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.
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.
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 |
Street Address | P.O. BOX 1239 |
City | SAN CARLOS |
State | AZ |
Zip Code | 85550 |
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 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
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 |
Find all Licenses in SAN CARLOS |
City | SAN CARLOS |
Zip Code | 85550 |
License Type | Physician/Surgeon |
License Type + County | Physician/Surgeon + SAN CARLOS |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Penny Lamhut Md | Genesis Physician Services, Windsor, CT 06098 | Physician/surgeon | 1999-07-15 ~ 2000-07-31 |
Russell H Harris Md | Envision Physician Services, Horsham, PA 19044 | Physician/surgeon | 2019-09-01 ~ 2020-08-31 |
Gilbert L Drozdow | Envision Physician Services, Plantation, FL 33322 | Physician/surgeon | 2019-10-01 ~ 2020-09-30 |
Arnold R Kriegstein | College Physician, New York, NY 10032 | Physician/surgeon | 1993-04-23 ~ 1994-03-31 |
John T Thompson | Physician Pavilion W, Towson, MD 21204 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
Catherine Nguyen Keegan | Envision Physician Services, Dallas, TX 75240 | Physician/surgeon | 2020-02-01 ~ 2021-01-31 |
Brent Robert Jacobson | Envision Physician Services, Dallas, TX 75240 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
Nazanin Barzideh Md | North Shore Retina Physician, Pllc, East Hills, NY 11576 | Physician/surgeon | 2010-05-01 ~ 2011-04-30 |
Sajot S Grewal Md | Danbury Office of Physician Services PC, Danbury, CT 06810 | Physician/surgeon | 2004-01-30 ~ 2005-03-31 |
Susan J Batlan Md | Eye Physician Associates of Hartford, West Hartford, CT 06107 | Physician/surgeon | 2000-07-27 ~ 2001-07-31 |
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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).