LESLIE M ISRAEL
Physician/surgeon


Address: 8 Cerrito, Irvine, CA 92612

LESLIE M ISRAEL (Credential# 538166) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is April 1, 2015. The license expiration date date is March 31, 2016. The license status is INACTIVE.

Business Overview

LESLIE M ISRAEL is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.000431-DO. The credential type is physician/surgeon. The effective date is April 1, 2015. The expiration date is March 31, 2016. The business address is 8 Cerrito, Irvine, CA 92612. The current status is inactive.

Basic Information

Licensee Name LESLIE M ISRAEL
Credential ID 538166
Credential Number 1.000431-DO
Credential Type Physician/Surgeon
Credential SubCategory DO
Business Address 8 Cerrito
Irvine
CA 92612
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 1995-11-09
Effective Date 2015-04-01
Expiration Date 2016-03-31
Refresh Date 2016-07-04

Other licenses

ID Credential Code Credential Type Issue Term Status
163243 CSP.0023866 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 2005-03-01 - 2006-02-28 INACTIVE

Office Location

Street Address 8 CERRITO
City IRVINE
State CA
Zip Code 92612

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Competitor

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City IRVINE
Zip Code 92612
License Type Physician/Surgeon
License Type + County Physician/Surgeon + IRVINE

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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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