BO Y SUH (Credential# 543651) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is January 31, 1995. The license expiration date date is January 31, 1996. The license status is INACTIVE.
BO Y SUH is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.021408. The credential type is physician/surgeon. The effective date is January 31, 1995. The expiration date is January 31, 1996. The business address is 4033 Chavy Chase Dr, Lacanada, CA 91011. The current status is inactive.
| Licensee Name | BO Y SUH |
| Credential ID | 543651 |
| Credential Number | 1.021408 |
| Credential Type | Physician/Surgeon |
| Business Address |
4033 Chavy Chase Dr Lacanada CA 91011 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 1979-05-23 |
| Effective Date | 1995-01-31 |
| Expiration Date | 1996-01-31 |
| Refresh Date | 2009-07-08 |
| Street Address | 4033 CHAVY CHASE DR |
| City | LACANADA |
| State | CA |
| Zip Code | 91011 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Ying Zhang | 5337 Godbey Drive, La Canada Flintridge, CA 91011 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| Ashleigh B Rader | 4365 Bel Aire Dr, La Canada, CA 91011 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| Lisa G Friedman | 3841 Keswck Road, La Canada, CA 91011 | Emergency Medical Technician | 2006-08-01 ~ 2008-04-01 |
| Scott J Defreitas | 5256 La Canada Blvd, La Canada Flt, CA 91011-1722 | Real Estate Salesperson | 2013-06-01 ~ 2014-05-31 |
| Patrick O Fiedler | 5037 Merita Pl, La Canada, CA 91011-3643 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
| City | LACANADA |
| Zip Code | 91011 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + LACANADA |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Russell H Harris Md | Envision Physician Services, Horsham, PA 19044 | Physician/surgeon | 2019-09-01 ~ 2020-08-31 |
| Gilbert L Drozdow | Envision Physician Services, Plantation, FL 33322 | Physician/surgeon | 2019-10-01 ~ 2020-09-30 |
| Penny Lamhut Md | Genesis Physician Services, Windsor, CT 06098 | Physician/surgeon | 1999-07-15 ~ 2000-07-31 |
| Arnold R Kriegstein | College Physician, New York, NY 10032 | Physician/surgeon | 1993-04-23 ~ 1994-03-31 |
| John T Thompson | Physician Pavilion W, Towson, MD 21204 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| 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 |
| Barbara M Galko Md | Danbury Office of Physician Services PC, Danbury, CT 06810 | Physician/surgeon | 2010-06-01 ~ 2011-05-31 |
| Barbara A Brandes Md | Danbury Office of Physician Services, Danbury, CT 06810 | Physician/surgeon | 2004-07-08 ~ 2005-07-31 |
Please comment or provide details below to improve the information on BO Y SUH.
| 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).