BEV Y GUO (Credential# 1171825) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is December 1, 2014. The license expiration date date is November 30, 2015. The license status is INACTIVE.
BEV Y GUO is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.052633. The credential type is physician/surgeon. The effective date is December 1, 2014. The expiration date is November 30, 2015. The business address is 46 Mystic Dr, Ossining, NY 10562-1967. The current status is inactive.
| Licensee Name | BEV Y GUO |
| Credential ID | 1171825 |
| Credential Number | 1.052633 |
| Credential Type | Physician/Surgeon |
| Business Address |
46 Mystic Dr Ossining NY 10562-1967 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 2013-12-24 |
| Effective Date | 2014-12-01 |
| Expiration Date | 2015-11-30 |
| Refresh Date | 2016-03-04 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1174309 | CSP.0055391 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2014-03-24 | 2014-03-24 - 2015-02-28 | INACTIVE |
| Street Address | 46 MYSTIC DR |
| City | OSSINING |
| State | NY |
| Zip Code | 10562-1967 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Ann T Rupp | 24 Mystic Dr, Ossining, NY 10562-1967 | Controlled Substance Registration for Practitioner | 2019-04-26 ~ 2021-02-28 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| In Ok Lee-butt | 49 Narragansett Ave, Ossining, NY 10562 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Valentina Sanchez | 75 Underhill Rd, Ossining, NY 10562 | Notary Public Appointment | 2020-06-17 ~ 2025-06-30 |
| Alexis Schwach | 72 Spring Pond Drive, Ossining, NY 10562 | Licensed Clinical Social Worker | 2020-09-01 ~ 2021-08-31 |
| Sergio Marin | 165 Pines Bridge Rd, Ossining, NY 10562 | Architect | 2020-08-01 ~ 2021-07-31 |
| Tiffany Marie Barrett | 16 Maria Lane, Ossining, NY 10562 | Registered Nurse | 2019-01-01 ~ 2019-12-31 |
| Lucia Conte | 40 Stone Ave., Ossining, NY 10562 | Dental Hygienist | 2020-08-01 ~ 2021-07-31 |
| Lisa M Coglitore | 1 Harbor Square, Ossining, NY 10562 | Speech and Language Pathologist | 2020-07-01 ~ 2021-06-30 |
| Samantha Weldon | 125-2 South Highland Avenue, Ossining, NY 10562 | Registered Nurse | 2020-05-27 ~ 2020-11-30 |
| Maria Magdalena Sanchez | 21 Sunset Drive, Ossining, NY 10562 | Master's Level Social Worker | 2020-06-01 ~ 2021-05-31 |
| Naomi Pollock | 12 Overton Rd, Ossining, NY 10562 | Licensed Clinical Social Worker | 2020-05-01 ~ 2021-04-30 |
| Find all Licenses in zip 10562 | |||
| City | OSSINING |
| Zip Code | 10562 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + OSSINING |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Russell H Harris Md | Envision Physician Services, Horsham, PA 19044 | Physician/surgeon | 2019-09-01 ~ 2020-08-31 |
| Gilbert L Drozdow | Envision Physician Services, Plantation, FL 33322 | Physician/surgeon | 2019-10-01 ~ 2020-09-30 |
| Penny Lamhut Md | Genesis Physician Services, Windsor, CT 06098 | Physician/surgeon | 1999-07-15 ~ 2000-07-31 |
| Arnold R Kriegstein | College Physician, New York, NY 10032 | Physician/surgeon | 1993-04-23 ~ 1994-03-31 |
| John T Thompson | Physician Pavilion W, Towson, MD 21204 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Brent Robert Jacobson | Envision Physician Services, Dallas, TX 75240 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
| Catherine Nguyen Keegan | Envision Physician Services, Dallas, TX 75240 | Physician/surgeon | 2020-02-01 ~ 2021-01-31 |
| Nazanin Barzideh Md | North Shore Retina Physician, Pllc, East Hills, NY 11576 | Physician/surgeon | 2010-05-01 ~ 2011-04-30 |
| Barbara M Galko Md | Danbury Office of Physician Services PC, Danbury, CT 06810 | Physician/surgeon | 2010-06-01 ~ 2011-05-31 |
| Barbara A Brandes Md | Danbury Office of Physician Services, Danbury, CT 06810 | Physician/surgeon | 2004-07-08 ~ 2005-07-31 |
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| 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).