LEO I STEMP MD (Credential# 560554) 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 APPROVED.
LEO I STEMP MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.042972. The credential type is physician/surgeon. The effective date is July 1, 2020. The expiration date is June 30, 2021. The business address is 16 Pine Hill Road, Easthampton, MA 01027. The current status is approved.
| Licensee Name | LEO I STEMP MD |
| Credential ID | 560554 |
| Credential Number | 1.042972 |
| Credential Type | Physician/Surgeon |
| Business Address |
16 Pine Hill Road Easthampton MA 01027 |
| Business Type | INDIVIDUAL |
| Status | APPROVED - CURRENT |
| Active | 1 |
| Issue Date | 2004-12-02 |
| Effective Date | 2020-07-01 |
| Expiration Date | 2021-06-30 |
| Refresh Date | 2020-06-24 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 392080 | CSP.0036869 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2004-12-15 | 2019-03-01 - 2021-02-28 | ACTIVE |
| Street Address | 16 Pine Hill Road |
| City | Easthampton |
| State | MA |
| Zip Code | 01027 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| William A Canon | 26 Ashley Circle, Easthampton, MA 01027 | Landscape Architect | 2019-02-05 ~ 2019-07-31 |
| Jo-anne Gaughan-cabral | 5 Wellington Circle, Easthampton, MA 01027 | Licensed Clinical Social Worker | 2020-06-01 ~ 2021-05-31 |
| Zachary J Montoya | 31 Hisgen Ave, East Hampton, MA 01027 | Casino Class I Employee | 2019-12-03 ~ 2020-10-31 |
| Kelli Montalvo-greene | 10 Golden Dr, Easthampton, MA 01027 | Licensed Practical Nurse | 2020-05-01 ~ 2021-04-30 |
| Karen A Lavallee-tente | 10 Taft Ave., Easthampton, MA 01027 | Massage Therapist | 2020-03-01 ~ 2022-02-28 |
| Allysson Lee Arcibal | 56 Adams Street, Easthampton, MA 01027 | Registered Nurse | 2020-04-01 ~ 2021-03-31 |
| Maureen J Mcginn | 11 Sandra Road, Easthampton, MA 01027 | Registered Nurse | 2020-03-01 ~ 2021-02-28 |
| David J Popielarczyk | 5 Chestnut St, Easthampton, MA 01027 | Professional Engineer | 2019-02-10 ~ 2020-01-31 |
| Jennifer R Day | 55 Knipfer Ave, East Hampton, MA 01027 | Hairdresser/cosmetician | 2020-03-01 ~ 2022-02-28 |
| Karen A Popielarczyk | 31 Pine Hill Road, East Hampton, MA 01027 | Dental Hygienist | 2020-03-01 ~ 2021-02-28 |
| Find all Licenses in zip 01027 | |||
| City | Easthampton |
| Zip Code | 01027 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + Easthampton |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Russell H Harris Md | Envision Physician Services, Horsham, PA 19044 | Physician/surgeon | 2019-09-01 ~ 2020-08-31 |
| Gilbert L Drozdow | Envision Physician Services, Plantation, FL 33322 | Physician/surgeon | 2019-10-01 ~ 2020-09-30 |
| Penny Lamhut Md | Genesis Physician Services, Windsor, CT 06098 | Physician/surgeon | 1999-07-15 ~ 2000-07-31 |
| Arnold R Kriegstein | College Physician, New York, NY 10032 | Physician/surgeon | 1993-04-23 ~ 1994-03-31 |
| John T Thompson | Physician Pavilion W, Towson, MD 21204 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Brent Robert Jacobson | Envision Physician Services, Dallas, TX 75240 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
| Catherine Nguyen Keegan | Envision Physician Services, Dallas, TX 75240 | Physician/surgeon | 2020-02-01 ~ 2021-01-31 |
| Nazanin Barzideh Md | North Shore Retina Physician, Pllc, East Hills, NY 11576 | Physician/surgeon | 2010-05-01 ~ 2011-04-30 |
| Barbara A Brandes Md | Danbury Office of Physician Services, Danbury, CT 06810 | Physician/surgeon | 2004-07-08 ~ 2005-07-31 |
| Susan J Batlan Md | Eye Physician Associates of Hartford, West Hartford, CT 06107 | Physician/surgeon | 2000-07-27 ~ 2001-07-31 |
Please comment or provide details below to improve the information on LEO I STEMP 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).