CARLYN Y KO MD
Physician/surgeon


Address: 838 Town Colony Drive, Middletown, CT 06457

CARLYN Y KO MD (Credential# 553914) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is January 7, 1998. The license expiration date date is March 31, 1999. The license status is INACTIVE.

Business Overview

CARLYN Y KO MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.036322. The credential type is physician/surgeon. The effective date is January 7, 1998. The expiration date is March 31, 1999. The business address is 838 Town Colony Drive, Middletown, CT 06457. The current status is inactive.

Basic Information

Licensee Name CARLYN Y KO MD
Credential ID 553914
Credential Number 1.036322
Credential Type Physician/Surgeon
Business Address 838 Town Colony Drive
Middletown
CT 06457
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 1997-08-22
Effective Date 1998-01-07
Expiration Date 1999-03-31
Refresh Date 2009-07-11

Other licenses

ID Credential Code Credential Type Issue Term Status
187547 CSP.0026278 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 1998-03-01 - 1999-02-28 INACTIVE

Office Location

Street Address 838 TOWN COLONY DRIVE
City MIDDLETOWN
State CT
Zip Code 06457

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Competitor

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City MIDDLETOWN
Zip Code 06457
License Type Physician/Surgeon
License Type + County Physician/Surgeon + MIDDLETOWN

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Carlyn J Mcdonald 46 Central Ave Rear, Norwich, CT 06360 Registered Nurse 1995-09-06 ~ 1996-10-31
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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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