LEYNA BAUTISTA MD (Credential# 937747) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2013. The license expiration date date is February 28, 2015. The license status is INACTIVE.
LEYNA BAUTISTA MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0047857. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2013. The expiration date is February 28, 2015. The business address is 22 Liberty Ave Apt 2, Somerville, MA 02144. The current status is inactive.
| Licensee Name | LEYNA BAUTISTA MD |
| Credential ID | 937747 |
| Credential Number | CSP.0047857 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
22 Liberty Ave Apt 2 Somerville MA 02144 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE |
| Issue Date | 2010-07-01 |
| Effective Date | 2013-03-01 |
| Expiration Date | 2015-02-28 |
| Refresh Date | 2016-01-29 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 912520 | 1.048486 | Physician/Surgeon | 2010-03-02 | 2013-12-01 - 2014-11-30 | INACTIVE |
| Street Address | 22 Liberty Ave Apt 2 |
| City | Somerville |
| State | MA |
| Zip Code | 02144 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Marc A Maxwell | 20 Windom St, Somerville, MA 02144 | Architect | 2020-08-01 ~ 2021-07-31 |
| Philip Loheed | 1310 Broadway Suite #103, Somerville, MA 02144 | Architect | 2018-08-01 ~ 2019-07-31 |
| Chelsea E Heneghan | 25 Jay Street, Somerville, MA 02144 | Registered Nurse | 2020-03-01 ~ 2021-02-28 |
| Susan C Jacob | 36 College Avenue, Somerville, MA 02144 | Pharmacist | 2020-02-01 ~ 2022-01-31 |
| Nicole M Hopper | 1049 Broadway, Somerville, MA 02144 | Registered Nurse | 2020-01-01 ~ 2020-12-31 |
| Thomas A Hill | 11 Bay State Ave, Somerville, MA 02144 | Certified Public Accountant License | 2020-01-01 ~ 2020-12-31 |
| Richard C Burck Jr | 7 Davis Sq, Somerville, MA 02144 | Landscape Architect | 2019-08-01 ~ 2020-07-31 |
| Jean C Carroon | 74 Powderhouse Blvd, Somerville, MA 02144 | Architect | 2019-08-01 ~ 2020-07-31 |
| Hilary Buskirk | 164 Willow Avenue, Somerville, MA 02144 | Landscape Architect | 2019-08-01 ~ 2020-07-31 |
| Patrick O'riordan | 65 Lexington Ave, Somerville, MA 02144 | Home Improvement Salesperson | 2006-12-01 ~ 2007-11-30 |
| Find all Licenses in zip 02144 | |||
| City | Somerville |
| Zip Code | 02144 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + Somerville |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Erleine F Bautista | 30 Crosby St Apt 410, Danbury, CT 06810-5163 | Controlled Substance Registration for Practitioner | ~ |
| Alejandro Andres Bautista | 481 Maple Ave, Cheshire, CT 06410-2166 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Jennifer P Bautista | 4 Westview Drive, Bloomfield, CT 06002 | Controlled Substance Registration for Practitioner | 2010-07-26 ~ 2011-02-28 |
| Joseph Ryan Ventura Bautista | 363 Elvin St, Staten Island, NY 10314-5201 | Controlled Substance Registration for Practitioner | 2020-06-03 ~ 2021-02-28 |
| Steven Kassels Md · Community Substance Abuse Center | Comm. Physicians PC/125 North Elm Street, Westfield, MA 01085 | Controlled Substance Registration for Practitioner | 2018-06-15 ~ 2019-02-28 |
| Tupinier Bautista Mercurey Vv | Connecticut Brand Registration, Hartford, CT 06103 | Liquor Brand Label | 2018-07-02 ~ 2021-07-01 |
| Shu-i Lin | CT | Controlled Substance Registration for Practitioner | 2017-06-12 ~ 2019-02-28 |
| Tupinier Bautista Red Clos Du Roy Mercurey | Connecticut Brand Registration, Hartford, CT 06106 | Liquor Brand Label | 2019-03-13 ~ 2022-03-12 |
| Mercurey 1er En Sazenay Dom Tupinier Bautista | Connecticut Brand Registration, Hartford, CT 06106 | Liquor Brand Label | 2003-11-21 ~ 2006-11-20 |
| Tupinier Bautista Mercurey Sazenay 1 Er Bl | Connecticut Brand Registration, Hartford, CT 06103 | Liquor Brand Label | 2018-07-02 ~ 2021-07-01 |
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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).