LEONARD FLOM MD (Credential# 539040) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is November 1, 2018. The license expiration date date is October 31, 2019. The license status is INACTIVE.
LEONARD FLOM MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.008007. The credential type is physician/surgeon. The effective date is November 1, 2018. The expiration date is October 31, 2019. The business address is 40 Hamilton Court, Fairfield, CT 06824. The current status is inactive.
| Licensee Name | LEONARD FLOM MD |
| Credential ID | 539040 |
| Credential Number | 1.008007 |
| Credential Type | Physician/Surgeon |
| Business Address |
40 Hamilton Court Fairfield CT 06824 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 1955-10-10 |
| Effective Date | 2018-11-01 |
| Expiration Date | 2019-10-31 |
| Refresh Date | 2020-02-03 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 150881 | CSP.0005538 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 1999-03-02 | 2017-03-01 - 2019-02-28 | LAPSED |
| Street Address | 40 HAMILTON COURT |
| City | FAIRFIELD |
| State | CT |
| Zip Code | 06824 |
| 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 |
|---|---|---|---|
| Julie Dana Flom | 38 Norfield Woods Rd, Weston, CT 06883-2231 | Physician/surgeon | ~ |
| Laura S Flom · Elliott M Flom | 20 Carriage Dr, Colchester, CT 06415 | Real Estate Salesperson | 1997-06-01 ~ 1998-05-31 |
| Emily A Flom | 20 York St, New Haven, CT 06510 | Resident Physician | 2020-06-09 ~ 2021-06-30 |
| Leonard E Averill Md | P.o. Box 39, Pomfret, CT 06258 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Leonard F. Remia | Falmouth, MA 02540 | Physician/surgeon | 2012-12-01 ~ 2013-11-30 |
| Leonard D Lomax | 5 Canterbury Ct, Marlton, NJ 08053-2802 | Physician/surgeon | ~ |
| Leonard Lev | 55 Fawn Run, Glastonbury, CT 06033-4168 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Leonard Vinnick | 142 Foxwood Rd., Stamford, CT 06903 | Physician/surgeon | 2019-12-01 ~ 2020-11-30 |
| Leonard A Farber | 21 W Broadway, New York, NY 10007-2170 | Physician/surgeon | 2011-11-01 ~ 2013-10-31 |
| Leonard J Simon | 808 Bronxriver Rd, Bronxville, NY 10708 | Physician/surgeon | 1992-06-25 ~ 1993-06-30 |
Please comment or provide details below to improve the information on LEONARD FLOM MD.
| 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).