C LEROY W BENTHAM OD (Credential# 762864) is licensed (Optometrist) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2020. The license expiration date date is February 28, 2021. The license status is ACTIVE.
C LEROY W BENTHAM OD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #3.002213. The credential type is optometrist. The effective date is March 1, 2020. The expiration date is February 28, 2021. The business address is 1200 E 53 Street, Brooklyn, NY 11234. The current status is active.
| Licensee Name | C LEROY W BENTHAM OD |
| Credential ID | 762864 |
| Credential Number | 3.002213 |
| Credential Type | Optometrist |
| Business Address |
1200 E 53 Street Brooklyn NY 11234 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - PRIOR DISCIPLINE |
| Active | 1 |
| Issue Date | 1989-09-15 |
| Effective Date | 2020-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2020-01-31 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 915780 | CSP.0047274 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2010-05-12 | 2019-03-01 - 2021-02-28 | ACTIVE |
| Street Address | 1200 E 53 Street |
| City | BROOKLYN |
| State | NY |
| Zip Code | 11234 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Anaya Victoria Morales | 1487 E 37th Street, Brooklyn, NY 11234 | Nail Technician | ~ |
| Yevgeniy A Mekhtiyev | 1860 East 33rd St, Brooklyn, NY 11234 | Architect | 2020-08-01 ~ 2021-07-31 |
| Gabriel Kupfer | 2444 E63 Street, Brooklyn, NY 11234 | Emergency Medical Technician | ~ |
| Shelon Vanessa Gaul | 1272 East 36th Street, Brooklyn, NY 11234 | Master's Level Social Worker | 2020-07-01 ~ 2021-06-30 |
| Rauldon Oscar Boyce | 865 E 57th St Apt 1, Brooklyn, NY 11234 | Registered Nurse | 2020-03-31 ~ 2020-10-31 |
| Jie Zhu Zhu | 3703 Ave M, Brooklyn, NY 11234 | Casino Class I Employee | 2019-12-11 ~ 2020-10-31 |
| Sean M Crowley | 3017 Quentin Rd, Brooklyn, NY 11234 | Tax Preparer/facilitator Permit | 2020-02-12 ~ 2022-02-28 |
| Remedios M Tanquerido | 1885 E 2nd Floor 51st St, Brooklyn, NY 11234 | Registered Nurse | 2019-12-01 ~ 2020-11-30 |
| Wally Yu Hua Wu | 2063 East 34th Street, Brooklyn, NY 11234 | Master's Level Social Worker | 2020-02-01 ~ 2021-01-31 |
| Cassandra Ashley Hyppolite | 1156 East 72nd Street, Brooklyn, NY 11234 | Registered Nurse - Temporary | 2019-09-20 ~ 2020-01-18 |
| Find all Licenses in zip 11234 | |||
| City | BROOKLYN |
| Zip Code | 11234 |
| License Type | Optometrist |
| License Type + County | Optometrist + BROOKLYN |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Leroy A Carlini Od | 369 New Britain Rd, Kensington, CT 06037 | Optometrist | 2003-06-16 ~ 2004-07-31 |
| Melissa Rivera | 133 Bentham Rd #b, Groton, CT 06340 | Registered Nurse | ~ |
| Leroy G Talley · Leroy's Home Improvement | 179 Stevenson Rd, Fairfield, CT 06432 | Lead Abatement Supervisor | 2007-01-18 ~ 2007-12-31 |
| Garnette J.s. Weber | 314 Bentham Crescent, Saskatoon Sk, S7N3V4 | Physical Therapist | 1998-06-19 ~ 1999-06-30 |
| Leroy Moye · Leroy Moye Painting | 298 Wheeler Ave, Bridgeport, CT 06606 | Home Improvement Contractor | 2005-06-13 ~ 2005-11-30 |
| Leroy E. Renkert | 261 Main Street, Moosup, CT 06354 | Certified Public Accountant Firm Permit | 1996-01-01 ~ 1996-12-31 |
| Leroy A Sipe Bldg & Painting LLC | 2 Western View Rd, New Milford, CT 06776 | Home Improvement Contractor | 2012-12-01 ~ 2013-11-30 |
| Leroy Smith | 45 Wintonbury Avenue, Suite 215, Bloomfield, CT 06002 | Certified Public Accountant Firm Permit | 2020-01-01 ~ 2020-12-31 |
| Leroy Callender PC | 236 West 26th St, New York, NY 10001 | Professional Engineering Corporation | 1999-03-23 ~ 2000-03-18 |
| Leroy | Connecticut Brand Registration, Hartford, CT 06106 | Liquor Brand Label | 2017-06-28 ~ 2020-06-27 |
Please comment or provide details below to improve the information on C LEROY W BENTHAM OD.
| 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).