CARLA E MCLEOD MD (Credential# 560019) 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.
CARLA E MCLEOD MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.042437. The credential type is physician/surgeon. The effective date is May 1, 2020. The expiration date is April 30, 2021. The business address is 49 Crescent Street, Middletown, CT 06457. The current status is active.
Licensee Name | CARLA E MCLEOD MD |
Credential ID | 560019 |
Credential Number | 1.042437 |
Credential Type | Physician/Surgeon |
Business Address |
49 Crescent Street Middletown CT 06457 |
Business Type | INDIVIDUAL |
Status | ACTIVE - CURRENT |
Active | 1 |
Issue Date | 2004-05-12 |
Effective Date | 2020-05-01 |
Expiration Date | 2021-04-30 |
Refresh Date | 2020-06-08 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
374245 | CSP.0035204 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2004-06-24 | 2019-03-01 - 2021-02-28 | ACTIVE |
Street Address | 49 CRESCENT STREET |
City | MIDDLETOWN |
State | CT |
Zip Code | 06457 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Julie S Flagg | 49 Crescent Street, Middletown, CT 06457 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
Anne S Bingham | 49 Crescent Street, Middletown, CT 06457 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
Anne S Bingham Md | 49 Crescent Street, Middletown, CT 06457 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Julie Flagg Md | 49 Crescent Street, Middletown, CT 06457 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Karin L Witt | 49 Crescent Street, Middletown, CT 06457 | Controlled Substance Registration for Practitioner | 2005-03-01 ~ 2006-02-28 |
Lori B Hudson Md | 49 Crescent Street, Middletown, CT 06457 | Controlled Substance Registration for Practitioner | 2000-02-29 ~ 2001-02-28 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Elizabeth M Mailhot | 177 Timber Ridge Rd, Middletown, CT 06457 | Dental Hygienist | 2020-08-01 ~ 2021-07-31 |
Rebecca S Fennessy | 22 Keefe Ln, Middletown, CT 06457 | Licensed Clinical Social Worker | 2020-07-01 ~ 2021-06-30 |
Eloise M Gagnon | 538 Bow Lane, Middletown, CT 06457 | Hairdresser/cosmetician | 2020-08-01 ~ 2022-07-31 |
Salvatore Dimauro | 245 Dekoven Dr, Middletown, CT 06457 | Public Weigher | 2020-07-01 ~ 2021-06-30 |
Frank L Wright | 261 Spencer Dr, Middletown, CT 06457 | Barber | 2020-08-01 ~ 2022-07-31 |
Gino A Cardella | 50 Sonoma Lane, Middletown, CT 06457 | Real Estate Salesperson | ~ |
Shannon Lee Mcquillan | 5 Forest Glen Circle, Middletown, CT 06457 | Registered Nurse | 2020-06-26 ~ 2020-09-30 |
Lori Dimauro · Carta | 244 Chamberlain Hill Road, Middletown, CT 06457 | Hairdresser/cosmetician | 2020-09-01 ~ 2022-08-31 |
Gail A Corrow | 85 Dora Dr, Middletown, CT 06457 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
Mariter V Perez | 8 Moss Glen, Middletown, CT 06457 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
Find all Licenses in zip 06457 |
City | MIDDLETOWN |
Zip Code | 06457 |
License Type | Physician/Surgeon |
License Type + County | Physician/Surgeon + MIDDLETOWN |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Brian S Mcleod | 584 Norwich Road, Plainfiled, CT 06374 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
Kyle B Mcleod Md | 4200 Hannahs Cr0ssing, Evan, GA 30809 | Physician/surgeon | 2005-02-15 ~ 2006-02-28 |
Ryan Adam Silvera | 2309 Mcleod Ave, Edinburg, TX 78539-0113 | Physician/surgeon | 2020-04-13 ~ 2020-07-31 |
Carla Casulo | 211 Washington Ave, Hamden, CT 06518 | Physician/surgeon | 2007-08-06 ~ 2008-09-30 |
Carla R Sandberg | West Hartford, CT 06119 | Physician/surgeon | 2016-04-01 ~ 2017-03-31 |
Carla Gergi Sawan | Apartment 5g, New York, NY 10128 | Physician/surgeon | ~ |
Carla B Marienfeld Md | 47 Squire Ln, Hamden, CT 06518-1417 | Physician/surgeon | 2016-04-01 ~ 2017-03-31 |
Carla Desantis Md | 170 Hazard Ave, Enfield, CT 06082-4520 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
Carla S Rothaus | 22 Berkeley Rd, Westport, CT 06880 | Physician/surgeon | 1999-06-08 ~ 2000-07-31 |
Carla R Gunn | 388 West Center St, Manchester, CT 06040 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
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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).