | 360 North Road, Leeds, ME 04263 | Physician/surgeon | 2009-11-01 ~ 2010-10-31 |
| Leeds Vi Vs, Aiv, Lp | 590 Madison Avenue, New York, NY 10022 | Securities - Exemptions | 2019-10-09 ~ |
| Stephanie Green Md | 2 Fox Den Way, Woodbridge, CT 06525 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Stephanie V Ng | 168 Linden St, Apt C2, New Haven, CT 06511 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Stephanie A Salas | 450 W 42nd St Apt 38h, New York, NY 10036-8213 | Physician/surgeon | ~ |
Please comment or provide details below to improve the information on STEPHANIE LEEDS.
| 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).