LEE TRACY SILVA (Credential# 556335) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is May 1, 2020. The license expiration date date is April 30, 2021. The license status is ACTIVE.
LEE TRACY SILVA is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.038747. The credential type is physician/surgeon. The effective date is May 1, 2020. The expiration date is April 30, 2021. The business address is 1275 Summer St Ste 105, Stamford, CT 06905-5315. The current status is active.
| Licensee Name | LEE TRACY SILVA |
| Credential ID | 556335 |
| Credential Number | 1.038747 |
| Credential Type | Physician/Surgeon |
| Business Address |
1275 Summer St Ste 105 Stamford CT 06905-5315 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2000-06-16 |
| Effective Date | 2020-05-01 |
| Expiration Date | 2021-04-30 |
| Refresh Date | 2020-05-12 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 238395 | CSP.0029871 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2000-07-25 | 2019-03-01 - 2021-02-28 | ACTIVE |
| Street Address | 1275 SUMMER ST STE 105 |
| City | STAMFORD |
| State | CT |
| Zip Code | 06905-5315 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Jennifer Strom | 1275 Summer St Ste 204, Stamford, CT 06905-5315 | Marital and Family Therapist Associate | 2020-06-23 ~ 2022-06-23 |
| Tulin Koparan Md | 1275 Summer St Ste 300a, Stamford, CT 06905-5315 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Paul Lindner Md | 1275 Summer St Ste A2, Stamford, CT 06905-5315 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Peter Siroka | 1275 Summer St Ste 106, Stamford, CT 06905-5315 | Podiatrist | 2020-04-01 ~ 2021-03-31 |
| The Eyeglass Store LLC | 1275 Summer St Ste 200, Stamford, CT 06905-5315 | Optical Selling Permit | 2010-05-12 ~ 2011-08-31 |
| Emily G Dowe | 1275 Summer St Ste 101, Stamford, CT 06905-5315 | Physician Assistant | 2014-07-01 ~ 2015-06-30 |
| Heather Larson Md | 1275 Summer St Ste 301, Stamford, CT 06905-5315 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
| Alexandra Deblasio Bonesho Md | 1275 Summer St Ste 301, Stamford, CT 06905-5315 | Controlled Substance Registration for Practitioner | 2007-03-01 ~ 2008-02-29 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Wanjun Xiao | 603, Stamford, CT 06905 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Karina E Lidums | 90 Ken Court, Stamford, CT 06905 | Real Estate Salesperson | 2020-06-26 ~ 2021-05-31 |
| Julie E Geiser Aprn | 94 Hirsch Rd, Stamford, CT 06905 | Advanced Practice Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Jason R Teitelbaum | 66 Dann Drive, Stamford, CT 06905 | Notary Public Appointment | 2020-08-01 ~ 2025-07-31 |
| Iliana Nikolova | 106 Oaklawn Ave, Stamford, CT 06905 | Notary Public Appointment | 2020-07-01 ~ 2025-06-30 |
| Grade A Market | 563 New Field Ave, Stamford, CT 06905 | Bakery | 2020-07-01 ~ 2021-06-30 |
| Valerie Ann Legrone | 146 Cold Spring Road Unit 12, Stamford, CT 06905 | Advanced Practice Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Liang Shan | 142-37 38 Ave, Flushing, NY 06905 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Peter C Hart | 160 Bridge St, Stamford, CT 06905 | Architect | 2020-08-01 ~ 2021-07-31 |
| Anthony Masciarelli | 31 Bradley Place, Stamford, CT 06905 | Architect | 2020-08-01 ~ 2021-07-31 |
| Find all Licenses in zip 06905 | |||
| City | STAMFORD |
| Zip Code | 06905 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + STAMFORD |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Cynthia J Silva | 143 Gina Ln, Guilford, CT 06437-1381 | Physician/surgeon | 2019-12-01 ~ 2020-11-30 |
| Cicero Silva | Po Box 208042, New Haven, CT 06520-8042 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
| Enrique J Tello Silva Md | 60 Washington Ave Ste 304, Hamden, CT 06518-3273 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
| Roberto Silva Amado | 52 Cabral Cir, Stoughton, MA 02072-3553 | Physician/surgeon | 2020-04-01 ~ 2021-04-30 |
| Naomi N. Silva | 103 Walbridge Rd, West Hartford, CT 06119-1160 | Physician/surgeon | 2010-06-30 ~ 2011-06-30 |
| Sarma S Jayanthi Md | 34 Silva Terrace, Oxford, CT 06478 | Physician/surgeon | 2020-02-01 ~ 2021-01-31 |
| Jorge E. Silva | 2 Ariel Court, Mystic, CT 06355 | Physician/surgeon | 2014-07-01 ~ 2015-06-30 |
| Gastao C Silva | Joaquim Nabuco 1125, Maringa, 87014100 | Physician/surgeon | 2008-01-10 ~ 2008-09-30 |
| Joseph M Silva Md | 31440 John R Rd#225, Madison Heights, MI 06483 | Physician/surgeon | 2003-08-27 ~ 2004-08-31 |
| Hernan R Silva Md | 5 King Arthur Ct, North Haven, CT 06473-1043 | Physician/surgeon | 2010-06-01 ~ 2011-05-31 |
Please comment or provide details below to improve the information on LEE TRACY SILVA.
| 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).