LESLIE J FISHBEIN
Physician/surgeon


Address: 11 Hatherly Rd, Brighton, MA 02135-4616

LESLIE J FISHBEIN (Credential# 1283377) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is July 1, 1990. The license expiration date date is February 28, 1992. The license status is INACTIVE.

Business Overview

LESLIE J FISHBEIN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.030885. The credential type is physician/surgeon. The effective date is July 1, 1990. The expiration date is February 28, 1992. The business address is 11 Hatherly Rd, Brighton, MA 02135-4616. The current status is inactive.

Basic Information

Licensee Name LESLIE J FISHBEIN
Credential ID 1283377
Credential Number 1.030885
Credential Type Physician/Surgeon
Business Address 11 Hatherly Rd
Brighton
MA 02135-4616
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 1990-07-01
Effective Date 1990-07-01
Expiration Date 1992-02-28
Refresh Date 2015-05-08

Office Location

Street Address 11 HATHERLY RD
City BRIGHTON
State MA
Zip Code 02135-4616

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City BRIGHTON
Zip Code 02135
License Type Physician/Surgeon
License Type + County Physician/Surgeon + BRIGHTON

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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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