YOLANDE Y KWOK
Physician/surgeon


Address: 6 Edison Dr, Huntington Station, NY 11746-4202

YOLANDE Y KWOK (Credential# 1329817) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is August 1, 2019. The license expiration date date is July 31, 2020. The license status is ACTIVE.

Business Overview

YOLANDE Y KWOK is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.054989-DO. The credential type is physician/surgeon. The effective date is August 1, 2019. The expiration date is July 31, 2020. The business address is 6 Edison Dr, Huntington Station, NY 11746-4202. The current status is active.

Basic Information

Licensee Name YOLANDE Y KWOK
Credential ID 1329817
Credential Number 1.054989-DO
Credential Type Physician/Surgeon
Credential SubCategory DO
Business Address 6 Edison Dr
Huntington Station
NY 11746-4202
Business Type INDIVIDUAL
Status ACTIVE - CURRENT
Active 1
Issue Date 2016-03-10
Effective Date 2019-08-01
Expiration Date 2020-07-31
Refresh Date 2019-08-31

Other licenses

ID Credential Code Credential Type Issue Term Status
1338604 CSP.0062239 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 2016-03-12 2017-03-01 - 2019-02-28 LAPSED

Office Location

Street Address 6 EDISON DR
City HUNTINGTON STATION
State NY
Zip Code 11746-4202

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Bahar Zoghi- Moghadam 12 Maryland Street, Dix Hills, NY 11746 Professional Engineer 2020-02-01 ~ 2021-01-31
Antigone D Manaris 21 Majestic Drive, Dix Hills, NY 11746 Pharmacist 2020-02-01 ~ 2022-01-31
Kevin H Bryant 30 April Ave, Dix Hills, NY 11746 Professional Engineer 2020-02-01 ~ 2021-01-31
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Competitor

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City HUNTINGTON STATION
Zip Code 11746
License Type Physician/Surgeon
License Type + County Physician/Surgeon + HUNTINGTON STATION

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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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