CHARLOTTE SHUM (Credential# 558266) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is August 1, 2019. The license expiration date date is July 31, 2020. The license status is ACTIVE.
CHARLOTTE SHUM is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.040683. The credential type is physician/surgeon. The effective date is August 1, 2019. The expiration date is July 31, 2020. The business address is 2726 N. Mildred Ave, Chicago, IL 60614. The current status is active.
| Licensee Name | CHARLOTTE SHUM |
| Credential ID | 558266 |
| Credential Number | 1.040683 |
| Credential Type | Physician/Surgeon |
| Business Address |
2726 N. Mildred Ave Chicago IL 60614 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2002-07-22 |
| Effective Date | 2019-08-01 |
| Expiration Date | 2020-07-31 |
| Refresh Date | 2019-07-30 |
| Street Address | 2726 N. Mildred Ave |
| City | Chicago |
| State | IL |
| Zip Code | 60614 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Mary Clare Foote | 1632 West Diversey Pkwy, Chicago, IL 60614 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Meds LLC | 2017 N Mendell St Unit 100, Chicago, IL 60614 | Nonresident Pharmacy | 2020-03-17 ~ 2020-08-31 |
| Phillip S Austin | 2305 N Commonwealth Ave, Chicago, IL 60614 | Certified Public Accountant License | 2020-01-01 ~ 2020-12-31 |
| Amy Park | 2714 N Lehmann Ct, Chicago, IL 60614 | Certified Public Accountant License | 2020-01-01 ~ 2020-12-31 |
| Melissa Rose Thibault | 2424 N Clark St, Chicago, IL 60614 | Certified Public Accountant License | 2020-01-01 ~ 2020-12-31 |
| Melinda Leigh Harmon | 1730 North Clark Street, Chicago, IL 60614 | Certified Public Accountant Certificate | 2020-01-01 ~ 2020-12-31 |
| Peter Alan Smith | 453 Webster, Chicago, IL 60614 | Physician/surgeon | 1989-06-02 ~ 1990-06-30 |
| Craig R Kouri | 2310 N. Southport Ave, Chicago, IL 60614 | Architect | 2019-08-01 ~ 2020-07-31 |
| Monica Ann Rusboldt | 1960 N Lincoln Park West, Chicago, IL 60614 | Occupational Therapist | 2019-08-01 ~ 2021-07-31 |
| Flora Lazar | 2305, Chicago, IL 60614 | Licensed Clinical Social Worker | ~ |
| Find all Licenses in zip 60614 | |||
| City | Chicago |
| Zip Code | 60614 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + Chicago |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Mili Shum | 2655 E Comanche Drive, Salt Lake City, UT 84108 | Physician/surgeon | 2019-12-01 ~ 2020-11-30 |
| Stephen A Wyatt | Behavioral Health Center - Charlotte, Charlotte, NC 28211 | Physician/surgeon | 2014-12-01 ~ 2015-11-30 |
| Arthur P Greenberg | 126 Graham St., Se, Pt. Charlotte, FL 33952 | Physician/surgeon | 1979-01-24 ~ 1982-01-31 |
| Joseph G. Jemsek | 2215 Sharon Ln, Charlotte, NC 28211-3737 | Physician/surgeon | ~ |
| Christopher A Wallace | 6 Charlotte Ct, Avon, CT 06001-2257 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Maurizio Bendandi | 627 Robmont Rd, Charlotte, NC 28270-5335 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Elizabeth Y Evans Md | Po Box 681946, Charlotte, NC 28216 | Physician/surgeon | 2019-12-01 ~ 2020-11-30 |
| Kenneth Harrison Fox | 9935d Rea Rd # 266, Charlotte, NC 28277-6710 | Physician/surgeon | 2020-04-20 ~ 2020-10-31 |
| Charlotte Helvie Md | 5001 Statesman Dr, Irving, TX 75063-2414 | Physician/surgeon | 2003-09-22 ~ 2004-05-31 |
| Hirenkumar Damjibhai Italia | P O Box 77666, Charlotte, NC 28271 | Physician/surgeon | 2019-10-01 ~ 2020-09-30 |
Please comment or provide details below to improve the information on CHARLOTTE SHUM.
| 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).