SALLY H KWA MD (Credential# 362933) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2008. The license expiration date date is February 28, 2009. The license status is INACTIVE.
SALLY H KWA MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0034671. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2008. The expiration date is February 28, 2009. The business address is 229 W 97th St #5a, New York, NY 10025. The current status is inactive.
| Licensee Name | SALLY H KWA MD |
| Credential ID | 362933 |
| Credential Number | CSP.0034671 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
229 W 97th St #5a New York NY 10025 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE |
| Effective Date | 2008-03-01 |
| Expiration Date | 2009-02-28 |
| Refresh Date | 2011-01-12 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 559750 | 1.042168 | Physician/Surgeon | 2004-02-25 | 2007-09-18 - 2008-10-31 | INACTIVE |
| Street Address | 229 W 97TH ST #5A |
| City | NEW YORK |
| State | NY |
| Zip Code | 10025 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| James R Braddock | 310 Riverside Dr Apt #1033, New York, NY 10025 | Architect | 2020-08-01 ~ 2021-07-31 |
| Robert B Freeman Jr | 310 Riverside Dr Apt #2204, New York, NY 10025 | Architect | 2020-06-12 ~ 2021-07-31 |
| Arthur S Pier | 315 Riverside Dr Apt 19d, New York, NY 10025 | Architect | 2020-08-01 ~ 2021-07-31 |
| Cephas P Swamidoss | 370 Central Park West, New York, NY 10025 | Physician/surgeon | 1995-06-30 ~ 2005-02-28 |
| Michael Williams | Po Box 250258, New York, NY 10025 | Master's Level Social Worker | 2020-09-01 ~ 2021-08-31 |
| Floyd G Brezavar | 36 West 95th Street, New York, NY 10025 | Architect | 2018-08-01 ~ 2019-07-31 |
| Pamela Godwin | 245 West 107th Street, New York, NY 10025 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Tara A. Smith | 54 West 106 Street Apt 1a, New York, NY 10025 | Registered Nurse | 2019-12-01 ~ 2020-11-30 |
| Theresa Linsner | 765 Amsterdam Avenue Apt 9a, New York, NY 10025 | Physician/surgeon | 2020-03-02 ~ 2021-03-31 |
| Hazem Abdelsalam | 808 Columbus Ave, New York, NY 10025 | Physician/surgeon | 2020-02-25 ~ 2020-09-30 |
| Find all Licenses in zip 10025 | |||
| City | NEW YORK |
| Zip Code | 10025 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + NEW YORK |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Sally A Newbrough | 83 Sachem St#3r, New Haven, CT 06511 | Controlled Substance Registration for Practitioner | 2008-03-01 ~ 2009-02-28 |
| Sally L Satel | 601 Pennsylvania Ave, Washington, DC 20004 | Controlled Substance Registration for Practitioner | 1994-02-25 ~ 1996-02-01 |
| Sally M Vail Dds | 64 Washington St, Mystic, CT 06355 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Sally H Ginsburg | 123 Dwight Rd, Longmeadow, MA 01106 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Sally M Bowles | 282 Washington St 4h, Hartford, CT 06106 | Controlled Substance Registration for Practitioner | 2007-03-01 ~ 2008-02-29 |
| Sally D Romano Md | 19 Fenn Rd., Middlebury, CT 06762 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Sally A Cote | 21 South Rd, Farmington, CT 06030-4035 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Sally Austin-fitzpatrick Od | Po Box 361, New Hartford, CT 06057-0361 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Sally A Kniffin | 3 Meeker Hill Rd, Redding, CT 06896 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Sally G Haskell | 90 Neck Road, Madison, CT 06443 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Please comment or provide details below to improve the information on SALLY H KWA MD.
| 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).