LESLIE R MILLER DO (Credential# 538007) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2020. The license expiration date date is February 28, 2021. The license status is ACTIVE.
LESLIE R MILLER DO is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.000261-DO. The credential type is physician/surgeon. The effective date is March 1, 2020. The expiration date is February 28, 2021. The business address is 52 Beach Rd Ste 102, Fairfield, CT 06824-6017. The current status is active.
| Licensee Name | LESLIE R MILLER DO |
| Credential ID | 538007 |
| Credential Number | 1.000261-DO |
| Credential Type | Physician/Surgeon |
| Credential SubCategory | DO |
| Business Address |
52 Beach Rd Ste 102 Fairfield CT 06824-6017 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 1988-08-22 |
| Effective Date | 2020-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2020-01-21 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 160963 | CSP.0017645 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 1999-03-01 | 2019-03-01 - 2021-02-28 | ACTIVE |
| Street Address | 52 BEACH RD STE 102 |
| City | FAIRFIELD |
| State | CT |
| Zip Code | 06824-6017 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Robyn B Hoffman | 52 Beach Rd Ste 104, Fairfield, CT 06824-6017 | Licensed Clinical Social Worker | 2020-05-01 ~ 2021-04-30 |
| Allison M Hayes | 52 Beach Rd, Fairfield, CT 06824-6017 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Oresta Bilous | 52 Beach Rd, Fairfield, CT 06824-6017 | Dentist | 2019-07-01 ~ 2020-06-30 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Amy S Van Buren | 11 Larkspur Road, Fairfield, CT 06824 | Massage Therapist | 2020-08-01 ~ 2022-07-31 |
| Linda J Batchelder | 72 Ruane St, Fairfield, CT 06824 | Architect | 2020-08-01 ~ 2021-07-31 |
| Fairfield American Little League | 87 Charles St, Fairfield, CT 06824 | Public Charity | 2020-12-01 ~ 2021-11-30 |
| Robert D Sickeler | 175 Wakeman Rd, Fairfield, CT 06824 | Architect | 2020-08-01 ~ 2021-07-31 |
| Michael P Brennan | 338 Sturges Rd, Fairfield, CT 06824 | Real Estate Salesperson | 2020-06-23 ~ 2021-05-31 |
| Maria A Arduini | 499 Hemlock Rd, Fairfield, CT 06824 | Real Estate Salesperson | 2020-06-23 ~ 2021-05-31 |
| Ryan L Antisdale | 104 Rhoda Avenue, Fairfield, CT 06824 | Real Estate Salesperson | 2020-06-23 ~ 2021-05-31 |
| Szymlinska Eva Jucelin | 105 Churchill Street, Fairfield, CT 06824 | Licensed Practical Nurse | 2020-07-01 ~ 2021-06-30 |
| Afoofa, Inc · Afoofa | 298 South Benson Road, Fairfield, CT 06824 | Public Charity-exempt From Financial Requirements | 2020-06-25 ~ |
| Rachel Finlaw | 2546 North Benson Road, Fairfield, CT 06824 | Master's Level Social Worker | ~ |
| Find all Licenses in zip 06824 | |||
| City | FAIRFIELD |
| Zip Code | 06824 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + FAIRFIELD |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Leslie Coopersmith | 133 Scovill St. Ste. 101, Waterbury, CA 06706 | Physician/surgeon | ~ |
| Leslie P Beal Md | 40 Oakridge, Unionville, CT 06085-1472 | Physician/surgeon | 2019-04-01 ~ 2020-03-31 |
| Leslie Hsiung | 701 5th Ave Ste 2300, Seattle, WA 98104 | Physician/surgeon | 2019-12-01 ~ 2020-11-30 |
| Leslie Jacobsen Md | 45 Reservoir St, New Haven, CT 06511 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Leslie C Huff | 258 Main St Ste 208, Milford, MA 01757-2506 | Physician/surgeon | 2019-12-01 ~ 2020-11-30 |
| Leslie Donovan Md | 159 W Putnam Ave, Greenwich, CT 06830-5329 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Leslie M Israel | 8 Cerrito, Irvine, CA 92612 | Physician/surgeon | 2015-04-01 ~ 2016-03-31 |
| Leslie M. Rickey | 25 Alston Ave, New Haven, CT 06515-2702 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Leslie A. Oleksowicz | 11 Maywood Dr, Old Lyme, CT 06371-1544 | Physician/surgeon | 2014-04-01 ~ 2015-03-31 |
| Leslie Buckley | 129 York St#8k, New Haven, CT 06511 | Physician/surgeon | 2004-06-25 ~ 2005-05-31 |
Please comment or provide details below to improve the information on LESLIE R MILLER DO.
| 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).