KYONGWOOK YIM (Credential# 553644) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is January 12, 1998. The license expiration date date is January 31, 1999. The license status is INACTIVE.
KYONGWOOK YIM is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.036052. The credential type is physician/surgeon. The effective date is January 12, 1998. The expiration date is January 31, 1999. The business address is 3261 Evergreen Road, Fargo, ND 58103. The current status is inactive.
| Licensee Name | KYONGWOOK YIM |
| Credential ID | 553644 |
| Credential Number | 1.036052 |
| Credential Type | Physician/Surgeon |
| Business Address |
3261 Evergreen Road Fargo ND 58103 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 1997-05-23 |
| Effective Date | 1998-01-12 |
| Expiration Date | 1999-01-31 |
| Refresh Date | 2009-07-08 |
| Street Address | 3261 EVERGREEN ROAD |
| City | FARGO |
| State | ND |
| Zip Code | 58103 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Eric A Greiff | 1020 36th St S, Fargo, ND 58103 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
| Eide Bailly LLP | 4310 17th Ave South, Fargo, ND 58103 | Certified Public Accountant Firm Permit | 2020-01-01 ~ 2020-12-31 |
| Heyer Engineering | 1020 36th Street Sw, Fargo, ND 58103 | Professional Engineering Corporation | ~ |
| Martha S Kearns | 3001 23rd Ave S. Unit C, Fargo, ND 58103 | Physician/surgeon | 2011-10-01 ~ 2012-09-30 |
| Joel S. Thomsen | 4310 17th Avenue S, Fargo, ND 58103 | Certified Public Accountant License | 2009-01-01 ~ 2009-12-31 |
| Louisa M Mcfarlen | 3207 23rd Ave S, Fargo, ND 58103 | Registered Nurse | 2008-11-07 ~ 2009-10-31 |
| Roberta J Engquist | 1546 5th Ave South, Fargo, SD 58103 | Registered Nurse | 2003-08-25 ~ 2004-09-30 |
| Clinical Supplies Management Inc. | 342 42nd Street South, Fargo, ND 58103 | Nonresident Pharmacy | 2007-09-01 ~ 2008-08-31 |
| Debra Lyn Matthews | 19 8th St S # 308, Fargo, ND 58103-1804 | Registered Nurse | 2020-05-04 ~ 2021-05-31 |
| Stevan G Dewald | 700 Main Ave, Fargo, ND 58103-1807 | Professional Engineer | 2016-02-01 ~ 2017-01-31 |
| Find all Licenses in zip 58103 | |||
| City | FARGO |
| Zip Code | 58103 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + FARGO |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Penny Lamhut Md | Genesis Physician Services, Windsor, CT 06098 | Physician/surgeon | 1999-07-15 ~ 2000-07-31 |
| 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 |
| Arnold R Kriegstein | College Physician, New York, NY 10032 | Physician/surgeon | 1993-04-23 ~ 1994-03-31 |
| John T Thompson | Physician Pavilion W, Towson, MD 21204 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Catherine Nguyen Keegan | Envision Physician Services, Dallas, TX 75240 | Physician/surgeon | 2020-02-01 ~ 2021-01-31 |
| Brent Robert Jacobson | Envision Physician Services, Dallas, TX 75240 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
| Nazanin Barzideh Md | North Shore Retina Physician, Pllc, East Hills, NY 11576 | Physician/surgeon | 2010-05-01 ~ 2011-04-30 |
| Barbara M Galko Md | Danbury Office of Physician Services PC, Danbury, CT 06810 | Physician/surgeon | 2010-06-01 ~ 2011-05-31 |
| Barbara A Brandes Md | Danbury Office of Physician Services, Danbury, CT 06810 | Physician/surgeon | 2004-07-08 ~ 2005-07-31 |
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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).