JOONGHEUM PARK (Credential# 1593881) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is October 11, 2018. The license expiration date date is June 30, 2019. The license status is INACTIVE.
JOONGHEUM PARK is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.062021. The credential type is physician/surgeon. The effective date is October 11, 2018. The expiration date is June 30, 2019. The business address is 554w 173rd St, New York, NY 10032. The current status is inactive.
| Licensee Name | JOONGHEUM PARK |
| Credential ID | 1593881 |
| Credential Number | 1.062021 |
| Credential Type | Physician/Surgeon |
| Business Address |
554w 173rd St New York NY 10032 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 2018-10-11 |
| Effective Date | 2018-10-11 |
| Expiration Date | 2019-06-30 |
| Refresh Date | 2019-10-03 |
| Street Address | 554W 173rd st |
| City | New York |
| State | NY |
| Zip Code | 10032 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Rebecca H C Yeh | 835 Riverside Drive, New York, NY 10032 | Real Estate Salesperson | 2017-06-01 ~ 2018-05-31 |
| Olga M Brown | 621 W 169 Street, New York City, NY 10032 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| J Howard Williams | 835 Riverside Dr Apt #1-d, New York, NY 10032 | Landscape Architect | 2018-08-01 ~ 2019-07-31 |
| Andrea M Powell | 552 West 165th St., New York, NY 10032 | Physician Assistant | 2020-07-01 ~ 2021-06-30 |
| Mitchell S Elkind | 710 W. 168th Street, New York, NY 10032 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Emily Chug | 100 Haven Ave, New York, NY 10032 | Physical Therapist | ~ |
| Rainer N Mittl | 635 West 165th Street, New York, NY 10032 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Tristan Timothy Sands | 180 Fort Washington Ave, 5th Floor, New York, NY 10032 | Physician/surgeon | ~ |
| Thread Connects, Inc. · Thread | 611 W 163rd St, New York, NY 10032 | Public Charity | 2020-03-24 ~ 2020-11-30 |
| Mitchell Wade Dillon | 565 West 169th Street, New York, NY 10032 | Genetic Counselor | 2020-06-01 ~ 2021-05-31 |
| Find all Licenses in zip 10032 | |||
| City | New York |
| Zip Code | 10032 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + New York |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Alan H Spiro | 350 N Deere Park Dr, Highland Park, IL 60035 | Physician/surgeon | 1992-07-23 ~ 1993-07-31 |
| Hareem Park | 10 Park Row West, Providence, RI 02903 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
| Mark Andrew Ciagne | 3850 Park Nicollet Blvd, St. Louis Park, MN 55416 | Physician/surgeon | 2019-06-12 ~ 2020-03-31 |
| Mikhail Amoashiy | 256 Floral Park Way, Floral Park, NY 11001 | Physician/surgeon | 1997-10-27 ~ 1998-12-31 |
| Steven J Balsamo | 523 Clifton Park, Clifton Park, NY 12065 | Physician/surgeon | 2013-01-01 ~ 2013-12-31 |
| Anh T Dao | 24 Park Pl Apt 9h, Hartford, CT 06106-5022 | Physician/surgeon | 2015-11-01 ~ 2016-10-31 |
| In Soon Kim | 71-14 Little Nec Pk, Floral Park, NY 11004 | Physician/surgeon | 2008-05-27 ~ 2009-02-28 |
| Sam S Ahn Md | 111 Park St Apt 11a, New Haven, CT 06511 | Physician/surgeon | 2007-01-26 ~ 2008-02-29 |
| Swarup Kumar | 24 Park Pl Apt 9f, Hartford, CT 06106-5022 | Physician/surgeon | ~ |
| Tai Hang Ho | 40 Commerce Park, Milford, CT 06460-3535 | Physician/surgeon | ~ |
Please comment or provide details below to improve the information on JOONGHEUM PARK.
| 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).