KIRTIE LO MD (Credential# 564227) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is April 1, 2010. The license expiration date date is March 31, 2011. The license status is INACTIVE.
KIRTIE LO MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.046645. The credential type is physician/surgeon. The effective date is April 1, 2010. The expiration date is March 31, 2011. The business address is 409 Kisiwa Village Rd, Hutchinson, KS 67502-4504. The current status is inactive.
| Licensee Name | KIRTIE LO MD |
| Credential ID | 564227 |
| Credential Number | 1.046645 |
| Credential Type | Physician/Surgeon |
| Business Address |
409 Kisiwa Village Rd Hutchinson KS 67502-4504 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 2008-06-12 |
| Effective Date | 2010-04-01 |
| Expiration Date | 2011-03-31 |
| Refresh Date | 2011-07-01 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 508372 | CSP.0043848 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2008-07-18 | 2009-03-01 - 2011-02-28 | INACTIVE |
| Street Address | 409 KISIWA VILLAGE RD |
| City | HUTCHINSON |
| State | KS |
| Zip Code | 67502-4504 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Billy Joe Socha Jr | 1106 West 31st, Hutchinson, KS 67502 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
| Terry L Staggs | 9415 N Plum, Hutchinson, KS 67502 | Pharmacist | 1998-02-01 ~ 1999-01-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Angela S Borjon | 350 W. Pishney Ln Sw, Hutchinson, MN 55350-3207 | Registered Nurse | 2019-12-01 ~ 2020-11-30 |
| City | HUTCHINSON |
| Zip Code | 67502 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + HUTCHINSON |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Penny Lamhut Md | Genesis Physician Services, Windsor, CT 06098 | Physician/surgeon | 1999-07-15 ~ 2000-07-31 |
| Gilbert L Drozdow | Envision Physician Services, Plantation, FL 33322 | Physician/surgeon | 2019-10-01 ~ 2020-09-30 |
| Russell H Harris Md | Envision Physician Services, Horsham, PA 19044 | Physician/surgeon | 2019-09-01 ~ 2020-08-31 |
| John T Thompson | Physician Pavilion W, Towson, MD 21204 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Arnold R Kriegstein | College Physician, New York, NY 10032 | Physician/surgeon | 1993-04-23 ~ 1994-03-31 |
| Brent Robert Jacobson | Envision Physician Services, Dallas, TX 75240 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
| Catherine Nguyen Keegan | Envision Physician Services, Dallas, TX 75240 | Physician/surgeon | 2020-02-01 ~ 2021-01-31 |
| Nazanin Barzideh Md | North Shore Retina Physician, Pllc, East Hills, NY 11576 | Physician/surgeon | 2010-05-01 ~ 2011-04-30 |
| Sajot S Grewal Md | Danbury Office of Physician Services PC, Danbury, CT 06810 | Physician/surgeon | 2004-01-30 ~ 2005-03-31 |
| Susan J Batlan Md | Eye Physician Associates of Hartford, West Hartford, CT 06107 | Physician/surgeon | 2000-07-27 ~ 2001-07-31 |
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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).