GRACE KWON
Resident Physician


Address: 1000 West Carson St, Torrance, CA 90509

GRACE KWON (Credential# 1490797) is licensed (Resident Physician) with Connecticut Department of Consumer Protection. The license effective date is July 2, 2015. The license expiration date date is June 30, 2021. The license status is ACTIVE.

Business Overview

GRACE KWON is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.058899-RES. The credential type is resident physician. The effective date is July 2, 2015. The expiration date is June 30, 2021. The business address is 1000 West Carson St, Torrance, CA 90509. The current status is active.

Basic Information

Licensee Name GRACE KWON
Credential ID 1490797
Credential Number 1.058899-RES
Credential Type Resident Physician
Credential SubCategory RES
Business Address 1000 West Carson St
Torrance
CA 90509
Business Type INDIVIDUAL
Status ACTIVE - CURRENT
Active 1
Issue Date 2015-07-02
Effective Date 2015-07-02
Expiration Date 2021-06-30
Refresh Date 2020-05-27

Other licenses

ID Credential Code Credential Type Issue Term Status
1282220 CSP.0060099 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 2015-05-05 2015-05-05 - 2017-02-28 INACTIVE
1275158 1.054077-DO Physician/Surgeon 2015-04-27 2016-03-01 - 2017-02-28 INACTIVE

Office Location

Street Address 1000 West Carson St
City Torrance
State CA
Zip Code 90509

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Competitor

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City Torrance
Zip Code 90509
License Type Resident Physician
License Type + County Resident Physician + Torrance

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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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