BO Y KWON OD
Controlled Substance Registration for Practitioner


Address: 25-604 Barker St #604, Mt Kisco, NY 10549

BO Y KWON OD (Credential# 319885) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is February 29, 2004. The license expiration date date is February 28, 2005. The license status is INACTIVE.

Business Overview

BO Y KWON OD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0032675. The credential type is controlled substance registration for practitioner. The effective date is February 29, 2004. The expiration date is February 28, 2005. The business address is 25-604 Barker St #604, Mt Kisco, NY 10549. The current status is inactive.

Basic Information

Licensee Name BO Y KWON OD
Credential ID 319885
Credential Number CSP.0032675
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 25-604 Barker St #604
Mt Kisco
NY 10549
Business Type INDIVIDUAL
Status INACTIVE
Effective Date 2004-02-29
Expiration Date 2005-02-28
Refresh Date 2009-01-26

Other licenses

ID Credential Code Credential Type Issue Term Status
763232 3.002604 Optometrist 2002-07-12 2003-02-27 - 2004-04-30 INACTIVE

Office Location

Street Address 25-604 BARKER ST #604
City MT KISCO
State NY
Zip Code 10549

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Ira J Grandberg 117 East Main St, Mt Kisco, NY 10549 Architect 2020-08-01 ~ 2021-07-31
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Jooyoung Lee Dds 6 Dickson Ln, Bedford Corners, NY 10549 Dentist 2020-06-01 ~ 2021-05-31
Ana C Cannato · Cardenas 25-503 Barker Street, Mt Kisco, NY 10549 Hairdresser/cosmetician 2020-08-01 ~ 2022-07-31
Marjorie J Strelzyn 15 Courtmel Road, Mount Kisco, NY 10549 Optometrist 2020-06-01 ~ 2021-05-31
Alice Cerwinski 122 Manchester Drive, Mount Kisco, NY 10549 Notary Public Appointment 2015-05-01 ~ 2020-04-30
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Competitor

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City MT KISCO
Zip Code 10549
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + MT KISCO

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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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