JONATHAN LIEBLICH
Physician/surgeon


Address: 88 Sagamore Drive, Kent, NY 10512

JONATHAN LIEBLICH (Credential# 564822) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is August 1, 2012. The license expiration date date is July 31, 2013. The license status is INACTIVE.

Business Overview

JONATHAN LIEBLICH is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.047240. The credential type is physician/surgeon. The effective date is August 1, 2012. The expiration date is July 31, 2013. The business address is 88 Sagamore Drive, Kent, NY 10512. The current status is inactive.

Basic Information

Licensee Name JONATHAN LIEBLICH
Credential ID 564822
Credential Number 1.047240
Credential Type Physician/Surgeon
Business Address 88 Sagamore Drive
Kent
NY 10512
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 2008-12-16
Effective Date 2012-08-01
Expiration Date 2013-07-31
Refresh Date 2013-11-06

Office Location

Street Address 88 Sagamore Drive
City Kent
State NY
Zip Code 10512

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Competitor

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City Kent
Zip Code 10512
License Type Physician/Surgeon
License Type + County Physician/Surgeon + Kent

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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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