YOUNG S. PARK (Credential# 954042) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is September 1, 2013. The license expiration date date is August 31, 2014. The license status is INACTIVE.
YOUNG S. PARK is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.049414. The credential type is physician/surgeon. The effective date is September 1, 2013. The expiration date is August 31, 2014. The business address is 6725 Pin Tail Dr, Brecksville, OH 44141-2845. The current status is inactive.
| Licensee Name | YOUNG S. PARK |
| Credential ID | 954042 |
| Credential Number | 1.049414 |
| Credential Type | Physician/Surgeon |
| Business Address |
6725 Pin Tail Dr Brecksville OH 44141-2845 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 2010-12-21 |
| Effective Date | 2013-09-01 |
| Expiration Date | 2014-08-31 |
| Refresh Date | 2014-12-04 |
| Street Address | 6725 PIN TAIL DR |
| City | BRECKSVILLE |
| State | OH |
| Zip Code | 44141-2845 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Courtney M Rahe | 9543 Greystone Pkwy, Brecksville, OH 44141 | Registered Nurse | 2020-05-01 ~ 2021-04-30 |
| Edward J Dabkowski | 7100 W Cross Creek Trl, Brecksville, OH 44141 | Registered Nurse | 2014-03-01 ~ 2015-02-28 |
| Applied Medical Technology | 8006 Katherine Blvd, Brecksville, OH 44141 | Out of State Manufacturer of Drugs, Cosmetics & Medical Devices | 2015-10-16 ~ |
| Cornelia Whalen | 6500 Cross Creek Tr, Brecksville, OH 44141 | Registered Nurse | 2006-09-28 ~ 2007-09-30 |
| Raymond S Martin | 7624 Treelawn Drive, Independence, OH 44141 | Pharmacist | ~ 1996-01-31 |
| Roberta Craider | 6870 Carriage Hill Dr Apt 18c, Brecksville, OH 44141-1253 | Registered Nurse | 2018-08-16 ~ 2019-06-30 |
| Janice B Onder | 8476 Timber Trail, Brecksville, OH 44141-1773 | Registered Nurse | 2002-05-02 ~ 2003-02-28 |
| Podojil Builders Inc | 10219 Brecksville Rd, Cleveland, OH 44141-3271 | Major Contractor | 2020-07-01 ~ 2021-06-30 |
| Jennifer J Picha | 2632 Hidden Canyon Dr, Brecksville, OH 44141-3531 | Pharmacist | ~ |
| City | BRECKSVILLE |
| Zip Code | 44141 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + BRECKSVILLE |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Saryna P Young | 54 Bruce Park Dr, Greenwich, CT 06830-7202 | Physician/surgeon | 2020-04-28 ~ 2021-03-31 |
| Irene Victoria Perez Young | 3700 Park East Dr Ste 400, Beachwood, OH 44122 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Young S Yoon | Po Box 481, Pomona, NY 10970-0481 | Physician/surgeon | ~ |
| Janice N Young | 510 4th Ave N, Naples, FL 33940 | Physician/surgeon | 1993-03-24 ~ 1994-04-30 |
| Alexander Young | Po Box 141, Hawleyville, CT 06440 | Physician/surgeon | 1995-11-30 ~ 1996-11-30 |
| Hugh H Young | 111 Cedar La, Ridgefield, CT 06877 | Physician/surgeon | 1992-07-23 ~ 1993-06-30 |
| Megan So-young Lim | 3400 Spruce St # 7.055, Philadelphia, PA 19104-4238 | Physician/surgeon | ~ |
| Young Erben | 711 Prospect St, New Haven, CT 06511-1223 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Richard S Young | 282 Washington St, Hartford, CT 06106-3322 | Physician/surgeon | 2019-12-01 ~ 2020-11-30 |
| John G Young | 242 E 72nd St Apt 9d, New York, NY 10021-4574 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
Please comment or provide details below to improve the information on YOUNG S. PARK.
| 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).