ERICA LIEBELT MD (Credential# 551561) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is June 27, 1996. The license expiration date date is August 31, 1997. The license status is INACTIVE.
ERICA LIEBELT MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.033962. The credential type is physician/surgeon. The effective date is June 27, 1996. The expiration date is August 31, 1997. The business address is 5 Mansfield Grove Rd Apt 144, East Haven, CT 06512-4812. The current status is inactive.
Licensee Name | ERICA LIEBELT MD |
Credential ID | 551561 |
Credential Number | 1.033962 |
Credential Type | Physician/Surgeon |
Business Address |
5 Mansfield Grove Rd Apt 144 East Haven CT 06512-4812 |
Business Type | INDIVIDUAL |
Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
Issue Date | 1994-08-05 |
Effective Date | 1996-06-27 |
Expiration Date | 1997-08-31 |
Refresh Date | 2009-07-11 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
161340 | CSP.0022475 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 1996-03-01 - 1997-02-28 | INACTIVE |
Street Address | 5 MANSFIELD GROVE RD APT 144 |
City | EAST HAVEN |
State | CT |
Zip Code | 06512-4812 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Robert Salerno | 5 Mansfield Grove Rd Apt 342, East Haven, CT 06512-4812 | Heating, Piping & Cooling Unlimited Contractor | 2019-09-01 ~ 2020-08-31 |
Sonia Massey | 5 Mansfield Grove Rd Apt 145, East Haven, CT 06512-4812 | Master's Level Social Worker | 2019-09-01 ~ 2020-08-31 |
Catherine M Swartz | 5 Mansfield Grove Rd Apt 345, East Haven, CT 06512-4812 | Real Estate Salesperson | 2008-06-01 ~ 2009-05-31 |
Amir Mohsenin | 5 Mansfield Grove Rd Apt 342, East Haven, CT 06512-4812 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
East Haven Police Union Local #1662 | Po Box 120033, East Haven, CT 06512 | Public Charity | 2019-06-01 ~ 2020-05-31 |
Danielle M Verderame | 66 Maple Street, East Haven, CT 06512 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
Judith M Lyon · Sousa | 440 Townsend Ave, New Haven, CT 06512 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
Toni Louise Montuori | 44 Francis St, East Haven, CT 06512 | Radiographer | 2020-07-01 ~ 2021-06-30 |
Marcos E Zambrano | 17 Morse Place, New Haven, CT 06512 | Real Estate Salesperson | ~ |
Nha H Lam | 274 Chidsey Ave, East Haven, CT 06512 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-26 ~ 2021-07-31 |
Niraliben N Patel | 44 Columbus Ave, East Haven, CT 06512 | Esthetician | ~ |
Alyssa C Zordan | 65 Francis Street, East Haven, CT 06512 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
Gomes Cleaning & Painting LLC | 296 Burr St, New Haven, CT 06512 | Home Improvement Contractor | 2020-06-18 ~ 2020-11-30 |
Keith Bouve · Residential Restorations | 99 Prospect Rd, East Haven, CT 06512 | Home Improvement Contractor | 2020-06-24 ~ 2020-11-30 |
Find all Licenses in zip 06512 |
City | EAST HAVEN |
Zip Code | 06512 |
License Type | Physician/Surgeon |
License Type + County | Physician/Surgeon + EAST HAVEN |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Erica M Loutsch Md | 341 Valley Rd, Cos-cob, CT 06807 | Physician/surgeon | 2005-12-20 ~ 2007-01-31 |
Erica S Hammer | 85 Jefferson Ave Ste 625, Hartford, CT 06102 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
Erica E Jost Md | 12 Roosevelt Ave, Mystic, CT 06335 | Physician/surgeon | 2005-11-01 ~ 2006-10-31 |
Erica J Kesselman Md | 73 Loyola Rd, Woodstock, CT 06281 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
Joseph P Noonan | 20 Erica Ln, Wolcott, CT 06716-1402 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
Erica J Martinucci Md | 347 Bethmour Rd, Bethany, CT 06524-3358 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
Erica D Engelstein | 8681 Jaffa Ct. E. Dr, Indianapolis, IN 46260 | Physician/surgeon | 1995-07-26 ~ 1996-09-30 |
Erica Brooke Smith | 211 S. Main St, Middletown, CT 06457 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
Erica Weiss | 4 Partridge Crossing, Hamden, CT 06514 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
Erica Dale Goldberger | 18 Beaver Pond Rd, South Salem, NY 10590-2027 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
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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).