LEILA LAITMAN MD
Physician/surgeon


Address: 17 Barstow Rd, Great Neck, NY 11021

LEILA LAITMAN MD (Credential# 921104) is licensed (Physician/surgeon) 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.

Business Overview

LEILA LAITMAN MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.048687. The credential type is physician/surgeon. The effective date is March 1, 2020. The expiration date is February 28, 2021. The business address is 17 Barstow Rd, Great Neck, NY 11021. The current status is active.

Basic Information

Licensee Name LEILA LAITMAN MD
Credential ID 921104
Credential Number 1.048687
Credential Type Physician/Surgeon
Business Address 17 Barstow Rd
Great Neck
NY 11021
Business Type INDIVIDUAL
Status ACTIVE - CURRENT
Active 1
Issue Date 2010-04-28
Effective Date 2020-03-01
Expiration Date 2021-02-28
Refresh Date 2020-02-27

Other licenses

ID Credential Code Credential Type Issue Term Status
927179 CSP.0047598 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 2010-05-13 2017-03-01 - 2019-02-28 LAPSED

Office Location

Street Address 17 Barstow Rd
City Great Neck
State NY
Zip Code 11021

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Competitor

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City Great Neck
Zip Code 11021
License Type Physician/Surgeon
License Type + County Physician/Surgeon + Great Neck

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Dataset Information

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).

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