HEDI L LEISTNER (Credential# 507417) 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.
HEDI L LEISTNER is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0043744. 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 5430 Worthington Loop, Palm Harbor, FL 34685-1164. The current status is active.
| Licensee Name | HEDI L LEISTNER |
| Credential ID | 507417 |
| Credential Number | CSP.0043744 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
5430 Worthington Loop Palm Harbor FL 34685-1164 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2008-07-07 |
| Effective Date | 2019-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2019-02-13 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 563594 | 1.046012 | Physician/Surgeon | 2007-11-19 | 2019-11-01 - 2020-10-31 | ACTIVE |
| Street Address | 5430 Worthington Loop |
| City | Palm Harbor |
| State | FL |
| Zip Code | 34685-1164 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Rebecca Segal | 1520 Seagull Drive Apt 310, Palm Harbor, FL 34685 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Douglas L Meny | 5080 Kernwood Court, Palm Harbor, FL 34685 | Certified Public Accountant License | 2020-01-01 ~ 2020-12-31 |
| Adam Berko | 3685 Julienne Way, Palm Harbor, FL 34685 | Physician/surgeon | 2019-11-25 ~ 2020-10-31 |
| Sofia R Mateus | 3366 Mermoor Drive, Palm Harbor, FL 34685 | Registered Nurse | 2019-06-10 ~ 2020-02-29 |
| Colleen A Dupre | 4429 Worthington Circle, Palm Harbor, FL 34685 | Real Estate Salesperson | 2009-06-01 ~ 2010-05-31 |
| John R Chevalier | 743 Helmsman Street, Palm Harbor, FL 34685 | Professional Engineer | 1800-12-27 ~ 1995-01-31 |
| Jane C Filley | 1200 Tarpon Woods, Palm Harbor, FL 34685 | Hairdresser/cosmetician | 2012-08-01 ~ 2014-07-31 |
| Colleen M Heasley | 3636 Windber Blvd, Palm Harbor, FL 34685 | Registered Nurse | 2010-03-01 ~ 2011-02-28 |
| Mary R Caesar | 3031 Bradford Circle, Palm Harbor, FL 34685 | Registered Nurse | 2009-12-01 ~ 2010-11-30 |
| Donald L Kent | 3438 East Lake Road, Suite 14, Palm Harbor, FL 34685 | Physician/surgeon | 2009-06-25 ~ 2010-07-31 |
| Find all Licenses in zip 34685 | |||
| City | Palm Harbor |
| Zip Code | 34685 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + Palm Harbor |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| 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 |
| Shu-i Lin | CT | Controlled Substance Registration for Practitioner | 2017-06-12 ~ 2019-02-28 |
| Qi Che Md | Bridgeport, CT 06610 | Controlled Substance Registration for Practitioner | 2006-03-01 ~ 2007-02-28 |
| Arundati Rao | CT | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Huu Duc D Luu | 630 Mix Ave Apt 6p, Hamden, CT 06514-2320 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
| Erin K Fee | CT | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Hae J Kim Pa | New Haven, CT 06511 | Controlled Substance Registration for Practitioner | 2008-03-31 ~ 2009-02-28 |
| Min Jin Kim | 639 4th Ave Apt 5c, Brooklyn, NY 11232-1048 | Controlled Substance Registration for Practitioner | 2012-05-10 ~ 2013-02-28 |
| Hedi Chichila | 85 Ripton Parish Ln, Stratford, CT 06614 | Registered Nurse | 2019-11-01 ~ 2020-10-31 |
| Sou-pan Wu Md | 216 Mansion Rd, Cheshire, CT 06410 | Controlled Substance Registration for Practitioner | 2005-03-01 ~ 2006-02-28 |
Please comment or provide details below to improve the information on HEDI L LEISTNER.
| 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).