LESLIE WEI PATCH
Physician/surgeon


Address: 48 Harrison St, Johnson City, NY 13790-2120

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.

Business Overview

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.

Basic Information

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

Office Location

Street Address 48 HARRISON ST
City JOHNSON CITY
State NY
Zip Code 13790-2120

Licenses in the same zip code

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

Competitor

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City JOHNSON CITY
Zip Code 13790
License Type Physician/Surgeon
License Type + County Physician/Surgeon + JOHNSON CITY

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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
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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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