KAYOKO KONDO
Physician/surgeon


Address: 108 Old Farms West, Middletown, CT 06457

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.

Business Overview

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.

Basic Information

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

Other licenses

ID Credential Code Credential Type Issue Term Status
146289 CSP.0013017 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 1996-12-01 - 1998-02-28 INACTIVE

Office Location

Street Address 108 OLD FARMS WEST
City MIDDLETOWN
State CT
Zip Code 06457

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Competitor

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City MIDDLETOWN
Zip Code 06457
License Type Physician/Surgeon
License Type + County Physician/Surgeon + MIDDLETOWN

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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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