KATHY PARK MD (Credential# 561095) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2020. The license expiration date date is February 28, 2021. The license status is ACTIVE.
KATHY PARK MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.043513. The credential type is physician/surgeon. The effective date is March 1, 2020. The expiration date is February 28, 2021. The business address is 200 Rimmon Road, Woodbridge, CT 06525. The current status is active.
| Licensee Name | KATHY PARK MD |
| Credential ID | 561095 |
| Credential Number | 1.043513 |
| Credential Type | Physician/Surgeon |
| Business Address |
200 Rimmon Road Woodbridge CT 06525 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2005-06-08 |
| Effective Date | 2020-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2020-02-26 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 407119 | CSP.0037615 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2005-06-14 | 2019-03-01 - 2021-02-28 | ACTIVE |
| Street Address | 200 Rimmon Road |
| City | WOODBRIDGE |
| State | CT |
| Zip Code | 06525 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Hyue Kyung Choi | 11 Rock Hill Road, Woodbridge, CT 06525 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Jewish Cemetery Association of Greater New Haven | 360 Amity Road, Woodbridge, CT 06525 | Public Charity | 2020-07-01 ~ 2021-06-30 |
| Nancy Bradstreet | 146 Northrop Rd., Woodbridge, CT 06525 | Licensed Clinical Social Worker | 2020-09-01 ~ 2021-08-31 |
| Robert I Tucker | 15 Research Drive, Woodbridge, CT 06525 | Architect | 2020-08-01 ~ 2021-07-31 |
| Amity Brick Oven Pizza Inc · Joseph R Sarno | 142 Amity Rd, New Haven, CT 06525 | Bakery | 2020-07-01 ~ 2021-06-30 |
| Linda A Starace-colabella | 895 Baldwin Rd, Woodbridge, CT 06525 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
| Patricia A Kenyon · Leskow | 8 Maple Terrace, Woodbridge, CT 06525 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Marianne L Dexter | 37 Acorn Hill Rd, Woodbridge, CT 06525 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Debra G Wayne | 94 Maple Vale Drive, Woodbridge, CT 06525 | Psychologist | 2020-09-01 ~ 2021-08-31 |
| Timothy Michael Carney | 1119 Racebrook Road, Woodbridge, CT 06525 | Emergency Medical Technician | 2016-08-19 ~ 2020-03-31 |
| Find all Licenses in zip 06525 | |||
| City | WOODBRIDGE |
| Zip Code | 06525 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + WOODBRIDGE |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Kathy Pae Md | 97 Barnes Rd, Wallingford, CT 06492 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Kathy J Kalkbrenner | 39 Ellsworth Ln, Canton, CT 06019-2642 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Kathy A Keller | 719 Alvarado Row, Stanford, CA 94305-1037 | Physician/surgeon | 2013-02-01 ~ 2014-01-31 |
| Kathy Kong | Zhong Hang Moling New Industrial Park, Hui Zhou, CH 516300 | Manufacturer of Bedding & Upholstered Furniture | 2020-03-23 ~ 2020-03-23 |
| Alan H Spiro | 350 N Deere Park Dr, Highland Park, IL 60035 | Physician/surgeon | 1992-07-23 ~ 1993-07-31 |
| Hareem Park | 10 Park Row West, Providence, RI 02903 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
| Mark Andrew Ciagne | 3850 Park Nicollet Blvd, St. Louis Park, MN 55416 | Physician/surgeon | 2019-06-12 ~ 2020-03-31 |
| Steven J Balsamo | 523 Clifton Park, Clifton Park, NY 12065 | Physician/surgeon | 2013-01-01 ~ 2013-12-31 |
| Mikhail Amoashiy | 256 Floral Park Way, Floral Park, NY 11001 | Physician/surgeon | 1997-10-27 ~ 1998-12-31 |
| In Soon Kim | 71-14 Little Nec Pk, Floral Park, NY 11004 | Physician/surgeon | 2008-05-27 ~ 2009-02-28 |
Please comment or provide details below to improve the information on KATHY PARK 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).