SOUNGWON S BAE
Physician/surgeon


Address: P.o. Box 1239, San Carlos, AZ 85550

SOUNGWON S BAE (Credential# 538114) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is November 19, 1998. The license expiration date date is October 31, 1999. The license status is INACTIVE.

Business Overview

SOUNGWON S BAE is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.000379-DO. The credential type is physician/surgeon. The effective date is November 19, 1998. The expiration date is October 31, 1999. The business address is P.o. Box 1239, San Carlos, AZ 85550. The current status is inactive.

Basic Information

Licensee Name SOUNGWON S BAE
Credential ID 538114
Credential Number 1.000379-DO
Credential Type Physician/Surgeon
Credential SubCategory DO
Business Address P.o. Box 1239
San Carlos
AZ 85550
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 1994-02-04
Effective Date 1998-11-19
Expiration Date 1999-10-31
Refresh Date 2009-07-08

Office Location

Street Address P.O. BOX 1239
City SAN CARLOS
State AZ
Zip Code 85550

Licenses in the same zip code

Licensee Name Office Address Credential Effective / Expiration
Michael J Connolly Jr 212 Cibeque Circle, San Carlos, AZ 85550 Physician/surgeon 1998-03-16 ~ 1999-03-31

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Charles Ponzo 207 Lemoore Dr, San Carlos, CA 94070 Barber 2020-08-01 ~ 2022-07-31
Kate Lamvik Loranger 201 Industrial Rd, San Carlos, CA 94070-2396 Genetic Counselor 2020-04-08 ~ 2021-01-31
Monica Helm Stamp 223 Devonshire Blvd, San Carlos, CA 94070-1638 Genetic Counselor 2020-05-01 ~ 2021-04-30
Katherine L Howard 201 Industrial Rd Ste 410, San Carlos, CA 94070-2396 Genetic Counselor 2019-10-01 ~ 2020-09-30
Mobimeds · The Pill Club 969 Industrial Rd Ste G, San Carlos, CA 94070-4148 Nonresident Pharmacy 2019-09-01 ~ 2020-08-31
Beyond Type I 1001 Laurel Street, San Carlos, CA 94070 Public Charity 2019-12-01 ~ 2020-11-30
Alphascript Inc 420 Industrial Rd, San Carlos, CA 94070-6286 Nonresident Pharmacy 2019-09-01 ~ 2020-08-31
Sheila E Antrum 2809 Tramanto Dr, San Carlos, CA 94070 Registered Nurse 2019-08-01 ~ 2020-07-31
California Kids 1135 Industrial Rd, San Carlos, CA 94070 Manufacturer of Bedding & Upholstered Furniture 2005-09-06 ~ 2006-04-30
Sarah Goldstein 88 Club Drive, San Carlos, CA 94070 Dentist 2015-04-01 ~ 2016-03-31
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Competitor

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City SAN CARLOS
Zip Code 85550
License Type Physician/Surgeon
License Type + County Physician/Surgeon + SAN CARLOS

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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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