CARROLL B LESESNE
Physician/surgeon


Address: 620 Park Ave, New York, NY 10065-6591

CARROLL B LESESNE (Credential# 562309) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2011. The license expiration date date is February 29, 2012. The license status is INACTIVE.

Business Overview

CARROLL B LESESNE is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.044727. The credential type is physician/surgeon. The effective date is March 1, 2011. The expiration date is February 29, 2012. The business address is 620 Park Ave, New York, NY 10065-6591. The current status is inactive.

Basic Information

Licensee Name CARROLL B LESESNE
Credential ID 562309
Credential Number 1.044727
Credential Type Physician/Surgeon
Business Address 620 Park Ave
New York
NY 10065-6591
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 2006-08-30
Effective Date 2011-03-01
Expiration Date 2012-02-29
Refresh Date 2012-06-06

Office Location

Street Address 620 PARK AVE
City NEW YORK
State NY
Zip Code 10065-6591

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City NEW YORK
Zip Code 10065
License Type Physician/Surgeon
License Type + County Physician/Surgeon + NEW YORK

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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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