LESLIE WEI PATCH (Credential# 1467196) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is December 1, 2018. The license expiration date date is November 30, 2019. The license status is INACTIVE.
LESLIE WEI PATCH is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.060120. The credential type is physician/surgeon. The effective date is December 1, 2018. The expiration date is November 30, 2019. The business address is 48 Harrison St, Johnson City, NY 13790-2120. The current status is inactive.
Licensee Name | LESLIE WEI PATCH |
Credential ID | 1467196 |
Credential Number | 1.060120 |
Credential Type | Physician/Surgeon |
Business Address |
48 Harrison St Johnson City NY 13790-2120 |
Business Type | INDIVIDUAL |
Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
Issue Date | 2018-03-15 |
Effective Date | 2018-12-01 |
Expiration Date | 2019-11-30 |
Refresh Date | 2020-03-04 |
Street Address | 48 HARRISON ST |
City | JOHNSON CITY |
State | NY |
Zip Code | 13790-2120 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Anthony R Paniccia | 300 N. Hudson Street, Johnson City, NY 13790 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
Bruce E Caro | 340 Andrews Ave, Johnson City, NY 13790 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
Guerlande Louis | 10 25 Reynolds Road, Johnson, NY 13790 | Physician Assistant | 2017-12-01 ~ 2018-11-30 |
Nicole C Van Loan | 98 Union Street, Apt. 2, Johnson City, NY 13790 | Licensed Practical Nurse | 2009-10-01 ~ 2010-09-30 |
Mary M Kane | 833 Grant St, Johnson City, NY 13790 | Registered Nurse | 2005-08-22 ~ 2006-05-31 |
Dominic A Offiong | P.o. Box 923, Johnson City, NY 13790 | Physician/surgeon | 2004-07-01 ~ 2005-03-31 |
Joseph R Creveling | 43 Haynes Ave, Johnson City, NY 13790 | Lead Abatement Supervisor | ~ 1999-07-31 |
Christina L Kelly · Relly | 61 Zoa Avenue, Johnson City, NY 13790 | Registered Nurse | 2000-04-11 ~ 2001-04-30 |
Debra M Holowinski | 635 Nelson Road, Johnson City, NY 13790 | Dental Hygienist | 1998-03-25 ~ 1999-03-31 |
David F Robinson | 1025 Reynolds Rd, Johnson City, NY 13790 | Registered Nurse | 2001-07-19 ~ 2002-08-31 |
Find all Licenses in zip 13790 |
City | JOHNSON CITY |
Zip Code | 13790 |
License Type | Physician/Surgeon |
License Type + County | Physician/Surgeon + JOHNSON CITY |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Leslie Coopersmith | 133 Scovill St. Ste. 101, Waterbury, CA 06706 | Physician/surgeon | ~ |
Leslie M Israel | 8 Cerrito, Irvine, CA 92612 | Physician/surgeon | 2015-04-01 ~ 2016-03-31 |
Leslie C Huff | 258 Main St Ste 208, Milford, MA 01757-2506 | Physician/surgeon | 2019-12-01 ~ 2020-11-30 |
Leslie M. Rickey | 25 Alston Ave, New Haven, CT 06515-2702 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
Leslie J Drake | 56 Wells St, Westerly, RI 02891 | Physician/surgeon | 1997-12-22 ~ 1999-02-28 |
Leslie A. Oleksowicz | 11 Maywood Dr, Old Lyme, CT 06371-1544 | Physician/surgeon | 2014-04-01 ~ 2015-03-31 |
Leslie Buckley | 129 York St#8k, New Haven, CT 06511 | Physician/surgeon | 2004-06-25 ~ 2005-05-31 |
Leslie R Miller Do | 52 Beach Rd Ste 102, Fairfield, CT 06824-6017 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
Leslie P Beal Md | 40 Oakridge, Unionville, CT 06085-1472 | Physician/surgeon | 2019-04-01 ~ 2020-03-31 |
Leslie Jacobsen Md | 45 Reservoir St, New Haven, CT 06511 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
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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).