LEENA DUTTA MD (Credential# 554731) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is October 25, 1999. The license expiration date date is December 31, 2000. The license status is INACTIVE.
LEENA DUTTA MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.037141. The credential type is physician/surgeon. The effective date is October 25, 1999. The expiration date is December 31, 2000. The business address is 2 Camille Lane, Canton, CT 06019. The current status is inactive.
| Licensee Name | LEENA DUTTA MD |
| Credential ID | 554731 |
| Credential Number | 1.037141 |
| Credential Type | Physician/Surgeon |
| Business Address |
2 Camille Lane Canton CT 06019 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 1998-07-31 |
| Effective Date | 1999-10-25 |
| Expiration Date | 2000-12-31 |
| Refresh Date | 2009-07-11 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 148558 | CSP.0027465 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 1999-04-13 - 2000-02-28 | INACTIVE |
| Street Address | 2 CAMILLE LANE |
| City | CANTON |
| State | CT |
| Zip Code | 06019 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Thomas W Smith | 2 Camille Lane, Canton, CT 06019 | Physician/surgeon | 1999-07-27 ~ 2000-07-31 |
| Thomas Smith Md | 2 Camille Lane, Canton, CT 06019 | Controlled Substance Registration for Practitioner | 1999-04-04 ~ 2000-02-28 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Laurie E Dunford | 483 Dowd Ave., Canton, CT 06019 | Licensed Clinical Social Worker | 2020-07-01 ~ 2021-06-30 |
| Christine M Jencik | 71 Cherrybrook Road, Canton, CT 06019 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Marie B Valley | P.o. Box 284, Canton, CT 06019 | Dental Hygienist | 2020-07-01 ~ 2021-06-30 |
| Stephen S Burgess | 275 Barbourtown Rd, Canton, CT 06019 | Architect | 2020-08-01 ~ 2021-07-31 |
| Lenore Quintal-bean | 26 North St, Collinsville, CT 06019 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Aubrey J Hoyt | 82 Lovely Street, Canton, CT 06019 | Radiographer | 2020-08-01 ~ 2021-07-31 |
| Julie Reed | 41 Wickhams Fancy, Collinsville, CT 06019 | Notary Public Appointment | 2020-08-01 ~ 2025-07-31 |
| Sylvia Dibiasi | 93 Cherry Brook Road, Canton, CT 06019 | Physical Therapist | 2020-08-01 ~ 2021-07-31 |
| Nora Baumgart | 60 Cherry Brook Rd, Canton, CT 06019 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Donald Tarinelli | 4 Center St, Collinsville, CT 06019 | Architect | 2020-08-01 ~ 2021-07-31 |
| Find all Licenses in zip 06019 | |||
| City | CANTON |
| Zip Code | 06019 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + CANTON |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Tanya Dutta | 12 Gatehouse Rd, Scarsdale, NY 10583-7536 | Physician/surgeon | 2014-11-25 ~ 2015-03-31 |
| Ritu Dutta Md | 500 Albany Ave, Hartford, CT 06120 | Physician/surgeon | 2014-10-01 ~ 2015-09-30 |
| Leena Davis Md | Royal Crest Apartment, Warwick, RI 02886 | Physician/surgeon | 1999-06-23 ~ 2000-06-30 |
| Anjali Dutta | 24 Hospital Ave, Danbury, CT 06810 | Resident Physician | 2016-06-20 ~ 2019-06-30 |
| Leena's Pizza | 1176 Fairfield Ave, Bridgeport, CT 06605-1118 | Bakery | 2014-07-01 ~ 2015-06-30 |
| Aswathy Leena Mathew | Aswathy Leena Mathew C/o Adventist Health Systems, Florida, FL 32714 | Registered Nurse | 2020-01-01 ~ 2020-12-31 |
| Russell J Dutta | 14 Fieldstone Dr, Storrs Mansfield, CT 06268-2572 | Engineer-in-training | 2012-10-16 ~ 2022-10-16 |
| Anjali Dutta | 20 South Rd, Bronxville, NY 10708 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Suparna Dutta Md | 23 Barnett St Apt C2, New Haven, CT 06515 | Controlled Substance Registration for Practitioner | 2008-07-31 ~ 2009-02-28 |
| Leena B Menon | 101 Stonewall Rd, Salem, CT 06420-4135 | Pharmacist | 2020-02-01 ~ 2022-01-31 |
Please comment or provide details below to improve the information on LEENA DUTTA 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).