LEONARD J EMMA
Physician/surgeon


Address: 1775 Richmond Ave, Staten Island, NY 10314

LEONARD J EMMA (Credential# 545407) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is December 18, 1998. The license expiration date date is September 30, 1999. The license status is INACTIVE.

Business Overview

LEONARD J EMMA is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.025324. The credential type is physician/surgeon. The effective date is December 18, 1998. The expiration date is September 30, 1999. The business address is 1775 Richmond Ave, Staten Island, NY 10314. The current status is inactive.

Basic Information

Licensee Name LEONARD J EMMA
Credential ID 545407
Credential Number 1.025324
Credential Type Physician/Surgeon
Business Address 1775 Richmond Ave
Staten Island
NY 10314
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 1984-03-20
Effective Date 1998-12-18
Expiration Date 1999-09-30
Refresh Date 2009-07-08

Office Location

Street Address 1775 RICHMOND AVE
City STATEN ISLAND
State NY
Zip Code 10314

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City STATEN ISLAND
Zip Code 10314
License Type Physician/Surgeon
License Type + County Physician/Surgeon + STATEN ISLAND

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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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