DAVID LEITENBERG
Physician/surgeon


Address: 154 Spencer Ave, Guilford, CT 06437

DAVID LEITENBERG (Credential# 550802) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is September 21, 2000. The license expiration date date is September 30, 2001. The license status is INACTIVE.

Business Overview

DAVID LEITENBERG is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.033203. The credential type is physician/surgeon. The effective date is September 21, 2000. The expiration date is September 30, 2001. The business address is 154 Spencer Ave, Guilford, CT 06437. The current status is inactive.

Basic Information

Licensee Name DAVID LEITENBERG
Credential ID 550802
Credential Number 1.033203
Credential Type Physician/Surgeon
Business Address 154 Spencer Ave
Guilford
CT 06437
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 1993-07-30
Effective Date 2000-09-21
Expiration Date 2001-09-30
Refresh Date 2009-07-08

Other licenses

ID Credential Code Credential Type Issue Term Status
163920 CSP.0023142 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 1995-05-11 - 1996-02-28 INACTIVE

Office Location

Street Address 154 SPENCER AVE
City GUILFORD
State CT
Zip Code 06437

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Competitor

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City GUILFORD
Zip Code 06437
License Type Physician/Surgeon
License Type + County Physician/Surgeon + GUILFORD

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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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