SARA M KWON
Physician Assistant


Address: 115 Paulding St, Fairfield, CT 06824-6609

SARA M KWON (Credential# 743999) is licensed (Physician Assistant) with Connecticut Department of Consumer Protection. The license effective date is February 1, 2020. The license expiration date date is January 31, 2021. The license status is ACTIVE.

Business Overview

SARA M KWON is licensed with the Department of Consumer Protection of Connecticut. The credential number is #23.002250. The credential type is physician assistant. The effective date is February 1, 2020. The expiration date is January 31, 2021. The business address is 115 Paulding St, Fairfield, CT 06824-6609. The current status is active.

Basic Information

Licensee Name SARA M KWON
Credential ID 743999
Credential Number 23.002250
Credential Type Physician Assistant
Business Address 115 Paulding St
Fairfield
CT 06824-6609
Business Type INDIVIDUAL
Status ACTIVE - CURRENT
Active 1
Issue Date 2009-04-06
Effective Date 2020-02-01
Expiration Date 2021-01-31
Refresh Date 2020-02-25

Other licenses

ID Credential Code Credential Type Issue Term Status
864035 70.921934 Emergency Medical Technician 1992-09-01 - 1994-09-30 INACTIVE

Office Location

Street Address 115 PAULDING ST
City FAIRFIELD
State CT
Zip Code 06824-6609

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Competitor

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City FAIRFIELD
Zip Code 06824
License Type Physician Assistant
License Type + County Physician Assistant + 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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