LESLIE J ZIDE
Controlled Substance Registration for Practitioner


Address: 484 Inverness Ln, Longmeadow, MA 01106-2826

LESLIE J ZIDE (Credential# 532554) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is May 12, 2009. The license expiration date date is February 28, 2011. The license status is INACTIVE.

Business Overview

LESLIE J ZIDE is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0045504. The credential type is controlled substance registration for practitioner. The effective date is May 12, 2009. The expiration date is February 28, 2011. The business address is 484 Inverness Ln, Longmeadow, MA 01106-2826. The current status is inactive.

Basic Information

Licensee Name LESLIE J ZIDE
Credential ID 532554
Credential Number CSP.0045504
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 484 Inverness Ln
Longmeadow
MA 01106-2826
Business Type INDIVIDUAL
Status INACTIVE
Issue Date 2009-05-12
Effective Date 2009-05-12
Expiration Date 2011-02-28
Refresh Date 2013-03-07

Other licenses

ID Credential Code Credential Type Issue Term Status
704455 2.010003 Dentist 2009-03-03 2009-03-03 - 2010-03-31 INACTIVE

Office Location

Street Address 484 INVERNESS LN
City LONGMEADOW
State MA
Zip Code 01106-2826

Licenses in the same zip code

Licensee Name Office Address Credential Effective / Expiration
Thomas S Kaye 424 Inverness Ln, Longmeadow, MA 01106-2826 Controlled Substance Registration for Practitioner 2019-05-28 ~ 2021-02-28
Benjamin J Miller 344 Inverness Ln, Longmeadow, MA 01106-2826 Emergency Medical Technician 2014-06-18 ~ 2017-04-01

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Competitor

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City LONGMEADOW
Zip Code 01106
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + LONGMEADOW

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Leslie J Hain Md 15 Aldo Dr, Woodbridge, CT 06525 Controlled Substance Registration for Practitioner 2008-03-01 ~ 2009-02-28
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Dataset Information

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).

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