LEAH B. JACOBSON (Credential# 565120) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is February 1, 2015. The license expiration date date is January 31, 2016. The license status is INACTIVE.
LEAH B. JACOBSON is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.047538. The credential type is physician/surgeon. The effective date is February 1, 2015. The expiration date is January 31, 2016. The business address is 37 Birch Dr, Katonah, NY 10536-3840. The current status is inactive.
| Licensee Name | LEAH B. JACOBSON |
| Credential ID | 565120 |
| Credential Number | 1.047538 |
| Credential Type | Physician/Surgeon |
| Business Address |
37 Birch Dr Katonah NY 10536-3840 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 2009-04-02 |
| Effective Date | 2015-02-01 |
| Expiration Date | 2016-01-31 |
| Refresh Date | 2016-05-05 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 934542 | CSP.0047733 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2010-06-10 | 2011-03-01 - 2013-02-28 | INACTIVE |
| Street Address | 37 BIRCH DR |
| City | KATONAH |
| State | NY |
| Zip Code | 10536-3840 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| George Uy Md | Four Winds Hospital, Katonah, NY 10536 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Tatiane V Boyd | 69 Maple Avenue, Katonah, NY 10536 | Licensed Practical Nurse | 2020-07-01 ~ 2021-06-30 |
| Kathleen A Scott- Vicari | 12 Primrose Drive, Katonah, NY 10536 | Registered Nurse | 2020-06-01 ~ 2021-05-31 |
| Patrick M Croke | 20 Woodsbridge Road, Katonah, NY 10536 | Architect | 2020-08-01 ~ 2021-07-31 |
| Nelson J Salazar | 66 Edgewood Rd, Katonah, NY 10536 | Real Estate Salesperson | 2019-10-27 ~ 2020-05-31 |
| Zenobia Kellock | 6 Lois Place, Katonah, NY 10536 | Real Estate Salesperson | 2017-06-01 ~ 2018-05-31 |
| Joseph R Kiefer | 16 South Road, Katonah, NY 10536 | Physical Therapist | 2020-05-01 ~ 2021-04-30 |
| Christina M Izzo | 6 Kniffen Rd, Katonah, NY 10536 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| Laurence B Sandler | 7 Comanche Court, Katonah, NY 10536 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Christopher J Repp | 65 Harris Rd, Katonah, NY 10536 | Emergency Medical Technician | 2020-10-01 ~ 2022-09-30 |
| Find all Licenses in zip 10536 | |||
| City | KATONAH |
| Zip Code | 10536 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + KATONAH |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Carla M Jacobson-kiel · Jacobson | 35 Minister Brook Dr, Simsbury, CT 06070 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Brent Robert Jacobson | Envision Physician Services, Dallas, TX 75240 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
| Edward Jacobson | 1 Perryridge Rd, Greenwich, CT 06830 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Harvey Jacobson | 12 Alden Ave, New Haven, CT 06515 | Physician/surgeon | 1995-08-22 ~ 1996-08-31 |
| Eric Jacobson | 313 Den Road, Stamford, CT 06903 | Physician/surgeon | 2002-04-23 ~ 2003-05-31 |
| Jeffrey M. Jacobson | 7 Erie Ave, Hornell, NY 14843-1909 | Physician/surgeon | 2011-06-01 ~ 2012-05-31 |
| Mark I Jacobson | 15 Dogwood Ln, Pomona, NY 10970-3314 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Stuart A Jacobson Md | 3851 Main St, Bridgeport, CT 06606 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
| Caron A Jacobson | 18 Ludwig Rd, Needham Heights, MA 02494-1020 | Physician/surgeon | 2015-06-01 ~ 2016-05-31 |
| Devon Jacobson | 76 Perry Street, Putnam, CT 06260 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
Please comment or provide details below to improve the information on LEAH B. JACOBSON.
| 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).