LESLIE MCDOUGALL (Credential# 1628290) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is September 1, 2019. The license expiration date date is August 31, 2020. The license status is ACTIVE.
LESLIE MCDOUGALL is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.062968-DO. The credential type is physician/surgeon. The effective date is September 1, 2019. The expiration date is August 31, 2020. The business address is 176 Brothers Court, Port Matilda, PA 16870. The current status is active.
| Licensee Name | LESLIE MCDOUGALL |
| Credential ID | 1628290 |
| Credential Number | 1.062968-DO |
| Credential Type | Physician/Surgeon |
| Credential SubCategory | DO |
| Business Address |
176 Brothers Court Port Matilda PA 16870 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2019-05-03 |
| Effective Date | 2019-09-01 |
| Expiration Date | 2020-08-31 |
| Refresh Date | 2019-07-14 |
| Street Address | 176 Brothers Court |
| City | Port Matilda |
| State | PA |
| Zip Code | 16870 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| M Kevin Parfitt | 105 Sellers Ln, Port Matilda, PA 16870 | Professional Engineer | 2001-02-01 ~ 2002-01-31 |
| Judith E Pitman | 406 E Springwood Pl, Port Matilda, PA 16870 | Registered Nurse | 1994-03-30 ~ 1995-03-31 |
| Linda J Keisling | 218 N. Springwood Place, Port Matilda, PA 16870-7025 | Registered Nurse | 2003-01-23 ~ 2004-03-31 |
| Gary J Golaszewski | 383 Pantops Parade, Port Matilda, PA 16870-7041 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
| Jennifer M Connell · Murray | 118 Heiskel Dr, Port Matilda, PA 16870-7102 | Licensed Clinical Social Worker | 2019-12-01 ~ 2020-11-30 |
| Edward Kelmenson | 142 Brothers Ct, Port Matilda, PA 16870-7134 | Physician/surgeon | 2004-11-18 ~ 2005-04-30 |
| Angel M Alvarado | 5603 W Buffalo Run Rd, Port Matilda, PA 16870-7607 | Tv & Radio Limited Dish Antenna Technician | 2010-09-01 ~ 2011-08-31 |
| J Michael Evanko | 90 Buffalo Ln, Port Matilda, PA 16870-8333 | Professional Engineer | 2009-02-01 ~ 2010-01-31 |
| City | Port Matilda |
| Zip Code | 16870 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + Port Matilda |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Leslie Coopersmith | 133 Scovill St. Ste. 101, Waterbury, CA 06706 | Physician/surgeon | ~ |
| Leslie A. Oleksowicz | 11 Maywood Dr, Old Lyme, CT 06371-1544 | Physician/surgeon | 2014-04-01 ~ 2015-03-31 |
| Leslie Donovan Md | 159 W Putnam Ave, Greenwich, CT 06830-5329 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Leslie Hsiung | 701 5th Ave Ste 2300, Seattle, WA 98104 | Physician/surgeon | 2019-12-01 ~ 2020-11-30 |
| Leslie C Huff | 258 Main St Ste 208, Milford, MA 01757-2506 | Physician/surgeon | 2019-12-01 ~ 2020-11-30 |
| Leslie M Israel | 8 Cerrito, Irvine, CA 92612 | Physician/surgeon | 2015-04-01 ~ 2016-03-31 |
| Leslie Buckley | 129 York St#8k, New Haven, CT 06511 | Physician/surgeon | 2004-06-25 ~ 2005-05-31 |
| Leslie J Fishbein | 11 Hatherly Rd, Brighton, MA 02135-4616 | Physician/surgeon | 1990-07-01 ~ 1992-02-28 |
| Leslie J Drake | 56 Wells St, Westerly, RI 02891 | Physician/surgeon | 1997-12-22 ~ 1999-02-28 |
| 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).