JAY HUN MO
Physician/surgeon


Address: 22 Burton Ln, Loudonville, NY 12211-1473

JAY HUN MO (Credential# 559408) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is October 1, 2013. The license expiration date date is September 30, 2014. The license status is INACTIVE.

Business Overview

JAY HUN MO is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.041825. The credential type is physician/surgeon. The effective date is October 1, 2013. The expiration date is September 30, 2014. The business address is 22 Burton Ln, Loudonville, NY 12211-1473. The current status is inactive.

Basic Information

Licensee Name JAY HUN MO
Credential ID 559408
Credential Number 1.041825
Credential Type Physician/Surgeon
Business Address 22 Burton Ln
Loudonville
NY 12211-1473
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 2003-09-02
Effective Date 2013-10-01
Expiration Date 2014-09-30
Refresh Date 2015-01-03

Office Location

Street Address 22 BURTON LN
City LOUDONVILLE
State NY
Zip Code 12211-1473

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Matthew Debole 27 Cherry Tree Road, Loudonville, NY 12211 Physical Therapist 2020-06-08 ~ 2020-09-30
Douglas V Daniels 8 Bethwood Drive, Londonville, NY 12211 Professional Engineer 2019-02-01 ~ 2020-01-31
Augustin J Delago Capital Cardiology Associates, Albany, NY 12211 Physician/surgeon 2020-02-01 ~ 2021-01-31
Mark W Olstad 8 Campus View Dr, Loudonville, NY 12211 Professional Engineer 2020-02-01 ~ 2021-01-31
Igal Zuravicky 7 Southwoods Blvd., Albany, NY 12211 Physician/surgeon 2019-10-01 ~ 2020-09-30
Kathleen M Roche 120 Old Niskayuna Road, Loudonville, NY 12211 Registered Nurse 2019-10-01 ~ 2020-09-30
Kelly K Heffernan 20 Cherry Tree Rd, Latham, NY 12211 Registered Nurse 2019-04-01 ~ 2020-03-31
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Competitor

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City LOUDONVILLE
Zip Code 12211
License Type Physician/Surgeon
License Type + County Physician/Surgeon + LOUDONVILLE

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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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