MICHAEL LIEBOW DPM
Podiatrist


Address: 307 First Avenue, West Haven, CT 06516

MICHAEL LIEBOW DPM (Credential# 699112) is licensed (Podiatrist) with Connecticut Department of Consumer Protection. The license effective date is February 24, 2004. The license expiration date date is April 30, 2005. The license status is INACTIVE.

Business Overview

MICHAEL LIEBOW DPM is licensed with the Department of Consumer Protection of Connecticut. The credential number is #19.000674. The credential type is podiatrist. The effective date is February 24, 2004. The expiration date is April 30, 2005. The business address is 307 First Avenue, West Haven, CT 06516. The current status is inactive.

Basic Information

Licensee Name MICHAEL LIEBOW DPM
Credential ID 699112
Credential Number 19.000674
Credential Type Podiatrist
Business Address 307 First Avenue
West Haven
CT 06516
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 1997-05-30
Effective Date 2004-02-24
Expiration Date 2005-04-30
Refresh Date 2009-07-11

Other licenses

ID Credential Code Credential Type Issue Term Status
317089 CSP.0032533 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 2004-02-29 - 2005-02-28 INACTIVE
187009 CSP.0026080 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 1998-03-01 - 1999-02-28 INACTIVE

Office Location

Street Address 307 FIRST AVENUE
City WEST HAVEN
State CT
Zip Code 06516

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Competitor

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City WEST HAVEN
Zip Code 06516
License Type Podiatrist
License Type + County Podiatrist + WEST HAVEN

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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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