THIDA LWIN
Physician/surgeon


Address: 13 Moonray, Irvine, CA 92603

THIDA LWIN (Credential# 563648) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is June 1, 2018. The license expiration date date is May 31, 2019. The license status is INACTIVE.

Business Overview

THIDA LWIN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.046066. The credential type is physician/surgeon. The effective date is June 1, 2018. The expiration date is May 31, 2019. The business address is 13 Moonray, Irvine, CA 92603. The current status is inactive.

Basic Information

Licensee Name THIDA LWIN
Credential ID 563648
Credential Number 1.046066
Credential Type Physician/Surgeon
Business Address 13 Moonray
Irvine
CA 92603
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 2007-12-04
Effective Date 2018-06-01
Expiration Date 2019-05-31
Refresh Date 2019-09-03

Office Location

Street Address 13 MOONRAY
City Irvine
State CA
Zip Code 92603

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Richard L Remillard 14 Delphinus, Irvine, CA 92603 Professional Engineer 2020-02-08 ~ 2021-01-31
James S Guarre 192 Stonecliff Aisle, Irvine, CA 92603 Professional Engineer 2014-02-01 ~ 2015-01-31
Galina Bannykh 22 Sunrise, Irvine, CA 92603 Physician/surgeon 2010-10-01 ~ 2011-09-30
Jessica L Snyder 64 Tidewind, Irvine, CA 92603 Registered Nurse 2006-12-04 ~ 2008-01-31
John E. Wolfson Deloitte & Touche, Irvine, CA 92603 Certified Public Accountant Certificate ~
Amir Massoumi 46 Cezanne, Irvine, CA 92603-0208 Professional Engineer 2020-02-01 ~ 2021-01-31
Angela D Gottlieb 23 Canyon Ter, Irvine, CA 92603-0228 Registered Nurse 2012-12-01 ~ 2013-11-30
Richard L Matteo 757turtle Crest Drive, Irvine, CA 92603-1015 Architect 2020-08-01 ~ 2021-07-31
Hyun Jeong Lee 544 Quail Mdws, Irvine, CA 92603-4219 Registered Nurse 2011-07-01 ~ 2012-06-30

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City Irvine
Zip Code 92603
License Type Physician/Surgeon
License Type + County Physician/Surgeon + Irvine

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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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