AGNES S SONG
Physician/surgeon


Address: 1098 Anderson Ave, Ft Lee, NJ 07024

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.

Business Overview

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.

Basic Information

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

Office Location

Street Address 1098 ANDERSON AVE
City FT LEE
State NJ
Zip Code 07024

Licenses in the same zip code

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

Competitor

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City FT LEE
Zip Code 07024
License Type Physician/Surgeon
License Type + County Physician/Surgeon + FT LEE

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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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