SONG K YU DPM
Podiatrist


Address: 1817 Black Rock Tpke, Fairfield, CT 06825

SONG K YU DPM (Credential# 699201) is licensed (Podiatrist) with Connecticut Department of Consumer Protection. The license effective date is September 1, 2020. The license expiration date date is August 31, 2021. The license status is APPROVED.

Business Overview

SONG K YU DPM is licensed with the Department of Consumer Protection of Connecticut. The credential number is #19.000764. The credential type is podiatrist. The effective date is September 1, 2020. The expiration date is August 31, 2021. The business address is 1817 Black Rock Tpke, Fairfield, CT 06825. The current status is approved.

Basic Information

Licensee Name SONG K YU DPM
Credential ID 699201
Credential Number 19.000764
Credential Type Podiatrist
Business Address 1817 Black Rock Tpke
Fairfield
CT 06825
Business Type INDIVIDUAL
Status APPROVED - CURRENT
Active 1
Issue Date 2002-05-16
Effective Date 2020-09-01
Expiration Date 2021-08-31
Refresh Date 2020-06-18

Other licenses

ID Credential Code Credential Type Issue Term Status
342091 CSP.0033727 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 2003-06-30 2019-03-01 - 2021-02-28 ACTIVE

Office Location

Street Address 1817 BLACK ROCK TPKE
City FAIRFIELD
State CT
Zip Code 06825

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Paul R Rockoff 1817 Black Rock Tpke, Fairfield, CT 06825-3546 Dentist 2020-06-01 ~ 2021-05-31

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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
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Competitor

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City FAIRFIELD
Zip Code 06825
License Type Podiatrist
License Type + County Podiatrist + FAIRFIELD

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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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