PATRICK W KWOK MD (Credential# 557967) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is April 1, 2020. The license expiration date date is March 31, 2021. The license status is ACTIVE.
PATRICK W KWOK MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.040384. The credential type is physician/surgeon. The effective date is April 1, 2020. The expiration date is March 31, 2021. The business address is 305 Black Rock Turnpike, Fairfield, CT 06825. The current status is active.
| Licensee Name | PATRICK W KWOK MD |
| Credential ID | 557967 |
| Credential Number | 1.040384 |
| Credential Type | Physician/Surgeon |
| Business Address |
305 Black Rock Turnpike Fairfield CT 06825 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2002-05-01 |
| Effective Date | 2020-04-01 |
| Expiration Date | 2021-03-31 |
| Refresh Date | 2020-03-13 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 302536 | CSP.0031812 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2002-05-13 | 2019-03-01 - 2021-02-28 | ACTIVE |
| Street Address | 305 Black Rock Turnpike |
| City | FAIRFIELD |
| State | CT |
| Zip Code | 06825 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Robert A Stanton | 305 Black Rock Turnpike, Fairfield, CT 06825 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Nicole N Lay | 305 Black Rock Turnpike, Fairfield, CT 06825 | Physician Assistant | 2020-05-01 ~ 2021-04-30 |
| Perry A Shear | 305 Black Rock Turnpike, Fairfield, CT 06825 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Joel Malin Md | 305 Black Rock Turnpike, Fairfield, CT 06825 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Romulo V Vasquez | 305 Black Rock Turnpike, Fairfield, CT 06825 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Daniel E Weiland | 305 Black Rock Turnpike, Fairfield, CT 06825 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| James J Fitzgibbons Md | 305 Black Rock Turnpike, Fairfield, CT 06825-5340 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Fairfield Surgery Center | 305 Black Rock Turnpike, Fairfield, CT 06825 | Out-patient Surgical Facility | 2018-10-01 ~ 2020-09-30 |
| Joel W Malin | 305 Black Rock Turnpike, Fairfield, CT 06825 | Physician/surgeon | 2019-10-01 ~ 2020-09-30 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Alexander M Testani | 77 Winoca Rd, Fairfield, CT 06825 | Emergency Medical Technician | 2020-06-26 ~ 2022-03-31 |
| Salome Cleopatra Nail | 2399 Black Rock Turnpike, Fairfield, CT 06825 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Angela M Carmona | 198 Castle Ave, Fairfield, CT 06825 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| Maria D Coutinho | 131 Roseville Street, Fairfield, CT 06825 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| Jie Che | 1519 Black Rock Tpke, Fairfield, CT 06825 | Esthetician | ~ |
| Eva I Chiamulera | 86 Brookfield Avenue, Fairfield, CT 06825 | Landscape Architect | 2020-08-01 ~ 2021-07-31 |
| Suzanne P Taluy | 558 Villa Ave, Fairfield, CT 06825 | Licensed Clinical Social Worker | 2020-07-01 ~ 2021-06-30 |
| Benjamin Allan Gott | 262 Euclid Avenue, Fairfield, CT 06825 | Notary Public Appointment | 2020-06-01 ~ 2025-05-31 |
| Charles J Applebaum | 841 Stratfield Rd, Fairfield, CT 06825 | Dentist | 2020-07-01 ~ 2021-06-30 |
| Jeri Kriskey | 1179 Merritt Street, Fairfield, CT 06825 | Marital and Family Therapist Associate | 2020-06-24 ~ 2022-06-24 |
| Find all Licenses in zip 06825 | |||
| City | FAIRFIELD |
| Zip Code | 06825 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + FAIRFIELD |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Kwok-ming Moy | 81 E 208th St, Bronx, NY 10467-2707 | Physician/surgeon | 2020-02-01 ~ 2021-01-31 |
| Kwok O Chan | 156 Fairway Xing, Glastonbury, CT 06033 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
| Yolande Y Kwok | 6 Edison Dr, Huntington Station, NY 11746-4202 | Physician/surgeon | 2019-08-01 ~ 2020-07-31 |
| Kwok Ming S Lo | Bennett Cancer Center, Stamford, CT 06904 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
| Patrick Byrne Broderick | Dr Patrick Broderick, Danbury, CT 06810 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Kwok Wah Manufacturer | Lung Koo Rd, Foshan Nan Hoi Guang Dong, 528203 | Manufacturer of Bedding & Upholstered Furniture | 2006-07-10 ~ 2007-04-30 |
| Patrick J Prepetit | 67 Franklin Ave # 2, Harrison, NY 10528-3542 | Physician/surgeon | ~ |
| Michelle H Kwok | 169 South New Rd, Hamden, CT 06518 | Physician Assistant | 2008-06-17 ~ 2009-06-30 |
| Katie S Kwok Pa-c | 177 Judson Rd, Fairfield, CT 06824 | Physician Assistant | 2020-03-01 ~ 2021-02-28 |
| Patrick W O'daly | 760 Route 52, Beacon, NY 12508 | Physician/surgeon | 1995-08-23 ~ 1996-09-30 |
Please comment or provide details below to improve the information on PATRICK W KWOK MD.
| 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).