ELIZABETH M SOBIERAJ (Credential# 554766) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is January 1, 2020. The license expiration date date is December 31, 2020. The license status is ACTIVE.
ELIZABETH M SOBIERAJ is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.037176. The credential type is physician/surgeon. The effective date is January 1, 2020. The expiration date is December 31, 2020. The business address is 204 Lancelot Dr, Elmira Heights, NY 14903-1000. The current status is active.
Licensee Name | ELIZABETH M SOBIERAJ |
Credential ID | 554766 |
Credential Number | 1.037176 |
Credential Type | Physician/Surgeon |
Business Address |
204 Lancelot Dr Elmira Heights NY 14903-1000 |
Business Type | INDIVIDUAL |
Status | ACTIVE - CURRENT |
Active | 1 |
Issue Date | 1998-08-14 |
Effective Date | 2020-01-01 |
Expiration Date | 2020-12-31 |
Refresh Date | 2020-01-02 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
150464 | CSP.0027413 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2003-03-01 - 2004-02-28 | INACTIVE |
Street Address | 204 LANCELOT DR |
City | ELMIRA HEIGHTS |
State | NY |
Zip Code | 14903-1000 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Susan L Ford | 11 Woods View Drive, Elmira, NY 14903 | Certified Public Accountant License | 2020-01-01 ~ 2020-12-31 |
Abb Traction Inc · Salem Wahby 607-737-3153 | East Eighteenth St, Elmira Heights, NY 14903 | Professional Engineering Corporation | 1995-02-06 ~ 1996-02-06 |
Roxane Drost · Esposito | 3 Woods View Drive, Elmira, NY 14903 | Registered Nurse | 2005-08-18 ~ 2006-08-31 |
City | ELMIRA HEIGHTS |
Zip Code | 14903 |
License Type | Physician/Surgeon |
License Type + County | Physician/Surgeon + ELMIRA HEIGHTS |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Nicole Caldwell | 240 Elizabeth St # H1-120, Elizabeth, CO 80107-7537 | Physician/surgeon | 2015-03-01 ~ 2016-02-29 |
Frederick Lu | Po Box 546, Elizabeth, NJ 07207 | Physician/surgeon | 1994-05-06 ~ 1995-04-30 |
Elizabeth Baorto | 360 3rd St Ste 425, San Francisco, CA 94107-2164 | Physician/surgeon | ~ |
Elizabeth Kao | 4 Edenville Rd, Warwick, NY 10990-2419 | Physician/surgeon | 2017-10-01 ~ 2018-09-30 |
Nina R Rivera | 141 Elizabeth St, Hartford, CT 06105-2211 | Physician/surgeon | ~ |
Elizabeth C Dubovsky | 117 N Jay St, Middleburg, VA 20117-2661 | Physician/surgeon | 2019-12-01 ~ 2020-11-30 |
Elizabeth Virginia-hartman | 92 Hix Ave, Rye, NY 10580-2450 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
Elizabeth Y Lee | 37 Ridge Rd, Danbury, CT 06810-6362 | Physician/surgeon | 2016-12-13 ~ 2017-06-30 |
Gary Leeds | 16 Elizabeth Ln, Riverside, CT 06878-1302 | Physician/surgeon | ~ |
Elizabeth C Glass Md | 7 Dandy Dr, Cos Cob, CT 06807-2204 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
Please comment or provide details below to improve the information on ELIZABETH M SOBIERAJ.
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).