KEVIN L SOE
Physician/surgeon


Address: 26 Jasmine Dr, Middletown, NY 10940-5046

KEVIN L SOE (Credential# 561175) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is August 1, 2015. The license expiration date date is July 31, 2016. The license status is INACTIVE.

Business Overview

KEVIN L SOE is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.043593. The credential type is physician/surgeon. The effective date is August 1, 2015. The expiration date is July 31, 2016. The business address is 26 Jasmine Dr, Middletown, NY 10940-5046. The current status is inactive.

Basic Information

Licensee Name KEVIN L SOE
Credential ID 561175
Credential Number 1.043593
Credential Type Physician/Surgeon
Business Address 26 Jasmine Dr
Middletown
NY 10940-5046
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 2005-07-01
Effective Date 2015-08-01
Expiration Date 2016-07-31
Refresh Date 2016-11-03

Office Location

Street Address 26 JASMINE DR
City MIDDLETOWN
State NY
Zip Code 10940-5046

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Francis J. Bachyrycz Jr 96 Hill Road, Middletown, NY 10940 Pharmacist 2020-02-01 ~ 2022-01-31
Gerard S Hluchan 211 Wisner Avenue, Middletown, NY 10940 Professional Engineer 2020-02-01 ~ 2021-01-31
John D Fellenzer 22 Mulberry Street, Middletown, NY 10940 Professional Engineer 2020-02-01 ~ 2021-01-31
Ashley M Williams 230 Ruth Court, Middletown, NY 10940 Emergency Medical Technician 2017-02-07 ~ 2019-12-31
Joseph L Racanelli 707 East Main St., Middletown, NY 10940 Physician/surgeon 2019-10-01 ~ 2020-09-30
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Competitor

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City MIDDLETOWN
Zip Code 10940
License Type Physician/Surgeon
License Type + County Physician/Surgeon + MIDDLETOWN

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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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