MICHELLE H KWOK
Physician Assistant


Address: 169 South New Rd, Hamden, CT 06518

MICHELLE H KWOK (Credential# 742641) is licensed (Physician Assistant) with Connecticut Department of Consumer Protection. The license effective date is June 17, 2008. The license expiration date date is June 30, 2009. The license status is INACTIVE.

Business Overview

MICHELLE H KWOK is licensed with the Department of Consumer Protection of Connecticut. The credential number is #23.000892. The credential type is physician assistant. The effective date is June 17, 2008. The expiration date is June 30, 2009. The business address is 169 South New Rd, Hamden, CT 06518. The current status is inactive.

Basic Information

Licensee Name MICHELLE H KWOK
Credential ID 742641
Credential Number 23.000892
Credential Type Physician Assistant
Business Address 169 South New Rd
Hamden
CT 06518
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 1999-12-15
Effective Date 2008-06-17
Expiration Date 2009-06-30
Refresh Date 2009-11-02

Other licenses

ID Credential Code Credential Type Issue Term Status
228891 CSP.0029172 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 2008-03-01 - 2009-02-28 INACTIVE

Office Location

Street Address 169 SOUTH NEW RD
City HAMDEN
State CT
Zip Code 06518

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Jennifer E Pohl 70 Norwood Avenue, Hamden, CT 06518 Speech and Language Pathologist 2020-07-01 ~ 2021-06-30
Nicole O Miller-tyson 648 Evergreen Ave, Hamden, CT 06518 Registered Nurse 2020-09-01 ~ 2021-08-31
Nancy D Anderson 399 Hillfield Road, Hamden, CT 06518 Speech and Language Pathologist 2020-08-01 ~ 2021-07-31
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Lynda Burke 68 Linden Avenue, Hamden, CT 06518 Notary Public Appointment 2011-12-08 ~ 2016-12-31
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City HAMDEN
Zip Code 06518
License Type Physician Assistant
License Type + County Physician Assistant + HAMDEN

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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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