ILCHEON JOO MD
Controlled Substance Registration for Practitioner


Address: 73-44 196th St, Fresh Meadows, NY 11366

ILCHEON JOO MD (Credential# 304026) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2003. The license expiration date date is February 28, 2004. The license status is INACTIVE.

Business Overview

ILCHEON JOO MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0031936. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2003. The expiration date is February 28, 2004. The business address is 73-44 196th St, Fresh Meadows, NY 11366. The current status is inactive.

Basic Information

Licensee Name ILCHEON JOO MD
Credential ID 304026
Credential Number CSP.0031936
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 73-44 196th St
Fresh Meadows
NY 11366
Business Type INDIVIDUAL
Status INACTIVE
Effective Date 2003-03-01
Expiration Date 2004-02-28
Refresh Date 2009-01-26

Other licenses

ID Credential Code Credential Type Issue Term Status
703411 2.008959 Dentist 2001-11-08 2002-05-28 - 2003-07-31 INACTIVE

Office Location

Street Address 73-44 196TH ST
City FRESH MEADOWS
State NY
Zip Code 11366

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Misuk Man 75-27 181 Street, Flushing, NY 11366 Massage Therapist 2020-07-01 ~ 2022-06-30
Carmen Beltrame-pierre 7714 162nd St, Queens, NY 11366 Registered Nurse ~
Joseph Q Do 160-22 77th Road, Fresh Meadows, NY 11366 Pharmacist 2020-02-01 ~ 2022-01-31
Robert A Klaus 73-52 193 Street, Flushing, NY 11366 Pharmacist 2020-02-01 ~ 2022-01-31
Shaohui Mao 164-23 77th Road, Fresh Meadows, NY 11366 Professional Engineer 2020-02-01 ~ 2021-01-31
Susan M Levine 164-34 73rd Ave., Fresh Meadows, NY 11366 Dentist 2019-06-01 ~ 2020-05-31
Maryam Hamidieh Firoozan 73-21 197 Street, Flushing, NY 11366 Professional Engineer ~
Insoo Kim 75-22 Parsons Blvd., Apt. E2, Flushing, NY 11366 Asbestos Abatement Supervisor 2018-02-01 ~ 2019-01-31
Robin J Hur 188-01 Union Turnpike, Fresh Meadows, NY 11366 Controlled Substance Registration for Practitioner 2017-03-01 ~ 2019-02-28
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Competitor

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City FRESH MEADOWS
Zip Code 11366
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + FRESH MEADOWS

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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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