LESLIE DONOVAN MD (Credential# 554282) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is July 1, 2020. The license expiration date date is June 30, 2021. The license status is ACTIVE.
LESLIE DONOVAN MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.036691. The credential type is physician/surgeon. The effective date is July 1, 2020. The expiration date is June 30, 2021. The business address is 159 W Putnam Ave, Greenwich, CT 06830-5329. The current status is active.
Licensee Name | LESLIE DONOVAN MD |
Credential ID | 554282 |
Credential Number | 1.036691 |
Credential Type | Physician/Surgeon |
Business Address |
159 W Putnam Ave Greenwich CT 06830-5329 |
Business Type | INDIVIDUAL |
Status | ACTIVE - CURRENT |
Active | 1 |
Issue Date | 1998-03-13 |
Effective Date | 2020-07-01 |
Expiration Date | 2021-06-30 |
Refresh Date | 2020-05-26 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
195784 | CSP.0026751 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 1999-03-01 | 2019-03-01 - 2021-02-28 | ACTIVE |
Street Address | 159 W PUTNAM AVE |
City | GREENWICH |
State | CT |
Zip Code | 06830-5329 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Judith Goldberg-berman | 159 W Putnam Ave, Greenwich, CT 06830-5329 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Stop & Shop #616 | 161 W Putnam Ave, Greenwich, CT 06830-5329 | Non-alcoholic Beverage & Water Bottlers | 2020-07-01 ~ 2021-06-30 |
Jeb D Fiorita · Val's Putnam Wine & Liquor | 125 W Putnam Ave, Greenwich, CT 06830-5329 | Package Store Liquor | 2019-07-11 ~ 2020-07-10 |
Cosi | 127 W Putnam Ave # 139, Greenwich, CT 06830-5329 | Bakery | 2016-05-31 ~ 2016-06-30 |
Super Stop & Shop #616 | 161 W Putnam Ave, Greenwich, CT 06830-5329 | Retail Dairy Store | 2019-07-01 ~ 2021-06-30 |
Steven C Letterle · Stop & Shop Supermarket | 161 W Putnam Ave, Greenwich, CT 06830-5329 | Grocery Beer | 2019-10-23 ~ 2020-10-22 |
Sushi By Jay | 161 W Putnam Ave, Greenwich, CT 06830-5329 | Food Manufacturing Establishment | ~ |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Junior League of Greenwich Conn Inc. | 231 East Putnam Ave., Greenwich, CT 06830 | Public Charity | 2019-06-01 ~ 2020-05-31 |
Michelle Yoo | 35 Putnam Green, Greenwich, CT 06830 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-27 ~ 2022-01-31 |
Michele S Bergen | Greenwich Medical Building, Greenwich, CT 06830 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
Black Forest Pastry | 52 Lewis Street, Greenwich, CT 06830 | Bakery | 2020-07-01 ~ 2021-06-30 |
Maurasaca Pallchisaca Gloria Veronica | 103 Greenwich Ave, Greenwich, CT 06830 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
Deborah B Huffard | 107 Maple Ave, Greenwich, CT 06830 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
Joann H Alexander | 157 Stanwich Road, Greenwich, CT 06830 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
Dandan Tu | 24 Byfield Ln, Greenwich, CT 06830 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
Mohamed Akli Zetchi | 2 Perryridge Road, Greenwich, CT 06830 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
Gateway Classical Music Society Inc | 292 Stanwich Road, Greenwich, CT 06830 | Public Charity | 2020-12-01 ~ 2021-11-30 |
Find all Licenses in zip 06830 |
City | GREENWICH |
Zip Code | 06830 |
License Type | Physician/Surgeon |
License Type + County | Physician/Surgeon + GREENWICH |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Otto Walter | 19 Donovan Dr, Framingham, MA 01701-3112 | Physician/surgeon | 2012-03-01 ~ 2013-02-28 |
Thomas J Donovan Md | 403 West Center St Apt 102, Manchester, CT 06040 | Physician/surgeon | 2008-07-01 ~ 2009-07-31 |
Keiren D Smith · Donovan | 9 Wheatstone Rd, Madison, CT 06443 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
James F Donovan | 211 Farmcliff Drive, Glastonbury, CT 06033 | Physician/surgeon | 1993-09-23 ~ 1994-08-31 |
William D Donovan | Dept. of Diagnostic Imaging, Norwich, CT 06360 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
Donovan A Thompson | 4408 Lake Shore Rd N, Denver, NC 28037-9198 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
Leslie Coopersmith | 133 Scovill St. Ste. 101, Waterbury, CA 06706 | Physician/surgeon | ~ |
Leslie Buckley | 129 York St#8k, New Haven, CT 06511 | Physician/surgeon | 2004-06-25 ~ 2005-05-31 |
Leslie J Drake | 56 Wells St, Westerly, RI 02891 | Physician/surgeon | 1997-12-22 ~ 1999-02-28 |
Leslie J Fishbein | 11 Hatherly Rd, Brighton, MA 02135-4616 | Physician/surgeon | 1990-07-01 ~ 1992-02-28 |
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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).