AGNES S SONG (Credential# 543259) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is August 14, 1996. The license expiration date date is October 31, 1997. The license status is INACTIVE.
AGNES S SONG is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.020106. The credential type is physician/surgeon. The effective date is August 14, 1996. The expiration date is October 31, 1997. The business address is 1098 Anderson Ave, Ft Lee, NJ 07024. The current status is inactive.
Licensee Name | AGNES S SONG |
Credential ID | 543259 |
Credential Number | 1.020106 |
Credential Type | Physician/Surgeon |
Business Address |
1098 Anderson Ave Ft Lee NJ 07024 |
Business Type | INDIVIDUAL |
Status | INACTIVE - PRIOR DISCIPLINE |
Issue Date | 1978-05-31 |
Effective Date | 1996-08-14 |
Expiration Date | 1997-10-31 |
Refresh Date | 2009-07-08 |
Street Address | 1098 ANDERSON AVE |
City | FT LEE |
State | NJ |
Zip Code | 07024 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Eun Kim | 1263a Inwood Terrace, Fort Lee, NJ 07024 | Pharmacist | ~ |
Stephen C Leventis | 2125 Center Ave Ste 301, Fort Lee, NJ 07024 | Architect | 2020-08-01 ~ 2021-07-31 |
Taeik Kim | 2029 Lemoine Ave. Suite 302, Fort Lee, NJ 07024 | Architect | 2020-08-01 ~ 2021-07-31 |
Catalina A Grigorescu | 270 Bluff Road, Fort Lee, NJ 07024 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
Shaina Rodrigues | 2461 8th Street, Fort Lee, NJ 07024 | Resident Physician | 2020-06-28 ~ 2021-06-30 |
Daniel William Livshin | 3406 Crest Ln, Fort Lee, NJ 07024 | Registered Nurse | 2020-05-01 ~ 2021-04-30 |
Robert Abraham | 296 Harmon Ave., Fort Lee, NJ 07024 | Radiographer | 2020-06-01 ~ 2021-05-31 |
Marge Teilhaber | 555 North Avenue 6 T, Fort Lee, NJ 07024 | Notary Public Appointment | 2015-04-01 ~ 2020-03-31 |
Andrew J Merin | 4 Ascot Way, Fort Lee, NJ 07024 | Real Estate Broker | 2020-04-01 ~ 2021-03-31 |
Seungjin Kim | 2050 Central Road Apt 718, Fort Lee, NJ 07024 | Dentist | 2020-02-20 ~ 2021-02-28 |
Find all Licenses in zip 07024 |
City | FT LEE |
Zip Code | 07024 |
License Type | Physician/Surgeon |
License Type + County | Physician/Surgeon + FT LEE |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Samuel Song | 1150 North Indian Canyon Drive, Palm Springs, CA 92262 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
Kunchang Song | 6 Settlers Grn, Pittsford, NY 14534-2763 | Physician/surgeon | 2006-12-20 ~ 2008-01-31 |
Wenru Song | 213 Long Wharf Rd, Mystic, CT 06355 | Physician/surgeon | ~ |
Dae Y Song | 413 Ivanhoe Drive, Selma, AL 36701 | Physician/surgeon | 2001-09-10 ~ 2002-10-31 |
Soon Hi Song | The Michelan 1204, Seoul, 137870 | Physician/surgeon | 2005-10-31 ~ 2006-12-31 |
Song Young Yu | 14a Quaker Ridge Dr., Brookville, NY 11545 | Physician/surgeon | 2016-01-01 ~ 2016-12-31 |
Ju Yong Song | 416 Margherita Pl, Brick Town, NJ 08724 | Physician/surgeon | 1997-06-09 ~ 1998-08-31 |
Rinn Song | 396 Beacon Street, Boston, MA 02116 | Physician/surgeon | 2011-07-01 ~ 2012-06-30 |
Liqun Song Md | 135 Division Street, Ansonia, CT 06401 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
Il Song Hahn | 15 Peck Hill Rd, Woodbridge, CT 06525-1301 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
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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).