JOHN E LEAVENS MD (Credential# 559919) 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.
JOHN E LEAVENS MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.042337. The credential type is physician/surgeon. The effective date is May 1, 2020. The expiration date is April 30, 2021. The business address is 16 Williamsburg Lane, Avon, CT 06001. The current status is active.
| Licensee Name | JOHN E LEAVENS MD |
| Credential ID | 559919 |
| Credential Number | 1.042337 |
| Credential Type | Physician/Surgeon |
| Business Address |
16 Williamsburg Lane Avon CT 06001 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2004-04-16 |
| Effective Date | 2020-05-01 |
| Expiration Date | 2021-04-30 |
| Refresh Date | 2020-03-04 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 369737 | CSP.0034890 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2004-05-19 | 2019-03-01 - 2021-02-28 | ACTIVE |
| Street Address | 16 Williamsburg Lane |
| City | Avon |
| State | CT |
| Zip Code | 06001 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Tadeusz A Skowron Md | 16 Williamsburg Lane, Avon, CT 06001 | Controlled Substance Registration for Practitioner | 2004-02-29 ~ 2005-02-28 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Julie R Deitch | 5 Bridle Path, Avon, CT 06001 | Dental Hygienist | 2020-07-01 ~ 2021-06-30 |
| Brigitte Nicole Heleniak | 16 Sunset Trail, Avon, CT 06001 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Coffee Trade Inc (the) | 21 West Main St, Avon, CT 06001 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Elizabeth Stockwell | 44 Applewood Lane, Avon, CT 06001 | Real Estate Salesperson | ~ |
| Mollie Velma Lahaie | 14 Red Mountain Lane, Avon, CT 06001 | Registered Nurse | 2020-06-26 ~ 2020-08-31 |
| Meiling Chen | Avon Nail 315 W Main Street, Avon, CT 06001 | Nail Technician | ~ |
| Richard J Kaiser | 72 Westland Road, Avon, CT 06001 | Architect | 2020-08-01 ~ 2021-07-31 |
| Michele L Sweitzer | 12 Bluestone Lane, Avon, CT 06001 | Real Estate Salesperson | 2020-06-25 ~ 2021-05-31 |
| Caroline O Amin | 5 Colby Way, Avon, CT 06001 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
| Christine Burns | 102 New Road, Avon, CT 06001 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Find all Licenses in zip 06001 | |||
| City | Avon |
| Zip Code | 06001 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + Avon |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| John T Thompson | Physician Pavilion W, Towson, MD 21204 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Mark Leavens | 386 Valley Rd, Fairfield, CT 06825 | Home Improvement Salesperson | 2009-12-01 ~ 2010-11-30 |
| Tyler Leavens | 386 Valley Rd, Fairfield, CT 06825-1243 | Home Improvement Contractor | 2011-03-15 ~ 2011-11-30 |
| Patricia W Leavens | 107 Highland Road, Mansfield, CT 06250 | Notary Public Appointment | 2013-09-01 ~ 2018-08-31 |
| Suzanne Leavens | 120 Holcomb Street, Hartford, CT 06112-1589 | Medication Administration Certification | 2014-03-24 ~ 2016-03-23 |
| John S Kennedy | Psc 836 Box 56 | Physician/surgeon | 2002-03-19 ~ 2002-12-31 |
| John C Radford | Po Box 248, Ellicottville, NY 14731-0248 | Physician/surgeon | ~ |
| John F. Whitney | R-5l, Albany, NY 12211 | Physician/surgeon | 2012-09-01 ~ 2013-08-31 |
| John C Daniels | Po Box 788, Pawling, NY 12564 | Physician/surgeon | 1999-05-06 ~ 2000-05-31 |
| John T Rigney | Po Box 252, Chappaqua, NY 10514 | Physician/surgeon | 1998-09-17 ~ 1999-09-30 |
Please comment or provide details below to improve the information on JOHN E LEAVENS 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).