ELSIE S LEE
Physician/surgeon


Address: 5825 45th Avenue, Nw, Rochester, 55901

ELSIE S LEE (Credential# 553806) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is June 8, 1998. The license expiration date date is June 30, 1999. The license status is INACTIVE.

Business Overview

ELSIE S LEE is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.036214. The credential type is physician/surgeon. The effective date is June 8, 1998. The expiration date is June 30, 1999. The business address is 5825 45th Avenue, Nw, Rochester, 55901. The current status is inactive.

Basic Information

Licensee Name ELSIE S LEE
Credential ID 553806
Credential Number 1.036214
Credential Type Physician/Surgeon
Business Address 5825 45th Avenue, Nw
Rochester
55901
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 1997-07-18
Effective Date 1998-06-08
Expiration Date 1999-06-30
Refresh Date 2009-07-08

Office Location

Street Address 5825 45th Avenue, NW
City Rochester
Zip Code 55901

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Erin Friling 2649 11th Ave Nw, Rochester, MN 55901 Registered Nurse 2014-11-18 ~ 2015-06-30
Bernardo Selim 3061 Avalon Cove Ct Nw, Rochester, MN 55901 Controlled Substance Registration for Practitioner 2011-03-01 ~ 2013-02-28
Marian Mocanu Md 3161 Avalon Cove Ct Nw, Rochester, MN 55901 Controlled Substance Registration for Practitioner 2009-05-01 ~ 2011-02-28
Mary M Volcheck 116 12th Ave Nw, Rochester, MN 55901 Registered Nurse 1992-03-24 ~ 1993-02-28
Jessica Mitchell 931 16th Ave Ne, Rochester, MN 55901 Registered Nurse 2004-09-24 ~ 2005-09-30
Bella C Mariscal 1826 37th St.nw., Rochester, MN 55901 Registered Nurse 1997-11-17 ~ 1999-01-31
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City Rochester
Zip Code 55901
License Type Physician/Surgeon
License Type + County Physician/Surgeon + Rochester

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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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