KIMBERLY PUI LEI CHAN
Physician Assistant


Address: 32 Monroe Street Apt 8g, New York, NY 10002

KIMBERLY PUI LEI CHAN (Credential# 2011362) is licensed (Physician Assistant) with Connecticut Department of Consumer Protection. The license effective date is March 5, 2020. The license expiration date date is October 31, 2020. The license status is ACTIVE.

Business Overview

KIMBERLY PUI LEI CHAN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #23.004765. The credential type is physician assistant. The effective date is March 5, 2020. The expiration date is October 31, 2020. The business address is 32 Monroe Street Apt 8g, New York, NY 10002. The current status is active.

Basic Information

Licensee Name KIMBERLY PUI LEI CHAN
Credential ID 2011362
Credential Number 23.004765
Credential Type Physician Assistant
Business Address 32 Monroe Street Apt 8g
New York
NY 10002
Business Type INDIVIDUAL
Status ACTIVE - CURRENT
Active 1
Issue Date 2020-03-05
Effective Date 2020-03-05
Expiration Date 2020-10-31
Refresh Date 2020-03-06

Office Location

Street Address 32 Monroe Street Apt 8G
City New York
State NY
Zip Code 10002

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Competitor

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City New York
Zip Code 10002
License Type Physician Assistant
License Type + County Physician Assistant + New York

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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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