BONGHYUN LEE (Credential# 565037) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is March 16, 2009. The license expiration date date is August 31, 2009. The license status is INACTIVE.
BONGHYUN LEE is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.047455. The credential type is physician/surgeon. The effective date is March 16, 2009. The expiration date is August 31, 2009. The business address is 2013 Crestmont Rd., Hurricane, WV 25526. The current status is inactive.
| Licensee Name | BONGHYUN LEE |
| Credential ID | 565037 |
| Credential Number | 1.047455 |
| Credential Type | Physician/Surgeon |
| Business Address |
2013 Crestmont Rd. Hurricane WV 25526 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 2009-03-16 |
| Effective Date | 2009-03-16 |
| Expiration Date | 2009-08-31 |
| Refresh Date | 2009-12-10 |
| Street Address | 2013 Crestmont Rd. |
| City | Hurricane |
| State | WV |
| Zip Code | 25526 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Miranda Leigh Gillispie | 2928 Montana Ave, Hurricane, WV 25526 | Registered Nurse | 2019-09-01 ~ 2020-08-31 |
| Sharon L Smith | 2945 Shank Ave, Hurricane, WV 25526-1230 | Registered Nurse | ~ |
| Carla R Duty | 3108 Baker St, Hurricane, WV 25526-1302 | Registered Nurse | 2014-09-01 ~ 2015-08-31 |
| Tara Bethany Mcclain | 305 Caroline Dr, Hurricane, WV 25526-1732 | Registered Nurse | 2019-10-02 ~ 2020-10-31 |
| Linda G Surface | 3005 Sussex Way, Hurricane, WV 25526-8729 | Registered Nurse | 2019-11-01 ~ 2020-10-31 |
| Chelsey Rose Short | 12 Richland Dr, Hurricane, WV 25526-8803 | Registered Nurse | ~ |
| Breerin Nicole Kyle | 123 Willowood Cir, Hurricane, WV 25526-9272 | Registered Nurse | 2018-08-01 ~ 2019-07-31 |
| Amy E Carlstrom | 59 Wingfoot Dr, Hurricane, WV 25526-9293 | Registered Nurse | 2018-11-01 ~ 2019-10-31 |
| Elizabeth B Quentrill | 329 Pinewood Dr, Hurricane, WV 25526-9506 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| City | Hurricane |
| Zip Code | 25526 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + Hurricane |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Penny Lamhut Md | Genesis Physician Services, Windsor, CT 06098 | Physician/surgeon | 1999-07-15 ~ 2000-07-31 |
| Gilbert L Drozdow | Envision Physician Services, Plantation, FL 33322 | Physician/surgeon | 2019-10-01 ~ 2020-09-30 |
| Russell H Harris Md | Envision Physician Services, Horsham, PA 19044 | Physician/surgeon | 2019-09-01 ~ 2020-08-31 |
| John T Thompson | Physician Pavilion W, Towson, MD 21204 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Arnold R Kriegstein | College Physician, New York, NY 10032 | Physician/surgeon | 1993-04-23 ~ 1994-03-31 |
| Catherine Nguyen Keegan | Envision Physician Services, Dallas, TX 75240 | Physician/surgeon | 2020-02-01 ~ 2021-01-31 |
| Brent Robert Jacobson | Envision Physician Services, Dallas, TX 75240 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
| Nazanin Barzideh Md | North Shore Retina Physician, Pllc, East Hills, NY 11576 | Physician/surgeon | 2010-05-01 ~ 2011-04-30 |
| Barbara M Galko Md | Danbury Office of Physician Services PC, Danbury, CT 06810 | Physician/surgeon | 2010-06-01 ~ 2011-05-31 |
| Susan J Batlan Md | Eye Physician Associates of Hartford, West Hartford, CT 06107 | Physician/surgeon | 2000-07-27 ~ 2001-07-31 |
Please comment or provide details below to improve the information on BONGHYUN LEE.
| 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).