STUART E LIEBLICH (Credential# 741651) is licensed (Dental Anesthesia/conscious Sedation Permit) 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.
STUART E LIEBLICH is licensed with the Department of Consumer Protection of Connecticut. The credential number is #22.006493. The credential type is dental anesthesia/conscious sedation permit. The effective date is May 1, 2020. The expiration date is April 30, 2021. The business address is 34 Dale Rd, Avon, CT 06001. The current status is active.
Licensee Name | STUART E LIEBLICH |
Credential ID | 741651 |
Credential Number | 22.006493 |
Credential Type | Dental Anesthesia/Conscious Sedation Permit |
Business Address |
34 Dale Rd Avon CT 06001 |
Business Type | INDIVIDUAL |
Status | ACTIVE - CURRENT |
Active | 1 |
Issue Date | 1988-04-01 |
Effective Date | 2020-05-01 |
Expiration Date | 2021-04-30 |
Refresh Date | 2020-02-11 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
148613 | CSP.0012387 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 1999-03-01 | 2019-03-01 - 2021-02-28 | ACTIVE |
701518 | 2.006493 | Dentist | 1984-06-09 | 2019-11-01 - 2020-10-31 | ACTIVE |
Street Address | 34 DALE RD |
City | AVON |
State | CT |
Zip Code | 06001 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Brian E Michael | 34 Dale Rd, Avon, CT 06001 | Physician/surgeon | 2003-05-12 ~ 2004-06-30 |
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 | Dental Anesthesia/Conscious Sedation Permit |
License Type + County | Dental Anesthesia/Conscious Sedation Permit + AVON |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Carlos R Ibanez Md | School of Dental Medicine/omfs-l7073, Farmington, CT 06030 | Dental Anesthesia/conscious Sedation Permit | 2008-05-16 ~ 2009-06-30 |
Steven W. Carney | 583 Saybrook Rd, Middletown, CT 06457-4718 | Dental Anesthesia/conscious Sedation Permit | 2020-07-01 ~ 2021-06-30 |
George A Murphy IIi | 110 Hopmeadow St, Weatogue, CT 06089-9407 | Dental Anesthesia/conscious Sedation Permit | 2020-06-01 ~ 2021-05-31 |
Garrick Alex | 23 Maple Ave, Greenwich, CT 06830-5620 | Dental Anesthesia/conscious Sedation Permit | 2020-05-20 ~ 2021-05-31 |
Ira N Slow Dmd | 1825 Barnum Ave, Stratford, CT 06614-5333 | Dental Anesthesia/conscious Sedation Permit | 2020-05-01 ~ 2021-04-30 |
Anthony P Tufaro | 501 Ocean Ave, New London, CT 06320 | Dental Anesthesia/conscious Sedation Permit | 1992-04-24 ~ 1993-04-30 |
Roger J Harris | 159 Ocean Ave, New London, CT 06320 | Dental Anesthesia/conscious Sedation Permit | 1997-05-27 ~ 1998-05-31 |
Stephen J Bosco | 1 Lake St, New Britain, CT 06052-1396 | Dental Anesthesia/conscious Sedation Permit | 2020-06-01 ~ 2021-05-31 |
Anthony Camillo | 107 Newtown Rd Ste 1a, Danbury, CT 06810-4151 | Dental Anesthesia/conscious Sedation Permit | 2020-06-01 ~ 2021-05-31 |
Robert M Yudell Md | 90 Morgan St Ste 207, Stamford, CT 06905-5436 | Dental Anesthesia/conscious Sedation Permit | 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).