VIRGINIA SU MD
Physician/surgeon


Address: 507 Ne Northgate Way Apt 244, Seattle, WA 98125-6190

VIRGINIA SU MD (Credential# 894524) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is February 1, 2013. The license expiration date date is January 31, 2014. The license status is INACTIVE.

Business Overview

VIRGINIA SU MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.048175. The credential type is physician/surgeon. The effective date is February 1, 2013. The expiration date is January 31, 2014. The business address is 507 Ne Northgate Way Apt 244, Seattle, WA 98125-6190. The current status is inactive.

Basic Information

Licensee Name VIRGINIA SU MD
Credential ID 894524
Credential Number 1.048175
Credential Type Physician/Surgeon
Business Address 507 Ne Northgate Way Apt 244
Seattle
WA 98125-6190
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 2009-09-24
Effective Date 2013-02-01
Expiration Date 2014-01-31
Refresh Date 2014-05-06

Other licenses

ID Credential Code Credential Type Issue Term Status
902711 CSP.0046962 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 2009-11-13 2011-03-01 - 2013-02-28 INACTIVE

Office Location

Street Address 507 NE NORTHGATE WAY APT 244
City SEATTLE
State WA
Zip Code 98125-6190

Licenses in the same zip code

Licensee Name Office Address Credential Effective / Expiration
Olwen Bode 12334 31st Ave Ne Apt 603, Seattle, WA 98125 Registered Nurse 2020-02-01 ~ 2021-01-31
Bradley T Carmichael 12721 30th Ave Ne, Seattle, WA 98125 Professional Engineer 2020-02-01 ~ 2021-01-31
Parag Santhosh 3031 Ne 137th Street, Seattle, WA 98125 Certified Public Accountant Certificate 2020-01-01 ~ 2020-12-31
Miriam L Necula 1505 Ne 105th, Seattle, WA 98125 Registered Nurse ~ 1999-05-31
Adah F Wright · Franklin 12026 15th Ave., Seattle, WA 98125 Licensed Clinical Social Worker 1996-05-08 ~ 1997-05-31
Elizabeth M Carver 1526 Ne 143rd St, Seattle, WA 98125 Registered Nurse 1997-04-01 ~ 1998-03-31
Seth B Miller 11014 39th Ave Ne, Seattle, WA 98125 Speech and Language Pathologist 1998-01-28 ~ 1998-10-31
Alvin Eller 12739 42nd Ave Ne, Seattle, WA 98125 Dentist 1992-11-24 ~ 1993-12-31
Sherri A Antonucci 12002 Roosevelt Way, Seattle, WA 98125 Physical Therapist ~ 1996-03-31
Linda F Billingsley 13731 23rd Place Ne, Seattle, WA 98125 Dental Hygienist 1999-09-28 ~ 2000-11-30
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Competitor

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City SEATTLE
Zip Code 98125
License Type Physician/Surgeon
License Type + County Physician/Surgeon + SEATTLE

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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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