KOH TAKEUCHI (Credential# 1460167) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2020. The license expiration date date is February 28, 2021. The license status is ACTIVE.
KOH TAKEUCHI is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.057216. The credential type is physician/surgeon. The effective date is March 1, 2020. The expiration date is February 28, 2021. The business address is Apt# 313, Tokyo, JP 1120001. The current status is active.
| Licensee Name | KOH TAKEUCHI |
| Credential ID | 1460167 |
| Credential Number | 1.057216 |
| Credential Type | Physician/Surgeon |
| Business Address |
Apt# 313 Tokyo JP 1120001 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2017-12-01 |
| Effective Date | 2020-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2020-05-26 |
| Street Address | Apt# 313 |
| City | Tokyo |
| State | JP |
| Zip Code | 1120001 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Yusei Chiku | Sangenjaya 2-55-12, Apt 302, Tokyo, JP 1540024 | Architect | 2020-08-01 ~ 2021-07-31 |
| Masato Okada | St. Luke's Int. Hosp, Allergy & Rheum, Tokyo, 1048560 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Ariake Secondary Fund II Lp | 204 Premium Office Kojimachi, Tokyo, JP 1020083 | Securities - Exemptions | 2020-04-09 ~ |
| Michael J. Lopiano | 3-7-5 Azabu Gardens, Tokyo, JP 1060046 | Certified Public Accountant License | 2020-01-01 ~ 2020-12-31 |
| Anthony S Drennan | 3-19-15-1308 Toranomon, Minato-kv, Tokyo, 1050001 | Dentist | 2000-11-13 ~ 2001-08-31 |
| Shin Su Kim | Hongo, Tokyo, 1130033 | Physician/surgeon | 2017-10-01 ~ 2018-09-30 |
| Kengo Ueda | Setagaya-ku, Tokyo, 1570073 | Naturopathic Physician | 2014-08-01 ~ 2015-07-31 |
| Seung Dae Park | C/o Mr. Arai, Tokyo, 1860004 | Physician/surgeon | 2007-03-30 ~ 2008-01-31 |
| City | Tokyo |
| Zip Code | 11200 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + Tokyo |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Fiorella D Takeuchi | 85 Rockland Ave, Stratford, CT 06614 | Pharmacy Technician | 2010-04-01 ~ 2011-03-31 |
| Akiko Takeuchi | 375 Greenwich Ave Apt 11, Greenwich, CT 06830-6545 | Hairdresser/cosmetician | 2016-11-23 ~ 2018-11-30 |
| Gilbert L Drozdow | Envision Physician Services, Plantation, FL 33322 | Physician/surgeon | 2019-10-01 ~ 2020-09-30 |
| Russell H Harris Md | Envision Physician Services, Horsham, PA 19044 | Physician/surgeon | 2019-09-01 ~ 2020-08-31 |
| Penny Lamhut Md | Genesis Physician Services, Windsor, CT 06098 | Physician/surgeon | 1999-07-15 ~ 2000-07-31 |
| John T Thompson | Physician Pavilion W, Towson, MD 21204 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Arnold R Kriegstein | College Physician, New York, NY 10032 | Physician/surgeon | 1993-04-23 ~ 1994-03-31 |
| Brent Robert Jacobson | Envision Physician Services, Dallas, TX 75240 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
| Catherine Nguyen Keegan | Envision Physician Services, Dallas, TX 75240 | Physician/surgeon | 2020-02-01 ~ 2021-01-31 |
| Nazanin Barzideh Md | North Shore Retina Physician, Pllc, East Hills, NY 11576 | Physician/surgeon | 2010-05-01 ~ 2011-04-30 |
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| 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).