SOPHIA S HOM
Physician/surgeon


Address: Po Box 22038, Eagan, MN 55122-0038

SOPHIA S HOM (Credential# 549563) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is July 12, 1999. The license expiration date date is April 30, 2000. The license status is INACTIVE.

Business Overview

SOPHIA S HOM is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.031886. The credential type is physician/surgeon. The effective date is July 12, 1999. The expiration date is April 30, 2000. The business address is Po Box 22038, Eagan, MN 55122-0038. The current status is inactive.

Basic Information

Licensee Name SOPHIA S HOM
Credential ID 549563
Credential Number 1.031886
Credential Type Physician/Surgeon
Business Address Po Box 22038
Eagan
MN 55122-0038
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 1991-09-06
Effective Date 1999-07-12
Expiration Date 2000-04-30
Refresh Date 2009-07-08

Office Location

Street Address PO BOX 22038
City EAGAN
State MN
Zip Code 55122-0038

Licenses in the same zip code

Licensee Name Office Address Credential Effective / Expiration
Brian C Bowlin 1446 Wellington Way, Eagan, MN 55122 Certified Residential Real Estate Appraiser 2020-05-01 ~ 2021-04-30
Jennifer J. Ewing 1504 Pinetree Pass, Eagan, MN 55122 Certified Public Accountant Certificate 2020-01-01 ~ 2020-12-31
Harry W Nara 1489 Rocky Ln, Eagan, MN 55122 Architect 1995-07-01 ~ 1996-07-31
Eileen S Dubin 1750 Cochrane Ave., Eagan, MN 55122 Registered Nurse 1971-11-12 ~ 1982-04-30
Christine M Cruz · Bouchard 1593 Lancaster Lane, Eagan, MN 55122 Registered Nurse 2005-01-10 ~ 2006-02-28
Gregg L. Ewing 1504 Pinetree Pass, Eagan, MN 55122 Certified Public Accountant Certificate 2020-01-01 ~ 2020-12-31
Rivers of Recovery Inc Po Box 22326, Saint Paul, MN 55122-0326 Public Charity 2017-08-08 ~ 2017-11-30
Kylie E Reid 2228 White Water Way, Saint Paul, MN 55122-1942 Registered Nurse 2017-01-01 ~ 2017-12-31
Steven Michael Samb 1983 Badger Ct, Eagan, MN 55122-2217 Registered Nurse 2019-07-01 ~ 2020-07-31
Chinyere A Iwu 4440 Woodgate Ct, Saint Paul, MN 55122-2421 Registered Nurse - Temporary 2013-11-14 ~ 2014-03-13
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City EAGAN
Zip Code 55122
License Type Physician/Surgeon
License Type + County Physician/Surgeon + EAGAN

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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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