LEIF O HOLGERSEN MD (Credential# 542223) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is January 3, 2006. The license expiration date date is December 31, 2006. The license status is INACTIVE.
LEIF O HOLGERSEN MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.017112. The credential type is physician/surgeon. The effective date is January 3, 2006. The expiration date is December 31, 2006. The business address is One Elm Street, Tuckahoe, NY 10707. The current status is inactive.
Licensee Name | LEIF O HOLGERSEN MD |
Credential ID | 542223 |
Credential Number | 1.017112 |
Credential Type | Physician/Surgeon |
Business Address |
One Elm Street Tuckahoe NY 10707 |
Business Type | INDIVIDUAL |
Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
Issue Date | 1975-02-20 |
Effective Date | 2006-01-03 |
Expiration Date | 2006-12-31 |
Refresh Date | 2009-07-11 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
211070 | CSP.0028168 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2005-03-01 - 2006-02-28 | INACTIVE |
Street Address | ONE ELM STREET |
City | TUCKAHOE |
State | NY |
Zip Code | 10707 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
John Benke | 4 Tara Way, Tuckaroe, NY 10707 | Physical Therapist | 2020-07-01 ~ 2021-06-30 |
Julie E Christoforo | 343 Hollywood Avenue, Yonkers, NY 10707 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
Sandra Simpson | 380 Columbus Avenue 2nd Fl, Tuckahoe, NY 10707 | Registered Nurse | 2020-05-01 ~ 2021-04-30 |
Danielle L Locicero | 27b Grant Street, Tuckahoe, NY 10707 | Certified Residential Real Estate Appraiser | 2020-05-01 ~ 2021-04-30 |
Alex Kurjiaka | 22 Fairview Avenue, Tuckahoe, NY 10707 | Professional Counselor Associate | 2020-03-23 ~ 2020-08-31 |
Ellen Cho | 775 Scarsdale Rd Unit 18, Tuckahoe, NY 10707 | Veterinarian | 2020-04-01 ~ 2021-03-31 |
Farron V Roboff | 775 Scarsdale Road, Tuckahoe, NY 10707 | Real Estate Broker | 2020-04-01 ~ 2021-03-31 |
James R Darcangelo | 454 Westchester Avenue, Tuckahoe, NY 10707 | Certified Public Accountant License | 2019-01-01 ~ 2019-12-31 |
William J Schneider | 34 Lincoln Circle, Tuckahoe, NY 10707 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
Mary Breda Morrissey | 70 Manhattan Ave., Tuckahoe, NY 10707 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
Find all Licenses in zip 10707 |
City | TUCKAHOE |
Zip Code | 10707 |
License Type | Physician/Surgeon |
License Type + County | Physician/Surgeon + TUCKAHOE |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Leif Lovig | 184 Wynne St, Pittsburgh, PA 15209-1649 | Physician/surgeon | ~ |
Leif E Olsson | 18 Elm Ave., Larchmont, NY 10538 | Physician/surgeon | 2001-09-18 ~ 2002-07-31 |
Leif O. Nordberg M.d. LLC · Office of Leif O. Nordberg, M.d. | 166 W Broad St Ste 401, Stamford, CT 06902-3654 | Out-patient Surgical Facility | 2013-10-01 ~ 2015-09-30 |
Leif Vik · Leif Vik Custom Builder | 1135 Mill Hill Rd, Southport, CT 06890-3020 | Home Improvement Contractor | 2020-06-10 ~ 2020-11-30 |
Leif O Nordberg Md LLC | 2001 W Main St Ste 155, Stamford, CT 06902-4557 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Kelly Jo Leif | 103 37th St Nw, Austin, MN 55912-4810 | Registered Nurse | ~ |
Leif E Laframboise | 260 Pin Oak Dr, Southington, CT 06489 | Registered Nurse | 2020-01-01 ~ 2020-12-31 |
Leif H Karlsen | 6 Geronimo Way, Oakland, NJ 07436 | Emergency Medical Technician | ~ |
Leif Tregger Jr | 39 Meadowridge Dr, Shelton, CT 06484-2133 | Home Improvement Salesperson | 2011-03-01 ~ 2011-11-30 |
Leif E Ericson | 242 Newell Ave, Bristol, CT 06010 | Electrical Unlimited Journeyperson | 2019-10-01 ~ 2020-09-30 |
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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).