PATRICIA K LEEBENS (Credential# 547641) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is September 1, 2019. The license expiration date date is August 31, 2020. The license status is ACTIVE.
PATRICIA K LEEBENS is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.029201. The credential type is physician/surgeon. The effective date is September 1, 2019. The expiration date is August 31, 2020. The business address is 317 West 95th St #5e, New York, NY 10025. The current status is active.
| Licensee Name | PATRICIA K LEEBENS |
| Credential ID | 547641 |
| Credential Number | 1.029201 |
| Credential Type | Physician/Surgeon |
| Business Address |
317 West 95th St #5e New York NY 10025 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 1988-07-01 |
| Effective Date | 2019-09-01 |
| Expiration Date | 2020-08-31 |
| Refresh Date | 2019-08-20 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 158929 | CSP.0018090 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2015-03-25 - 2017-02-28 | INACTIVE |
| Street Address | 317 WEST 95TH ST #5E |
| City | NEW YORK |
| State | NY |
| Zip Code | 10025 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| James R Braddock | 310 Riverside Dr Apt #1033, New York, NY 10025 | Architect | 2020-08-01 ~ 2021-07-31 |
| Robert B Freeman Jr | 310 Riverside Dr Apt #2204, New York, NY 10025 | Architect | 2020-06-12 ~ 2021-07-31 |
| Arthur S Pier | 315 Riverside Dr Apt 19d, New York, NY 10025 | Architect | 2020-08-01 ~ 2021-07-31 |
| Cephas P Swamidoss | 370 Central Park West, New York, NY 10025 | Physician/surgeon | 1995-06-30 ~ 2005-02-28 |
| Michael Williams | Po Box 250258, New York, NY 10025 | Master's Level Social Worker | 2020-09-01 ~ 2021-08-31 |
| Floyd G Brezavar | 36 West 95th Street, New York, NY 10025 | Architect | 2018-08-01 ~ 2019-07-31 |
| Pamela Godwin | 245 West 107th Street, New York, NY 10025 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Tara A. Smith | 54 West 106 Street Apt 1a, New York, NY 10025 | Registered Nurse | 2019-12-01 ~ 2020-11-30 |
| Theresa Linsner | 765 Amsterdam Avenue Apt 9a, New York, NY 10025 | Physician/surgeon | 2020-03-02 ~ 2021-03-31 |
| Hazem Abdelsalam | 808 Columbus Ave, New York, NY 10025 | Physician/surgeon | 2020-02-25 ~ 2020-09-30 |
| Find all Licenses in zip 10025 | |||
| City | NEW YORK |
| Zip Code | 10025 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + NEW YORK |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Patricia M Tan | 124 Greenwood Ave, Bethel, CT 06801 | Physician/surgeon | 2008-09-03 ~ 2009-04-30 |
| Patricia B Close | 1 Theall Rd, Rye, NY 10580 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Patricia D Beliveau | 194 W Bay Rd, Islesboro, ME 04848-4707 | Physician/surgeon | 2014-09-01 ~ 2015-08-31 |
| Patricia C Reardon Md | Po Box 156, Mystic, CT 06355-0156 | Physician/surgeon | 2017-02-01 ~ 2018-01-31 |
| Patricia A Ecker Md | 11 Woodland Rd, Madison, CT 06443 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Patricia H Choi | 66 Glenbrook, Stamford, CT 06902 | Physician/surgeon | 1999-07-02 ~ 2000-07-31 |
| Patricia Mcaleer Md | 13 Park St, Norwalk, CT 06851-4811 | Physician/surgeon | 2014-12-01 ~ 2015-11-30 |
| Patricia Kloser | 165 West End, New York, NY 10023 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Patricia E Cole Md | 831 Route 10 #224, Whippany, NJ 07981 | Physician/surgeon | 2019-08-01 ~ 2020-07-31 |
| Patricia W Seo-mayer | 87 Glendale St, Hamden, CT 06517 | Physician/surgeon | 2011-03-01 ~ 2012-02-29 |
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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).