SONG YOUNG YU
Physician/surgeon


Address: 14a Quaker Ridge Dr., Brookville, NY 11545

SONG YOUNG YU (Credential# 553056) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is January 1, 2016. The license expiration date date is December 31, 2016. The license status is INACTIVE.

Business Overview

SONG YOUNG YU is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.035463. The credential type is physician/surgeon. The effective date is January 1, 2016. The expiration date is December 31, 2016. The business address is 14a Quaker Ridge Dr., Brookville, NY 11545. The current status is inactive.

Basic Information

Licensee Name SONG YOUNG YU
Credential ID 553056
Credential Number 1.035463
Credential Type Physician/Surgeon
Business Address 14a Quaker Ridge Dr.
Brookville
NY 11545
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 1996-08-02
Effective Date 2016-01-01
Expiration Date 2016-12-31
Refresh Date 2017-04-05

Office Location

Street Address 14A Quaker Ridge Dr.
City Brookville
State NY
Zip Code 11545

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Jane S Fagan 136 High Farms Road, Glen Head, NY 11545 Notary Public Appointment 2005-12-05 ~ 2010-12-31
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Competitor

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City Brookville
Zip Code 11545
License Type Physician/Surgeon
License Type + County Physician/Surgeon + Brookville

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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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