PAO C KO
Physician/surgeon


Address: 20 Miron Dr, Poughkeepsie, NY 12603

PAO C KO (Credential# 545873) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is May 30, 1995. The license expiration date date is May 31, 1996. The license status is INACTIVE.

Business Overview

PAO C KO is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.026192. The credential type is physician/surgeon. The effective date is May 30, 1995. The expiration date is May 31, 1996. The business address is 20 Miron Dr, Poughkeepsie, NY 12603. The current status is inactive.

Basic Information

Licensee Name PAO C KO
Credential ID 545873
Credential Number 1.026192
Credential Type Physician/Surgeon
Business Address 20 Miron Dr
Poughkeepsie
NY 12603
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 1985-03-06
Effective Date 1995-05-30
Expiration Date 1996-05-31
Refresh Date 2009-07-08

Office Location

Street Address 20 MIRON DR
City POUGHKEEPSIE
State NY
Zip Code 12603

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Jennifer M Sarasky-morales 3 Ireland Dr, Poughkeepsie, NY 12603 Registered Nurse 2020-06-01 ~ 2021-05-31
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Competitor

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City POUGHKEEPSIE
Zip Code 12603
License Type Physician/Surgeon
License Type + County Physician/Surgeon + POUGHKEEPSIE

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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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