LAUREN A KUCHMAK
Resident Physician


Address: 10 Whisper Ln, Smithtown, NY 11787

LAUREN A KUCHMAK (Credential# 1511945) is licensed (Resident Physician) with Connecticut Department of Consumer Protection. The license effective date is May 8, 2018. The license expiration date date is May 18, 2018. The license status is INACTIVE.

Business Overview

LAUREN A KUCHMAK is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.060788-RES. The credential type is resident physician. The effective date is May 8, 2018. The expiration date is May 18, 2018. The business address is 10 Whisper Ln, Smithtown, NY 11787. The current status is inactive.

Basic Information

Licensee Name LAUREN A KUCHMAK
Credential ID 1511945
Credential Number 1.060788-RES
Credential Type Resident Physician
Credential SubCategory RES
Business Address 10 Whisper Ln
Smithtown
NY 11787
Business Type INDIVIDUAL
Status INACTIVE - INACTIVE
Issue Date 2018-05-08
Effective Date 2018-05-08
Expiration Date 2018-05-18
Refresh Date 2018-05-19

Other licenses

ID Credential Code Credential Type Issue Term Status
850698 70.010965 Emergency Medical Technician 2009-07-07 2009-07-07 - 2010-04-01 INACTIVE

Office Location

Street Address 10 Whisper Ln
City Smithtown
State NY
Zip Code 11787

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Steven Joseph Hartmann 920 West Jericho Tpke, Smithtown, NY 11787 Tax Preparer/facilitator Permit 2020-02-11 ~ 2022-02-28
Megan Czuba 78 Bayberry La, Smithtown, NY 11787 Pharmacist 2020-02-01 ~ 2022-01-31
Jamie A Walegir 28 Villa Ln, Smithtown, NY 11787 Professional Engineer 2020-02-01 ~ 2021-01-31
Susan Cohen-pessah 6 Carriage House Rd, Smithtown, NY 11787 Pharmacist 2018-02-01 ~ 2020-01-31
Steven G Hanuszek 24 Dogwood Dr, Smithtown, NY 11787 Professional Engineer 2020-02-01 ~ 2021-01-31
Wayne T Culver 32 Oakside Rd, Smithtown, NY 11787 Professional Engineer 2020-02-01 ~ 2021-01-31
Sean P Cunningham 60 Avalon Circle, Smithtown, NY 11787 Professional Engineer 2020-02-01 ~ 2021-01-31
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Competitor

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City Smithtown
Zip Code 11787
License Type Resident Physician
License Type + County Resident Physician + Smithtown

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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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