KEVIN ERIC HWANG (Credential# 1512379) is licensed (Physician Assistant) with Connecticut Department of Consumer Protection. The license effective date is June 1, 2020. The license expiration date date is May 31, 2021. The license status is ACTIVE.
KEVIN ERIC HWANG is licensed with the Department of Consumer Protection of Connecticut. The credential number is #23.004113. The credential type is physician assistant. The effective date is June 1, 2020. The expiration date is May 31, 2021. The business address is 17 Lyon Ave, Greenwich, CT 06830-6206. The current status is active.
Licensee Name | KEVIN ERIC HWANG |
Credential ID | 1512379 |
Credential Number | 23.004113 |
Credential Type | Physician Assistant |
Business Address |
17 Lyon Ave Greenwich CT 06830-6206 |
Business Type | INDIVIDUAL |
Status | ACTIVE - CURRENT |
Active | 1 |
Issue Date | 2018-06-12 |
Effective Date | 2020-06-01 |
Expiration Date | 2021-05-31 |
Refresh Date | 2020-03-02 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
1517443 | CSP.0068263 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2018-06-12 | 2019-03-01 - 2021-02-28 | ACTIVE |
Street Address | 17 LYON AVE |
City | GREENWICH |
State | CT |
Zip Code | 06830-6206 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Diana M Canova | 12 Lyon Ave Fl 1, Greenwich, CT 06830-6206 | Hairdresser/cosmetician | 2020-06-01 ~ 2022-05-31 |
Inessa Zaleski | 22 Lyon Av #1, Greenwich, CT 06830-6206 | Hypnotist | 2019-11-01 ~ 2020-10-31 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Junior League of Greenwich Conn Inc. | 231 East Putnam Ave., Greenwich, CT 06830 | Public Charity | 2019-06-01 ~ 2020-05-31 |
Michelle Yoo | 35 Putnam Green, Greenwich, CT 06830 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-27 ~ 2022-01-31 |
Michele S Bergen | Greenwich Medical Building, Greenwich, CT 06830 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
Black Forest Pastry | 52 Lewis Street, Greenwich, CT 06830 | Bakery | 2020-07-01 ~ 2021-06-30 |
Maurasaca Pallchisaca Gloria Veronica | 103 Greenwich Ave, Greenwich, CT 06830 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
Deborah B Huffard | 107 Maple Ave, Greenwich, CT 06830 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
Joann H Alexander | 157 Stanwich Road, Greenwich, CT 06830 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
Dandan Tu | 24 Byfield Ln, Greenwich, CT 06830 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
Mohamed Akli Zetchi | 2 Perryridge Road, Greenwich, CT 06830 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
Gateway Classical Music Society Inc | 292 Stanwich Road, Greenwich, CT 06830 | Public Charity | 2020-12-01 ~ 2021-11-30 |
Find all Licenses in zip 06830 |
City | GREENWICH |
Zip Code | 06830 |
License Type | Physician Assistant |
License Type + County | Physician Assistant + GREENWICH |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Eric Semmel | Hc 80 Box 50a, Penobscot, ME 04476 | Physician Assistant | 1995-09-20 ~ 1996-09-30 |
Eric Y Amoh | 880 Boynton Avenue, Bronx, NY 10473 | Physician Assistant | ~ |
Eric W Starr | 752 Pawley Drive, Charlotte, NC 28214 | Physician Assistant | 2003-01-30 ~ 2003-03-31 |
Eric Wagner | 1 Archer Place, Tarrytown, NY 10591 | Physician Assistant | 2007-04-23 ~ 2008-06-30 |
Eric W Kelleher Pa-c | 4800 Cherry Creek Dr, Denver, CO 80246 | Physician Assistant | 2011-02-01 ~ 2012-01-31 |
Kevin M Chandon Pa-c | 79 Judson Ave, Woodbury, CT 06798-2713 | Physician Assistant | 2020-03-01 ~ 2021-02-28 |
Kevin L Pedneault | 15 Fairmont St, Wethersfield, CT 06109-2212 | Physician Assistant | 2020-05-01 ~ 2021-04-30 |
Kevin M. Kattau | 20 Hooper Ct, East Northport, NY 11731-4914 | Physician Assistant | 2011-09-22 ~ 2012-01-31 |
Kevin F Ryan | 12 Walker Road, Ware, MA 01082 | Physician Assistant | 1997-08-22 ~ 1998-09-30 |
Kevin Stetter | 110 Beachview Ave Unit 218, Bridgeport, CT 06605-3263 | Physician Assistant | 2020-05-01 ~ 2021-04-30 |
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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).