KAYOKO KONDO (Credential# 545913) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is May 1, 2016. The license expiration date date is April 30, 2017. The license status is INACTIVE.
KAYOKO KONDO is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.026256. The credential type is physician/surgeon. The effective date is May 1, 2016. The expiration date is April 30, 2017. The business address is 108 Old Farms West, Middletown, CT 06457. The current status is inactive.
Licensee Name | KAYOKO KONDO |
Credential ID | 545913 |
Credential Number | 1.026256 |
Credential Type | Physician/Surgeon |
Business Address |
108 Old Farms West Middletown CT 06457 |
Business Type | INDIVIDUAL |
Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
Issue Date | 1985-04-09 |
Effective Date | 2016-05-01 |
Expiration Date | 2017-04-30 |
Refresh Date | 2017-08-03 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
146289 | CSP.0013017 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 1996-12-01 - 1998-02-28 | INACTIVE |
Street Address | 108 OLD FARMS WEST |
City | MIDDLETOWN |
State | CT |
Zip Code | 06457 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Elizabeth M Mailhot | 177 Timber Ridge Rd, Middletown, CT 06457 | Dental Hygienist | 2020-08-01 ~ 2021-07-31 |
Rebecca S Fennessy | 22 Keefe Ln, Middletown, CT 06457 | Licensed Clinical Social Worker | 2020-07-01 ~ 2021-06-30 |
Eloise M Gagnon | 538 Bow Lane, Middletown, CT 06457 | Hairdresser/cosmetician | 2020-08-01 ~ 2022-07-31 |
Salvatore Dimauro | 245 Dekoven Dr, Middletown, CT 06457 | Public Weigher | 2020-07-01 ~ 2021-06-30 |
Frank L Wright | 261 Spencer Dr, Middletown, CT 06457 | Barber | 2020-08-01 ~ 2022-07-31 |
Gino A Cardella | 50 Sonoma Lane, Middletown, CT 06457 | Real Estate Salesperson | ~ |
Shannon Lee Mcquillan | 5 Forest Glen Circle, Middletown, CT 06457 | Registered Nurse | 2020-06-26 ~ 2020-09-30 |
Lori Dimauro · Carta | 244 Chamberlain Hill Road, Middletown, CT 06457 | Hairdresser/cosmetician | 2020-09-01 ~ 2022-08-31 |
Gail A Corrow | 85 Dora Dr, Middletown, CT 06457 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
Mariter V Perez | 8 Moss Glen, Middletown, CT 06457 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
Find all Licenses in zip 06457 |
City | MIDDLETOWN |
Zip Code | 06457 |
License Type | Physician/Surgeon |
License Type + County | Physician/Surgeon + MIDDLETOWN |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Koretada Kondo | 5725 Caminito Pulsera, La Jolla, CA 92037-7160 | Physician/surgeon | 2020-01-01 ~ 2020-12-31 |
Kayoko Tanaka | 14 Coachlamp Ln, Stamford, CT 06902-2005 | Real Estate Salesperson | 2010-06-01 ~ 2011-05-31 |
Jun Kondo | 124 Beacon St, Hartford, CT 06105 | Engineer-in-training | 1996-01-16 ~ 2006-01-16 |
Kondo Fofana | 68 Webster St, Pawtucket, RI 02861 | Tv & Radio Limited Dish Antenna Technician | 2008-01-11 ~ 2008-08-31 |
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 |
Penny Lamhut Md | Genesis Physician Services, Windsor, CT 06098 | Physician/surgeon | 1999-07-15 ~ 2000-07-31 |
John T Thompson | Physician Pavilion W, Towson, MD 21204 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
Arnold R Kriegstein | College Physician, New York, NY 10032 | Physician/surgeon | 1993-04-23 ~ 1994-03-31 |
Catherine Nguyen Keegan | Envision Physician Services, Dallas, TX 75240 | Physician/surgeon | 2020-02-01 ~ 2021-01-31 |
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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).