ELI S LEVINE MD (Credential# 563873) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is January 1, 2016. The license expiration date date is December 31, 2016. The license status is INACTIVE.
ELI S LEVINE MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.046291. The credential type is physician/surgeon. The effective date is January 1, 2016. The expiration date is December 31, 2016. The business address is 224 Gleneagles Cir, Broussard, LA 70518. The current status is inactive.
| Licensee Name | ELI S LEVINE MD |
| Credential ID | 563873 |
| Credential Number | 1.046291 |
| Credential Type | Physician/Surgeon |
| Business Address |
224 Gleneagles Cir Broussard LA 70518 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 2008-03-10 |
| Effective Date | 2016-01-01 |
| Expiration Date | 2016-12-31 |
| Refresh Date | 2017-04-05 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 501122 | CSP.0043406 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2008-05-01 | 2009-03-01 - 2011-02-28 | INACTIVE |
| Street Address | 224 Gleneagles Cir |
| City | Broussard |
| State | LA |
| Zip Code | 70518 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Norman G Holmes | 107 Rue Pappillon, Broussard, LA 70518 | Certified Public Accountant Certificate | ~ |
| Jessica T Daigle | 201 Pear Tree Circle, Broussard, LA 70518 | Registered Nurse | 2001-07-13 ~ 2002-07-31 |
| Elva Natasha Ross | 231 Saint Nazaire Rd Apt 1320, Broussard, LA 70518-4235 | Registered Nurse | 2020-04-28 ~ 2021-01-31 |
| City | Broussard |
| Zip Code | 70518 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + Broussard |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Alyson Levine | 9 Ann Lane, Rye, NY 10580 | Physician/surgeon | 2019-07-01 ~ 2020-06-30 |
| Amir Levine Md | 993 Amsterdam Ave., New York, NY 10025 | Physician/surgeon | 2010-04-01 ~ 2011-03-31 |
| Herbert Levine Md | 32 Washington St, Middletown, CT 06457 | Physician/surgeon | 1998-09-28 ~ 1999-09-30 |
| Jedd F Levine Md | 84 Prospect St, Litchfield, CT 06759 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Julius E Levine | 125 Kohary Dr, New Haven, CT 06515 | Physician/surgeon | 1989-12-19 ~ 1990-08-28 |
| Abraham I Levine | 26 Wilson Ave, Rowayton, CT 06853 | Physician/surgeon | 1996-10-01 ~ 1997-10-31 |
| Jonathan L Levine Md | 4 Shaws Cv Ste 204, New London, CT 06320-4956 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Daniel W Levine | 19 Meadowlark Rd Fl 3, Rye Brook, NY 10573-1209 | Physician/surgeon | 2016-01-27 ~ 2016-07-31 |
| Levine & Levine Co Inc | 120 Lebanon Ave, Colchester, CT 06415 | Closing Out Sale | 1996-08-22 ~ 1996-11-22 |
| Jack E Levine | 6 Nancy Lane, Chappaqua, NY 10514 | Physician/surgeon | 2003-03-06 ~ 2004-04-30 |
Please comment or provide details below to improve the information on ELI S LEVINE 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).