LORI SLEZAK MD (Credential# 554122) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is November 2, 1999. The license expiration date date is December 31, 2000. The license status is INACTIVE.
LORI SLEZAK MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.036531. The credential type is physician/surgeon. The effective date is November 2, 1999. The expiration date is December 31, 2000. The business address is 371 Fountain Street, New Haven, CT 06515. The current status is inactive.
| Licensee Name | LORI SLEZAK MD |
| Credential ID | 554122 |
| Credential Number | 1.036531 |
| Credential Type | Physician/Surgeon |
| Business Address |
371 Fountain Street New Haven CT 06515 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 1997-12-12 |
| Effective Date | 1999-11-02 |
| Expiration Date | 2000-12-31 |
| Refresh Date | 2009-07-11 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 191473 | CSP.0026492 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 1998-03-18 - 1999-02-28 | INACTIVE |
| Street Address | 371 FOUNTAIN STREET |
| City | NEW HAVEN |
| State | CT |
| Zip Code | 06515 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Lakiya D Nichols | 114 Davis Street, New Haven, CT 06515 | Radiographer | 2020-07-01 ~ 2021-06-30 |
| Danielle E Guadalupe | 30 Whittier Road, New Haven, CT 06515 | Master's Level Social Worker | 2020-07-01 ~ 2021-06-30 |
| Mcdonald's | 1094 Whalley Ave, New Haven, CT 06515 | Bakery | 2020-07-01 ~ 2021-06-30 |
| Hilda Rocio Sanango | 86 Springside Av, New Haven, CT 06515 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Manuel Francisco Cabrera | 86 Springside Av Apt D5, New Haven, CT 06515 | Nail Technician | ~ |
| Arthur L Sanders | 2001 Chapel St, New Haven, CT 06515 | Architect | 2020-08-01 ~ 2021-07-31 |
| Athan Construction LLC | 243 West Elm St, New Haven, CT 06515 | Home Improvement Contractor | 2020-06-25 ~ 2020-11-30 |
| Jessica L Feinleib | 72 Barnett, New Haven, CT 06515 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Joyce A Gambrell-jones | 241 Alden Ave, New Haven, CT 06515 | Registered Nurse | 2020-06-01 ~ 2021-05-31 |
| Charmaine Waller | 110 Harper Ave, New Haven, CT 06515 | Licensed Practical Nurse | ~ |
| Find all Licenses in zip 06515 | |||
| City | NEW HAVEN |
| Zip Code | 06515 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + NEW HAVEN |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Lori B Garris Md | Danbury, CT 06810 | Physician/surgeon | 2008-03-06 ~ 2009-01-31 |
| Lori L Greenwald | 1 Barnard Ln, Bloomfield, CT 06002-2481 | Physician/surgeon | 2019-09-01 ~ 2020-08-31 |
| Lori H Kwan Md | 39 Cavalry Rd, Weston, CT 06883-2939 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Lori Ann C Oliver | 333 Cedar St, New Haven, CT 06510-3206 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
| Lori Storch Smith Md | 156 Kings Hwy N Ste 3, Westport, CT 06880-2400 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Lori C Stetz Md | 6 Crosstrees Hill Rd, Essex, CT 06426 | Physician/surgeon | 2019-10-01 ~ 2020-09-30 |
| Lori A Bastian | 139 Morningside Drive, Milford, CT 06460 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Lori Blauwet | Mayo Clinic, Rochester, MN 55905-0001 | Physician/surgeon | 2020-01-01 ~ 2020-12-31 |
| Lori A Volles | 67 Sterling Hill Rd, Lyme, CT 06371 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| David Paul Bick | 25 Lori Ln, Meriden, CT 06450-3574 | Physician/surgeon | 1983-07-13 ~ 1988-05-31 |
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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).