DAVID LEAKE PA (Credential# 741780) is licensed (Physician Assistant) with Connecticut Department of Consumer Protection. The license effective date is April 1, 2016. The license expiration date date is March 31, 2017. The license status is INACTIVE.
DAVID LEAKE PA is licensed with the Department of Consumer Protection of Connecticut. The credential number is #23.000031. The credential type is physician assistant. The effective date is April 1, 2016. The expiration date is March 31, 2017. The business address is 151 Durham Rd, Guilford, CT 06437. The current status is inactive.
| Licensee Name | DAVID LEAKE PA |
| Credential ID | 741780 |
| Credential Number | 23.000031 |
| Credential Type | Physician Assistant |
| Business Address |
151 Durham Rd Guilford CT 06437 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 1993-06-25 |
| Effective Date | 2016-04-01 |
| Expiration Date | 2017-03-31 |
| Refresh Date | 2017-07-04 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 161696 | CSP.0021587 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2015-03-01 - 2017-02-28 | INACTIVE |
| Street Address | 151 DURHAM RD |
| City | GUILFORD |
| State | CT |
| Zip Code | 06437 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Jane E Olsen | Po Box 601, Guilford, CT 06437 | Real Estate Salesperson | 2020-06-27 ~ 2021-05-31 |
| Alanna Munzenmaier | 81 Saw Mill Rd, Guilford, CT 06437 | Veterinarian | 2020-07-01 ~ 2021-06-30 |
| Sandra L Lion | 84 Granite Road, Guilford, CT 06437 | Notary Public Appointment | 2020-08-01 ~ 2025-07-31 |
| Nimet H Memik-moavero | 110 Cherry Street, Guilford, CT 06437 | Real Estate Salesperson | ~ |
| Jacklyn Nicole Basilicato | 345 Saw Mill Road, Guilford, CT 06437 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Alissa Bailey | 5 Streamview Circle, Guilford, CT 06437 | Notary Public Appointment | 2020-09-01 ~ 2025-08-31 |
| The Marketplace Emporia LLC · The Marketplace Emporia, LLC | 77-79 Whitfield Street, Guilford, CT 06437 | Bakery | 2020-07-01 ~ 2021-06-30 |
| Deborah Ackles | 46clear Lake Manor Road, Guilford, CT 06437 | Veterinarian | 2020-08-01 ~ 2021-07-31 |
| Bruce D Mccann | 200 State St, Guilford, CT 06437 | Architect | 2020-08-01 ~ 2021-07-31 |
| Stephanie J Jacobs | 130 Winthrop Rd, Guilford, CT 06437 | Real Estate Salesperson | 2020-06-25 ~ 2021-05-31 |
| Find all Licenses in zip 06437 | |||
| City | GUILFORD |
| Zip Code | 06437 |
| License Type | Physician Assistant |
| License Type + County | Physician Assistant + GUILFORD |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Norman Leake · Leake Builders | 18 Buckingham St, Oakville, CT 06779-1725 | Home Improvement Contractor | 2014-12-01 ~ 2015-11-30 |
| Russell P Leake · R Leake Builders | 25 Oniell Rd, Oxford, CT 06483 | Home Improvement Contractor | 2002-10-31 ~ 2002-11-30 |
| Leake Builders LLC | 151 Porter St, Watertown, CT 06795-2213 | New Home Construction Contractor | ~ |
| Leake & Nelson Co | 555 Bostwick Ave, Bridgeport, CT 06605 | Demolition Contractor | 1986-10-01 ~ 1987-09-30 |
| Leake Builders LLC | 25 Oneil Rd, Oxford, CT 06478-1532 | Home Improvement Contractor | 2019-12-01 ~ 2020-11-30 |
| Ball Baker Leake LLP | 122 East 42 Street, Ste 810, Falmouth, ME 041057 | Certified Public Accountant Firm Permit | 2015-01-01 ~ 2015-12-31 |
| David T. Magnussen | 163 Oak St, Southington, CT 06489-3218 | Physician Assistant | 2015-07-01 ~ 2016-06-30 |
| David Malchman Pa | Po Box 372, N Stonington, CT 06359 | Physician Assistant | 2020-06-01 ~ 2021-05-31 |
| David M Lang | 197 Oak Ave., Cheshire, CT 06410 | Physician Assistant | 2004-03-16 ~ 2005-05-31 |
| David Antignani | 180 Patricia Dr, Stratford, CT 06614 | Physician Assistant | 2020-04-01 ~ 2021-03-31 |
Please comment or provide details below to improve the information on DAVID LEAKE PA.
| 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).