YOUNG J KOO
Dentist


Address: 4138 Fountainside Ln Unit 303, Fairfax, VA 22030-7437

YOUNG J KOO (Credential# 1035241) is licensed (Dentist) with Connecticut Department of Consumer Protection. The license effective date is November 2, 2011. The license expiration date date is April 30, 2012. The license status is INACTIVE.

Business Overview

YOUNG J KOO is licensed with the Department of Consumer Protection of Connecticut. The credential number is #2.010667. The credential type is dentist. The effective date is November 2, 2011. The expiration date is April 30, 2012. The business address is 4138 Fountainside Ln Unit 303, Fairfax, VA 22030-7437. The current status is inactive.

Basic Information

Licensee Name YOUNG J KOO
Credential ID 1035241
Credential Number 2.010667
Credential Type Dentist
Business Address 4138 Fountainside Ln Unit 303
Fairfax
VA 22030-7437
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 2011-11-02
Effective Date 2011-11-02
Expiration Date 2012-04-30
Refresh Date 2012-08-02

Office Location

Street Address 4138 FOUNTAINSIDE LN UNIT 303
City FAIRFAX
State VA
Zip Code 22030-7437

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Competitor

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City FAIRFAX
Zip Code 22030
License Type Dentist
License Type + County Dentist + FAIRFAX

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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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