ALEXIS H KIM
Physician/surgeon


Address: 610 Gilbert Ave, Menlo Park, CA 94025

ALEXIS H KIM (Credential# 550569) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is August 2, 1994. The license expiration date date is September 30, 1995. The license status is INACTIVE.

Business Overview

ALEXIS H KIM is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.032970. The credential type is physician/surgeon. The effective date is August 2, 1994. The expiration date is September 30, 1995. The business address is 610 Gilbert Ave, Menlo Park, CA 94025. The current status is inactive.

Basic Information

Licensee Name ALEXIS H KIM
Credential ID 550569
Credential Number 1.032970
Credential Type Physician/Surgeon
Business Address 610 Gilbert Ave
Menlo Park
CA 94025
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 1993-05-21
Effective Date 1994-08-02
Expiration Date 1995-09-30
Refresh Date 2009-07-08

Office Location

Street Address 610 GILBERT AVE
City MENLO PARK
State CA
Zip Code 94025

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Competitor

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City MENLO PARK
Zip Code 94025
License Type Physician/Surgeon
License Type + County Physician/Surgeon + MENLO PARK

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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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