KATIE S KWOK PA-C (Credential# 743629) is licensed (Physician Assistant) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2020. The license expiration date date is February 28, 2021. The license status is ACTIVE.
KATIE S KWOK PA-C is licensed with the Department of Consumer Protection of Connecticut. The credential number is #23.001880. The credential type is physician assistant. The effective date is March 1, 2020. The expiration date is February 28, 2021. The business address is 177 Judson Rd, Fairfield, CT 06824. The current status is active.
| Licensee Name | KATIE S KWOK PA-C |
| Credential ID | 743629 |
| Credential Number | 23.001880 |
| Credential Type | Physician Assistant |
| Business Address |
177 Judson Rd Fairfield CT 06824 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2007-02-01 |
| Effective Date | 2020-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2020-02-25 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 467449 | CSP.0041326 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2007-04-12 | 2019-03-01 - 2021-02-28 | ACTIVE |
| 843217 | 70.003484 | Emergency Medical Technician | 2003-04-09 | 2003-04-09 - 2004-12-31 | INACTIVE |
| Street Address | 177 judson rd |
| City | FAIRFIELD |
| State | CT |
| Zip Code | 06824 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Amy S Van Buren | 11 Larkspur Road, Fairfield, CT 06824 | Massage Therapist | 2020-08-01 ~ 2022-07-31 |
| Linda J Batchelder | 72 Ruane St, Fairfield, CT 06824 | Architect | 2020-08-01 ~ 2021-07-31 |
| Fairfield American Little League | 87 Charles St, Fairfield, CT 06824 | Public Charity | 2020-12-01 ~ 2021-11-30 |
| Robert D Sickeler | 175 Wakeman Rd, Fairfield, CT 06824 | Architect | 2020-08-01 ~ 2021-07-31 |
| Michael P Brennan | 338 Sturges Rd, Fairfield, CT 06824 | Real Estate Salesperson | 2020-06-23 ~ 2021-05-31 |
| Maria A Arduini | 499 Hemlock Rd, Fairfield, CT 06824 | Real Estate Salesperson | 2020-06-23 ~ 2021-05-31 |
| Ryan L Antisdale | 104 Rhoda Avenue, Fairfield, CT 06824 | Real Estate Salesperson | 2020-06-23 ~ 2021-05-31 |
| Szymlinska Eva Jucelin | 105 Churchill Street, Fairfield, CT 06824 | Licensed Practical Nurse | 2020-07-01 ~ 2021-06-30 |
| Afoofa, Inc · Afoofa | 298 South Benson Road, Fairfield, CT 06824 | Public Charity-exempt From Financial Requirements | 2020-06-25 ~ |
| Rachel Finlaw | 2546 North Benson Road, Fairfield, CT 06824 | Master's Level Social Worker | ~ |
| Find all Licenses in zip 06824 | |||
| City | FAIRFIELD |
| Zip Code | 06824 |
| License Type | Physician Assistant |
| License Type + County | Physician Assistant + FAIRFIELD |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Michelle H Kwok | 169 South New Rd, Hamden, CT 06518 | Physician Assistant | 2008-06-17 ~ 2009-06-30 |
| Katie L Merithew | 10 Phelps Dr, Hamden, CT 06514 | Physician Assistant | 2020-06-01 ~ 2021-05-31 |
| Katie M Roach | 3 David Drive, Simsbury, CT 06070 | Physician Assistant | 2020-06-01 ~ 2021-05-31 |
| Katie A Coppola | 288 Haddam Quarter Rd, Durham, CT 06422-1618 | Physician Assistant | 2020-05-01 ~ 2021-04-30 |
| Katie Lynn Anderson | 15 Wiemes Ct, Waterford, CT 06385 | Physician Assistant | 2020-07-01 ~ 2021-06-30 |
| Katie J Arey | 9 Cobblestone Dr, Broad Brook, CT 06016-1200 | Physician Assistant | 2020-07-01 ~ 2021-06-30 |
| Katie Lynn Tichenor | 2 Ross Passway, Morris, CT 06763-1300 | Physician Assistant | 2016-11-01 ~ 2017-10-31 |
| Katie Lynn Scott | 5717 Pacific Center Blvd, San Diego, CA 92121-4250 | Physician Assistant | 2020-01-01 ~ 2020-12-31 |
| Kwok Wah Manufacturer | Lung Koo Rd, Foshan Nan Hoi Guang Dong, 528203 | Manufacturer of Bedding & Upholstered Furniture | 2006-07-10 ~ 2007-04-30 |
| Kwok-ming Moy | 81 E 208th St, Bronx, NY 10467-2707 | Physician/surgeon | 2020-02-01 ~ 2021-01-31 |
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| 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).