LEONARD STERN MD (Credential# 543598) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is May 1, 2020. The license expiration date date is April 30, 2021. The license status is ACTIVE.
LEONARD STERN MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.021154. The credential type is physician/surgeon. The effective date is May 1, 2020. The expiration date is April 30, 2021. The business address is 16 Bushy Ridge Rd, Westport, CT 06880. The current status is active.
| Licensee Name | LEONARD STERN MD |
| Credential ID | 543598 |
| Credential Number | 1.021154 |
| Credential Type | Physician/Surgeon |
| Business Address |
16 Bushy Ridge Rd Westport CT 06880 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 1979-04-04 |
| Effective Date | 2020-05-01 |
| Expiration Date | 2021-04-30 |
| Refresh Date | 2020-02-10 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 147441 | CSP.0008828 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 1999-03-01 | 2019-03-01 - 2021-02-28 | ACTIVE |
| Street Address | 16 BUSHY RIDGE RD |
| City | WESTPORT |
| State | CT |
| Zip Code | 06880 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Joan F Poll Md | 16 Bushy Ridge Rd, Westport, CT 06880 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Toni L Bucker | 4 Wild Rose Rd, Westport, CT 06880 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Jee Hyun Kim | 1 Allen Lane, Westport, CT 06880 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-26 ~ 2021-07-31 |
| Donna Vaccarella | 15 Keyser Rd, Westport, CT 06880 | Hairdresser/cosmetician | 2020-09-01 ~ 2022-08-31 |
| Sandra Gibson | 12 Bayberry Ln, Westport, CT 06880 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Adil Salam Md | 44 Crawford Rd, Westport, CT 06880 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Joanne C Sosnoski | 24 Hawatha Lane, Westport, CT 06880 | Dental Hygienist | 2020-08-01 ~ 2021-07-31 |
| Rachel Lynn | 495 Post Rd East, Westport, CT 06880 | Eyelash Technician | ~ |
| Beginnings: An Infant/toddler Program | 71 Hillandale Road, Westport, CT 06880 | Group Child Care Home | 2018-01-01 ~ 2021-12-31 |
| Shelley S Ross | 28 Old Hill Farms Rd, Westport, CT 06880 | Dietitian/nutritionist | 2020-08-01 ~ 2021-07-31 |
| Robert W Van Summern | 279 Wilton Rd, Westport, CT 06880 | Architect | 2020-08-01 ~ 2021-07-31 |
| Find all Licenses in zip 06880 | |||
| City | WESTPORT |
| Zip Code | 06880 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + WESTPORT |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Aaron Stern | 53 Dingletown Rd, Greenwich, CT 06830 | Physician/surgeon | 2014-04-01 ~ 2015-03-31 |
| Harold Stern | 78 Ansonia Rd, Woodbridge, CT 06525-2502 | Physician/surgeon | 2009-04-16 ~ 2010-04-30 |
| Henry J Stern | 72 Roby Drive, Rochester, NY 14618 | Physician/surgeon | 1994-12-19 ~ 1996-02-29 |
| Peter Stern | 60 Ackerman Drive, Mahwah, NJ 07430 | Physician/surgeon | 2001-01-29 ~ 2002-02-28 |
| Jeffrey Stern | 2009 Summer St, Stamford, CT 06905-5023 | Physician/surgeon | 2020-03-09 ~ 2021-03-31 |
| Robert G Stern | 1245 Park Ave, New York, NY 10128 | Physician/surgeon | 1994-03-25 ~ 1995-05-31 |
| Sandra P Boltax-stern | 78 Ansonia Rd, Woodbridge, CT 06525 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Bernard Stern | 3128 Palisade Ave, Riverdale, NY 10463 | Physician/surgeon | 1995-05-22 ~ 1996-05-31 |
| Rohan A Stern | 72 Cook Hill Rd, Windsor, CT 06095-3153 | Physician/surgeon | 2013-07-01 ~ 2014-06-30 |
| Jeffrey T Stern Md | 51 Depot Street Ste #201, Watertown, CT 06795 | Physician/surgeon | 2018-09-01 ~ 2019-08-31 |
Please comment or provide details below to improve the information on LEONARD STERN 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).