SOO K CHOI MD (Credential# 543702) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is May 1, 2020. The license expiration date date is April 30, 2021. The license status is ACTIVE.
SOO K CHOI MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.021509. The credential type is physician/surgeon. The effective date is May 1, 2020. The expiration date is April 30, 2021. The business address is 176 Bobby Ln, Manchester, CT 06040-6780. The current status is active.
| Licensee Name | SOO K CHOI MD |
| Credential ID | 543702 |
| Credential Number | 1.021509 |
| Credential Type | Physician/Surgeon |
| Business Address |
176 Bobby Ln Manchester CT 06040-6780 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 1979-06-26 |
| Effective Date | 2020-05-01 |
| Expiration Date | 2021-04-30 |
| Refresh Date | 2020-02-10 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 493907 | CSP.0043085 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2008-02-05 | 2017-04-06 - 2019-02-28 | LAPSED |
| 149548 | CSP.0008898 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2007-03-29 - 2008-02-29 | INACTIVE |
| Street Address | 176 BOBBY LN |
| City | MANCHESTER |
| State | CT |
| Zip Code | 06040-6780 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Stephanie A Knybel | 138 Bobby Ln, Manchester, CT 06040-6780 | Real Estate Salesperson | 2018-06-01 ~ 2019-05-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Mary Fosuah Nketia | 61 Cougar Drive, Manchester, CT 06040 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| New Seasons Inc. | 164 East Center Street, Manchester, CT 06040 | Public Charity | 2019-06-01 ~ 2020-05-31 |
| Kaylen Lam | 60 Chlistone Lane, Manchester, CT 06040 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Matilde Altamirano | 415 Gardner Street, Manchester, CT 06040 | Nail Technician | 2020-06-27 ~ 2022-04-30 |
| Meilan Meilan Chen | 174 Middle Tpke, Manchester, CT 06040 | Nail Technician | ~ |
| Prince Acheampong | 32 Bigelow Street, Manchester, CT 06040 | Notary Public Appointment | ~ |
| Erin C Boyle | 470 Porter Street, Manchester, CT 06040 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Dejone Mitchell | 64 Ruby Dr Apt. P, Manchester, CT 06040 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Andrea H Clifford | 116 Longview Drive, Manchester, CT 06040 | Licensed Practical Nurse | 2020-09-01 ~ 2021-08-31 |
| Tabia Thornton-bey | 103 Walek Farms Road, Manchester, CT 06040 | Licensed Clinical Social Worker | 2020-07-01 ~ 2021-06-30 |
| Find all Licenses in zip 06040 | |||
| City | MANCHESTER |
| Zip Code | 06040 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + MANCHESTER |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Patricia H Choi | 66 Glenbrook, Stamford, CT 06902 | Physician/surgeon | 1999-07-02 ~ 2000-07-31 |
| Myung W Choi Md | 22 Westfield Ave, Ansonia, CT 06401 | Physician/surgeon | 2004-02-09 ~ 2005-03-31 |
| Julie C Choi Md | 5 Duhamel Dr, Hopewell Jct, NY 12533-5364 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Alexander Kwan Choi | Po Box 351, Middletown, CT 06457-7023 | Physician/surgeon | 1983-09-12 ~ 1990-01-31 |
| Robert Y Choi | 607 Chapel St Unit D, New Haven, CT 06511 | Physician/surgeon | 2005-10-12 ~ 2006-10-31 |
| Alex Choi | 58 Kraemer Street, Hicksville, NY 11801 | Physician/surgeon | 2020-06-01 ~ 2021-06-30 |
| Steven J Choi | 3 Oak Ridge Park, Westport, CT 06880 | Physician/surgeon | 2020-02-01 ~ 2021-01-31 |
| Jai H Choi | 23 Briarfield Drive, Lake Success, NY 11020 | Physician/surgeon | 2007-08-06 ~ 2008-09-30 |
| Mi (maryann) Y Choi | 409 West Adams Ave, Temple, TX 76501 | Physician/surgeon | 2004-06-18 ~ 2005-03-31 |
| Myong S Choi | 220 Riverside Blvd., New York, NY 10069 | Physician/surgeon | 2002-05-21 ~ 2004-07-31 |
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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).